ArticleInternational journal of environmental research and public health2014
Does primary care mental health resourcing affect the use and costs of secondary psychiatric services?
Article in International journal of environmental research and public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Association between mental health status and patient satisfaction: a cross-sectional study in three Damascus hospitals, Syria.BMJ public health · 2025Article
- Mental health service diversity and work disability: associations of mental health service system characteristics and mood disorder disability pensioning in Finland.Social psychiatry and psychiatric epidemiology · 2024Article
- Patterns of mental health services and mood disorder disability pensions: a standard comparison of Finland's three largest hospital districts.BMC psychiatry · 2023Article
- Impact of the workforce allocation on the technical performance of mental health services: the collective case of Helsinki-Uusimaa (Finland).Health research policy and systems · 2023Article
- Health check-ups as interventions for work disability management: supervisors and occupational healthcare follow the recommendations to a great extent.Occupational and environmental medicine · 2023Article
- Professionals' perceptions of the establishment of a specialized brief therapy unit in a district psychiatric centre - a qualitative study.BMC health services research · 2020Article
- Patient satisfaction with primary healthcare services: are there any links with patients' symptoms of anxiety and depression?BMC family practice · 2018Article
- A Comparison of Mental Health Care Systems in Northern and Southern Europe: A Service Mapping Study.International journal of environmental research and public health · 2018Article
- Identifying Local and Centralized Mental Health Services-The Development of a New Categorizing Variable.International journal of environmental research and public health · 2018Article
- Regional Correlates of Psychiatric Inpatient Treatment.International journal of environmental research and public health · 2016Article
- How size matters: exploring the association between quality of mental health services and catchment area size.BMC psychiatry · 2016Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Collaborative care models for treatment of depression and anxiety disorders in primary care have been shown to be effective. The aim of this study was to investigate at the municipal level to what extent investment in mental health personnel at primary care health centres in the study area is reflected in the costs and use of secondary psychiatric services. Furthermore, we analysed whether the service provision and use of secondary psychiatric care correlates with the socioeconomic indicators of need. We found significant variation in the amount of mental health personnel provided at the health centres, uncorrelated with the indicators of need nor with the costs of secondary psychiatric care. The amount of mental health nurses at the health centres correlated inversely with the number of secondary psychiatric outpatient visits, whereas its relation to inpatient days and admission was positive. The costs of secondary psychiatric care correlated with level of psychiatric morbidity and socioeconomic indicators of need. The results suggest that when aiming at equal access of care and cost-efficiency, the primary and secondary care should be organized and planned with integrative collaboration.
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