ArticleInternational journal of integrated care2011
Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway.
Article in International journal of integrated care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 11 citations in OpenAlex.
- Sociodemographic Factors and Utilization of Pediatric Oncology Satellite Clinics in Ontario, Canada.JAMA network open · 2024Article
- The role of local inpatient psychiatric units and general practitioner on continuity of care in Northern Norway: A case-register study.International journal of methods in psychiatric research · 2021Article
- Psychiatric readmission rates in a multi-level mental health care system - a descriptive population cohort study.BMC health services research · 2021Article
- Access to mental health care in El Salvador: a case study of progress toward decentralization.Revista panamericana de salud publica = Pan American journal of public health · 2018Article
- How mental health service systems are organized may affect the rate of acute admissions to specialized care: Report from a natural experiment involving 5338 admissions.SAGE open medicine · 2017Article
- Regional Correlates of Psychiatric Inpatient Treatment.International journal of environmental research and public health · 2016Article
- Increased influence and collaboration: a qualitative study of patients' experiences of community treatment orders within an assertive community treatment setting.BMC health services research · 2015Article
- Local inpatient units may increase patients' utilization of outpatient services: a comparative cohort-study in Nordland County, Norway.Psychology research and behavior management · 2015Article
- Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study.BMC health services research · 2014Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe issue of continuity of care is central in contemporary psychiatric services research. In Norway, inpatient admissions are mainly to take place locally, in a system of small bed-units that represent an alternative to traditional central psychiatric hospitals. This type of organization may be advantageous for accessibility and cooperation, but has been given little scientific attention.
aimsTo study whether inpatients' utilization of outpatient services differ between an area with a decentralized care model in comparison to an adjacent area with a partly centralized model.
methodThe study was based on data from a one-year registered prevalence sample, drawing on routinely sampled data supplemented with data from medical records. Service-utilization for 247 inpatients was analyzed. The results were controlled for diagnosis, demographic variables, type of service system, localization of inpatient admissions, and length of hospitalization.
resultsMost inpatients in the area with the decentralized care model also utilized outpatient consultations, whereas a considerable number of inpatients in the area with a partly centralized model did not enter outpatient care at all. Type of service system, localization of inpatient admission, and length of hospitalization predicted inpatients' utilization of outpatient consultations. The results are discussed in the light of systems integration, particularly management-arrangements and clinical bridging over the transitional phase from inpatient to outpatient care.
conclusionInpatients' utilization of outpatient services differed between an area with a decentralized care model in comparison to an adjacent area with a partly centralized care model. In the areas studied, extensive decentralization of the psychiatric services positively affected coordination of inpatient and outpatient services for people with severe psychiatric disorders. Small, local-bed units may therefore represent a favourable alternative to traditional central psychiatric hospitals.
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