ArticleBMC health services research2021
Contextual and mental health service factors in mental disorder-based disability pensioning in Finland - a regional comparison.
Article in BMC health services research, 2021. 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, 25 citations in OpenAlex.
- Return to Work or Not: The Paths to Psychiatric Disability and Back.Journal of occupational rehabilitation · 2026Article
- Insights into Health Program Implementation and Evaluation in Iran: A Brief Review of National Healthcare Programs in Iran.Iranian journal of public health · 2024Article
- Variation in Psychiatric Hospitalisations: A Multiple-Membership Multiple-Classification Analysis.International journal of environmental research and public health · 2024Article
- The association of sociodemographic characteristics with work disability trajectories during and following long-term psychotherapy: a longitudinal register study.Social psychiatry and psychiatric epidemiology · 2024Article
- Geographical variation in treated psychotic and other mental disorders in Finland by region and urbanicity.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
- Linking electronic mental healthcare and benefits records in South London: design, procedure and descriptive outcomes.BMJ open · 2023Article
- Socioeconomic factors and use of psychotherapy in common mental disorders predisposing to disability pension.BMC health services research · 2022Article
- Gender differences in association of urbanization with psychological stress in Chinese adults: A population-based study.Frontiers in public health · 2022Article
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Authors and funding
8 authors at 3 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundWe investigated the regional differences in all mental disorder disability pensions (DP) between 2010 and 2015 in Finland, and separately in mood disorders and non-affective psychotic disorder DP. We also studied the contribution of several district-level contextual and mental health service factors to mental disorder DP.
methodsSubjects were all those granted mental disorder DP for the first time between 2010 and 2015 in Finland (N = 36,879). Associations between the district-level contextual and mental health service factors and regional DP risks collected from the year 2015 were studied with negative binomial regression analysis in the Finnish hospital districts. The population number on the age (18 to 65 years), gender, occupational status and residential hospital district of the Finnish population from 2015 was used as exposure in the model.
resultsSignificant differences in the regional mental disorder DP risks between and within hospital districts did not appear to follow the traditional Finnish health differences. A lower risk of DP was associated with contextual indicators of higher regional socioeconomic level. Furthermore, population density as a proxy for access to mental health services indicated a higher regional DP risk for lower density in all mental (IRR 1.10; 95% CI 1.06-1.14) and mood disorder (IRR 1.12; 95% CI 1.08-1.16) DP. Both the highest and the lowest regional numbers of all mental health outpatient visits were associated with a higher DP risk in all mental and mood disorder DP, whereas particularly low regional numbers of inpatient treatment periods and of patients were associated with a lower risk of DP.
conclusionsIn this comprehensive population-level study, we found evidence of significant regional variation in mental disorder DP and related district-level factors. This variation may at least partly relate to differences in regional mental health service systems and treatment practices. Adapting to the needs of the local population appears to be indicated for both regional mental health service systems and treatment practices to achieve optimal performance.
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