TY - JOUR
AU - M. Sadeniemi
AU - S. Pirkola
AU - M. Pankakoski
AU - G. Joffe
AU - R. Kontio
AU - M. Malin
AU - T. Ala-Nikkola
AU - K. Wahlbeck
A1 - 
AB - Collaborative care models for treatment of depression and anxiety disorders in primary care have been shown to be effective. The aim of this study was to investigate at the municipal level to what extent investment in mental health personnel at primary care health centres in the study area is reflected in the costs and use of secondary psychiatric services. Furthermore, we analysed whether the service provision and use of secondary psychiatric care correlates with the socioeconomic indicators of need. We found significant variation in the amount of mental health personnel provided at the health centres, uncorrelated with the indicators of need nor with the costs of secondary psychiatric care. The amount of mental health nurses at the health centres correlated inversely with the number of secondary psychiatric outpatient visits, whereas its relation to inpatient days and admission was positive. The costs of secondary psychiatric care correlated with level of psychiatric morbidity and socioeconomic indicators of need. The results suggest that when aiming at equal access of care and cost-efficiency, the primary and secondary care should be organized and planned with integrative collaboration.
BT - International journal of environmental research and public health
C5 - Financing & Sustainability
CP - 9
CY - Switzerland
DO - 10.3390/ijerph110908743
IS - 9
JF - International journal of environmental research and public health
N2 - Collaborative care models for treatment of depression and anxiety disorders in primary care have been shown to be effective. The aim of this study was to investigate at the municipal level to what extent investment in mental health personnel at primary care health centres in the study area is reflected in the costs and use of secondary psychiatric services. Furthermore, we analysed whether the service provision and use of secondary psychiatric care correlates with the socioeconomic indicators of need. We found significant variation in the amount of mental health personnel provided at the health centres, uncorrelated with the indicators of need nor with the costs of secondary psychiatric care. The amount of mental health nurses at the health centres correlated inversely with the number of secondary psychiatric outpatient visits, whereas its relation to inpatient days and admission was positive. The costs of secondary psychiatric care correlated with level of psychiatric morbidity and socioeconomic indicators of need. The results suggest that when aiming at equal access of care and cost-efficiency, the primary and secondary care should be organized and planned with integrative collaboration.
PP - Switzerland
PY - 2014
SN - 1660-4601; 1660-4601
SP - 8743
EP - 8754
EP - 
T1 - Does primary care mental health resourcing affect the use and costs of secondary psychiatric services?
T2 - International journal of environmental research and public health
TI - Does primary care mental health resourcing affect the use and costs of secondary psychiatric services?
U1 - Financing & Sustainability
U2 - 25162710
U3 - 10.3390/ijerph110908743
VL - 11
VO - 1660-4601; 1660-4601
Y1 - 2014
ER -