Evidence map›Paper›PMID 35976617›Full record

ArticleInternational journal of methods in psychiatric research2023

Mental health service areas in Switzerland.

Niklaus Stulz, Reto Jörg, Constanze Reim-Gautier, Charles Bonsack, Philippe Conus, Sara Evans-Lacko, Kerstin Gabriel-Felleiter, Eva Heim, Matthias Jäger, Martin Knapp and 7 more

Abstract read
In one paragraph

Article in International journal of methods in psychiatric research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Mental health service areas in Switzerland.International journal of methods in psychiatric research · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Niklaus StulzIntegrated Psychiatric Services Winterthur-Zurcher Unterland, Winterthur, Switzerland.ORCID 0000-0001-6805-6631
Reto JörgSwiss Health Observatory, Neuchatel, Switzerland.
Constanze Reim-GautierIntegrated Psychiatric Services Winterthur-Zurcher Unterland, Winterthur, Switzerland.
Charles BonsackDepartment of Psychiatry, Lausanne University Hospital, Lausanne, Switzerland.
Philippe ConusDepartment of Psychiatry, Lausanne University Hospital, Lausanne, Switzerland.
Sara Evans-LackoCare Policy and Evaluation Centre, London School of Economics and Political Science, London, UK.ORCID 0000-0003-4691-2630
Kerstin Gabriel-FelleiterPsychiatric Services Lucerne, Lucerne, Switzerland.
Eva HeimInstitute of Psychology, University of Lausanne, Lausanne, Switzerland.
Matthias JägerPsychiatric Services Baselland, Liestal, Switzerland.
Martin KnappCare Policy and Evaluation Centre, London School of Economics and Political Science, London, UK.
Dirk RichterDepartment of Health Professions, Bern University of Applied Sciences, Bern, Switzerland.
Andres SchneebergerDepartment of Psychiatry, University of California San Diego, La Jolla, California, USA.
Graham ThornicroftCentre for Global Mental Health and Center for Implementation Science, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Rafael TraberOrganizzazione Sociopsichiatrica Cantonale, Mendrisio, Switzerland.
Simon WieserWinterthur Institute of Health Economics, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland.
Alexandre TuchSwiss Health Observatory, Neuchatel, Switzerland.
Urs HeppDepartment of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, Switzerland.

Funding

Department of HealthMedical Research Council MR/R023697/1Medical Research Council MR/S001255/1
6 · The paper itself

Abstract

objectivesSmall area analysis is a health services research technique that facilitates geographical comparison of services supply and utilization rates between health service areas (HSAs). HSAs are functionally relevant regions around medical facilities within which most residents undergo treatment. We aimed to identify HSAs for psychiatric outpatient care (HSA-PSY) in Switzerland.

methodsWe used HSAr, a new and automated methodological approach, and comprehensive psychiatric service use data from insurances to identify HSA-PSY based on travel patterns between patients' residences and service sites. Resulting HSA-PSY were compared geographically, demographically and regarding the use of inpatient and outpatient psychiatric services.

resultsWe identified 68 HSA-PSY, which were reviewed and validated by local mental health services experts. The population-based rate of inpatient and outpatient service utilization varied considerably between HSA-PSY. Utilization of inpatient and outpatient services tended to be positively associated across HSA-PSY.

conclusionsWide variation of service use between HSA-PSY can hardly be fully explained by underlying differences in the prevalence or incidence of disorders. Whether other factors such as the amount of services supply did add to the high variation should be addressed in further studies, for which our functional mapping on a small-scale regional level provides a good analytical framework.

Indexed as

Mental DisordersMental Health ServicesCatchment Area, HealthHumansSwitzerlandgeographypsychiatryservice usesmall area analysis

Identifiers

PMID35976617
PMCPMC9976601

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.