ArticleBMC health services research2022
Association of travel time with mental health service use in primary health care according to contact type - a register-based study in Kainuu, Finland.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
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- Change in Travel Distance for Pediatric Mental Health Admissions in Illinois, 2016 to 2024.Academic pediatrics · 2026Article
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- Spatial accessibility and outpatient utilization among children aged 1-5 years in South Korea: a nationwide claims-based cross-sectional study, 2023.BMC health services research · 2026Article
- Bereavement service deserts: A 2024 statewide assessment of bereavement services.Death studies · 2025Article
- Geospatial Insights into Healthcare Accessibility in Europe: A Scoping Review of GIS Applications.Healthcare (Basel, Switzerland) · 2025Review
- Utilization of Neurology and Allied Health Services by People With Parkinson's Disease in Israel: A Retrospective Observational Study.Journal of neurologic physical therapy : JNPT · 2025Observational
- Access to urban community mental health services: does geographical distance play a role?Social psychiatry and psychiatric epidemiology · 2025Article
- Designing a clustering algorithm for optimizing health station locations.International journal of health geographics · 2025Article
- Pathway to care and time to treatment among patients attending psychiatry service at Dilla, Ethiopia, a cross-sectional study.PLOS mental health · 2025Article
- Mapping eating disorders in adolescents and young adults: an investigation of geographic distribution and access to care in Ontario, Canada.Journal of eating disorders · 2024Article
- Developing a prediction model to identify people with severe mental illness without regular contact to their GP - a study based on data from the Danish national registers.BMC psychiatry · 2024Article
- Article
- Geographical variation in treated psychotic and other mental disorders in Finland by region and urbanicity.Social psychiatry and psychiatric epidemiology · 2024Article
- Implementation of Aceh Health Insurance (Narra J · 2023Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundThe study aim was to analyse how mental health services are used in different parts of the Kainuu region in Finland and whether travel time to primary health care services is associated with the use of different contact types (in-person visits, remote contacts, home visits).
methodsThe study population included adults who had used mental health services under primary health care (N = 7643) between 2015 and 2019. The travel times to the nearest health centre in a municipality were estimated as the population-weighted average drive time in postal code areas. The Kruskal-Wallis test and pairwise comparisons with Dunn-Bonferroni post hoc tests were used to assess the differences in mental health service use between health centre areas. A negative binomial regression was performed for the travel time categories using different contact types of mental health service use as outcomes. Models were adjusted for gender, age, number of mental health diseases and the nearest health centre in the municipality.
resultsDistance was negatively associated with mental health service use in health centre in-person visits and in home visits. In the adjusted models, there were 36% fewer in-person visits and 83% fewer home visits in distances further than 30 min, and 67% fewer home visits in a travel time distance of 15-30 min compared with 15 min travel time distance from a health centre. In the adjusted model, in remote contacts, the incidence rate ratios increased with distance, but the association was not statistically significant.
conclusionsThe present study revealed significant differences in mental health service use in relation to travel time and contact type, indicating possible problems in providing services to distant areas. Long travel times can pose a barrier, especially for home care and in-person visits. Remote contacts may partly compensate for the barrier effects of long travel times in mental health services. Especially with conditions that call for the continuation and regularity of care, enabling factors, such as travel time, may be important.
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