ArticleResearch in health services & regions2023
Geographic variation in the utilisation of specialist healthcare for patients with severe mental illness in Norway: a population-based registry study.
Article in Research in health services & regions, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Geospatial clustering of suicide, mental health, sociodemographic and workforce features in Australia.Social psychiatry and psychiatric epidemiology · 2026Article
- CT sinus imaging utilization in Norway: trends over time and variation by region, age, and sex.Research in health services & regions · 2026Article
- Occupational Licensing and Psychologist Supply.Health economics · 2026Article
- Geographic variation in the utilisation of specialist healthcare for patients with substance use disorders in Norway: a population-based registry study.Research in health services & regions · 2026Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study is to measure geographic variations in mental healthcare service utilisation among patients with severe mental illness in Norway.
methodWe analysed data from the Norwegian patient registry for 2014-2018 for patients with severe mental illness. The outcomes measured in this study were: outpatient contact, admission, bed days and total contact rates. Total contacts were calculated as the sum of observed outpatient contacts plus four times the hospital bed days for each hospital catchment area based on the Norwegian health director's report on clinical activity and patient treatment cost. Geographic variations were measured using extreme quotient (EQ), coefficient of variation (CV) and systematic component of variation (SCV). Maps, figures, and tables were used to visualise geographic variation.
resultsThe geographic variations saw a six-fold increase in the outpatient contact rate and a three-fold increase in the admission rate between the areas with lowest rate and areas with the highest rate. However, there was low geographic variation in calculated total contact rates (Eqs.
conclusionThe levels of geographic variations in the utilisation of outpatient and inpatient mental healthcare services among patients with severe mental illness are high. However, the geographic variation in total services provided by hospital catchment areas calculating the two service modalities together using their treatment cost ratio, is low. This may reflect the relatively equal performance of hospital catchment areas in terms of resource utilisation regardless which service modality they prioritise. Factors contributing to high geographic variation in individual service modalities need further investigation.
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