Stulz, Niklaus; Jörg, Reto; Reim‐Gautier, Constanze; Bonsack, Charles; Conus, Philippe; Evans‐Lacko, Sara; Gabriel‐Felleiter, Kerstin; Heim, Eva; Jäger, Matthias; Knapp, Martin; Richter, Dirk; Schneeberger, Andres; Thornicroft, Sir Graham; Traber, Rafael; Wieser, Simon; Tuch, Alexandre; Hepp, Urs (2022). Mental health service areas in Switzerland International Journal of Methods in Psychiatric Research, 32(1), pp. 1-12. John Wiley & Sons 10.1002/mpr.1937
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Objectives Small 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. Methods We 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. Results We 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. Conclusions Wide 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.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
School of Health Professions School of Health Professions > Nursing School of Health Professions > Nursing > Innovation in the Field of Mental Health and Psychiatric Care |
Name: |
Stulz, Niklaus; Jörg, Reto; Reim‐Gautier, Constanze; Bonsack, Charles; Conus, Philippe; Evans‐Lacko, Sara; Gabriel‐Felleiter, Kerstin; Heim, Eva; Jäger, Matthias; Knapp, Martin; Richter, Dirk  0000-0002-6215-6110; Schneeberger, Andres; Thornicroft, Sir Graham; Traber, Rafael; Wieser, Simon; Tuch, Alexandre and Hepp, Urs |
Subjects: |
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
ISSN: |
1049-8931 |
Publisher: |
John Wiley & Sons |
Language: |
English |
Submitter: |
Dirk Richter |
Date Deposited: |
26 Aug 2022 10:25 |
Last Modified: |
23 May 2023 12:54 |
Publisher DOI: |
10.1002/mpr.1937 |
Uncontrolled Keywords: |
geography, psychiatry, service use, small area analysis |
ARBOR DOI: |
10.24451/arbor.17570 |
URI: |
https://arbor.bfh.ch/id/eprint/17570 |
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