2018
DOI: 10.3390/ijerph15061133
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Abstract: Mental health services (MHS) have gone through vast changes during the last decades, shifting from hospital to community-based care. Developing the optimal balance and use of resources requires standard comparisons of mental health care systems across countries. This study aimed to compare the structure, personnel resource allocation, and the productivity of the MHS in two benchmark health districts in a Nordic welfare state and a southern European, family-centered country. The study is part of the REFINEMENT … Show more

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Cited by 42 publications
(47 citation statements)
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“…5 Department of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium. 6 Department of Psychoanalysis and Clinical Consulting, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium. 7 Research Unit for General Practice, NORCE-Norwegian Research Centre, Bergen, Norway.…”
Section: Abbreviationsmentioning
confidence: 99%
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“…5 Department of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium. 6 Department of Psychoanalysis and Clinical Consulting, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium. 7 Research Unit for General Practice, NORCE-Norwegian Research Centre, Bergen, Norway.…”
Section: Abbreviationsmentioning
confidence: 99%
“…Moreover, disparities between the two regions were reported in MHS productivity, with southern European regions serving greater numbers of people in population-adjusted comparisons. According to Sadeniemi et al [6] these noteworthy differences reflect historical and cultural divergences. For example, strong family networks and ties in southern Europe any regions are associated with a lesser need for and use of hospital-care and residential facilities and to "trans-institutionalization to nonhospital residential services" (p. 10).…”
Section: Introductionmentioning
confidence: 99%
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“…Finland has comprehensive public health care with universal health coverage [10] and visits in outpatient mental health services are usually free of charge. The municipalities are responsible for organizing public health care and all residents are covered by it [34]. Health services are divided into primary health care and specialized medical care, and to the latter patients are usually referred by a general practitioner or an occupational physician.…”
Section: Introductionmentioning
confidence: 99%
“…High accessibility is related to less stigma and vice versa in the context of equity in healthcare, human rights, community involvement, continuity of care until patients' recovery [48]. However, beyond stigma, accessibility also depends on the adequacy and availability of appropriate hospital and community mental health structures [44,49,50], as well as the absence of waiting lists for evaluations, hospitalizations, and outpatient therapies, as can be described.…”
Section: Discussionmentioning
confidence: 99%