Comparative study of mental health services availability and use in Chile and Spain

Romero, C.; Salinas, José Alberto; Saldivia, Sandra; Grandón, Pamela; Poole, Miriam; Salvador‐Carulla, Luis; Gutierrez, Juan C. García

doi:10.5334/ijic.366

Cited by 2 publications

(3 citation statements)

References 3 publications

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“…The mental health improvement and its relationship to the regional plan was analysed in Catalonia (Spain) in 2002, 2006 and 2010 [81]. Two health districts in Central Chile were evaluated in 2004/05 [69], 2008/09 [95] and 2012 [94]. Three hospital districts in Finland were assessed in 2004 [71], 2011/12 [33] and 2012/14 [84].The area of Verona (Italy) has been analysed in 2002 and 2010 [89]; and the areas in Northwest Russia and Northern Norway in 2004/05 and 2011/12 [64,88].…”

Section: Use In Longitudinal Studies Of the Evolution Of Care Systemsmentioning

confidence: 99%

Standardised description of health and social care: A systematic review of use of the ESMS/DESDE (European Service Mapping Schedule/Description and Evaluation of Services and DirectoriEs)

Romero-López-Alberca

Gutiérrez-Colosía

Salinas-Pérez

et al. 2019

European Psychiatry

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Background: Evidence-informed planning and interpretation of research results both require standardised description of local care delivery context. Such context analysis descriptions should be comparable across regions and countries to allow benchmarking and organizational learning, and for research findings to be interpreted in context. The European Service Mapping Schedule (ESMS) is a classification of adult mental health services that was later adapted for the assessment of health and social systems research (Description and Evaluation of Services and DirectoriEs-DESDE). The aim of the study was to review the diffusion and use of the ESMS/DESDE system in health and social care and its impact in health policy and decision-making. Method: We conducted a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (1997-2018). Results: Out of 155 papers mentioning ESMS/DESDE, 71 have used it for service research and planning. The classification has been translated into eight languages and has been used by seven international research networks. Since 2000, it has originated 11 instruments for health system research with extensive analysis of their metric properties. The ESMS/DESDE coding system has been used in 585 catchment areas in 34 countries for description of services delivery at local, regional and national levels. Conclusions: The ESMS/DESDE system provides a common terminology, a classification of care services, and a set of tools allowing a variety of aims to be addressed in healthcare and health systems research. It facilitates comparisons across and within countries for evidence-informed planning.

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Section: Use In Longitudinal Studies Of the Evolution Of Care Systemsmentioning

confidence: 99%

Standardised description of health and social care: A systematic review of use of the ESMS/DESDE (European Service Mapping Schedule/Description and Evaluation of Services and DirectoriEs)

Romero-López-Alberca

Gutiérrez-Colosía

Salinas-Pérez

et al. 2019

European Psychiatry

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“…The use of both a top-down (6, 11) and bottom-up (12, 13) approach strengthened the study for several reasons. First, the use of national data for the description of service provision is subject to bias due to the ecological effect (25).…”

Section: Discussionmentioning

confidence: 99%

“…The first survey, conducted in 2004–2005, collected data on two MH catchment areas in the Biobío region, Talcahuano and Concepción (12). The second and third surveys—one in 2008–2009 (13) and one in 2012—collected data across five health districts in Central Chile. The first survey compared data on local MH service provision from Spain and Chile in order to identify Chilean care gaps and shortcomings in service provision (12).…”

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confidence: 99%

Integrated mapping of local mental health systems in Central Chile

Salinas-Pérez

Salvador‐Carulla

Saldivia

et al. 2018

Rev Panam Salud Publica

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Objective To describe the availability of local mental health (MH) services in small MH catchment areas in Central Chile, using a bottom-up approach. Methods MH services of 19 small MH catchment areas in five health districts of Central Chile that provide health care to more than 4 million inhabitants were assessed using DESDE-LTC (Description and Evaluation of Services and Directories in Europe for Long-Term Care), a tool for standardized description and classification of LTC health services, in a study conducted in 2012 (“DESDE-Chile”) designed to complement other studies conducted in 2004 and 2012 at the national and regional level using the World Health Organization Assessment Instrument for Mental Health Systems (WHO-AIMS). Key informants from national, regional, and local health authorities were contacted to compile a comprehensive list of MH services or facilities (health, social services, education, employment, and housing). The analysis of local care provision covered three criteria—service availability, placement capacity, and workforce capacity. Results The study detected disparities in all three criteria (availability and placement and workforce capacity) across the five health districts, between urban and rural areas, and between neighboring urban areas. Analysis of service availability revealed differences in the weight of residential services versus day and outpatient care. The Talcahuano area could be considered a benchmark of MH care in Central Chile, based on its service provision patterns, and the criteria of the community care model. The list of MH services identified in this study differed from the one generated in the 2012 WHO-AIMS study. Conclusions This survey of local MH service provision in small catchment areas using the DESDE-LTC tool provided MH service provision data that complemented information collected in other studies conducted at the national/regional level using the WHO-AIMS tool. The bottom-up approach applied in this study would also be useful for the assessment of equity and accessibility and local planning.

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Comparative study of mental health services availability and use in Chile and Spain

Cited by 2 publications

References 3 publications

Standardised description of health and social care: A systematic review of use of the ESMS/DESDE (European Service Mapping Schedule/Description and Evaluation of Services and DirectoriEs)

Standardised description of health and social care: A systematic review of use of the ESMS/DESDE (European Service Mapping Schedule/Description and Evaluation of Services and DirectoriEs)

Integrated mapping of local mental health systems in Central Chile

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