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Does Primary Care Mental Health Resourcing Affect the Use and Costs of Secondary Psychiatric Services?

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  • Minna Sadeniemi

    (Department of Psychiatry, Hospital District of Helsinki and Uusimaa, Porvoo Health Care Area, Porvoon psykiatrian poliklinikka, Kaivokatu 37, FI-06100 Porvoo, Finland
    Department of Mental Health and Substance Abuse Services, National Institute for Health and Welfare, Mannerheimintie 170, FI-00270 Helsinki, Finland)

  • Sami Pirkola

    (Department of Mental Health and Substance Abuse Services, National Institute for Health and Welfare, Mannerheimintie 170, FI-00270 Helsinki, Finland
    Department of Psychiatry, University Hospital Region, Hospital District of Helsinki and Uusimaa, Välskärinkatu 12, PL 590, FI-00029 HUS, Finland
    School of Health Sciences, University of Tampere, Medisiinarinkatu 3, FI-33014 Tampere, Finland)

  • Maiju Pankakoski

    (Department of Mental Health and Substance Abuse Services, National Institute for Health and Welfare, Mannerheimintie 170, FI-00270 Helsinki, Finland)

  • Grigori Joffe

    (Department of Psychiatry, University Hospital Region, Hospital District of Helsinki and Uusimaa, Välskärinkatu 12, PL 590, FI-00029 HUS, Finland)

  • Raija Kontio

    (Department of Psychiatry, Hospital District of Helsinki and Uusimaa, Hyvinkää Hospital Region, Vanha Valtatie 198, FI-04500 Kellokoski, Finland)

  • Maili Malin

    (Department of Mental Health and Substance Abuse Services, National Institute for Health and Welfare, Mannerheimintie 170, FI-00270 Helsinki, Finland)

  • Taina Ala-Nikkola

    (Department of Mental Health and Substance Abuse Services, National Institute for Health and Welfare, Mannerheimintie 170, FI-00270 Helsinki, Finland
    Department of Psychiatry, University Hospital Region, Hospital District of Helsinki and Uusimaa, Välskärinkatu 12, PL 590, FI-00029 HUS, Finland)

  • Kristian Wahlbeck

    (Department of Mental Health and Substance Abuse Services, National Institute for Health and Welfare, Mannerheimintie 170, FI-00270 Helsinki, Finland)

Abstract

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.

Suggested Citation

  • Minna Sadeniemi & Sami Pirkola & Maiju Pankakoski & Grigori Joffe & Raija Kontio & Maili Malin & Taina Ala-Nikkola & Kristian Wahlbeck, 2014. "Does Primary Care Mental Health Resourcing Affect the Use and Costs of Secondary Psychiatric Services?," IJERPH, MDPI, vol. 11(9), pages 1-12, August.
  • Handle: RePEc:gam:jijerp:v:11:y:2014:i:9:p:8743-8754:d:39615
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    References listed on IDEAS

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    1. Peen, Jaap & Dekker, Jack, 2001. "Social deprivation and psychiatric service use for different diagnostic groups," Social Science & Medicine, Elsevier, vol. 53(1), pages 1-8, July.
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    1. Taina Ala-Nikkola & Sami Pirkola & Minna Kaila & Grigori Joffe & Raija Kontio & Olli Oranta & Minna Sadeniemi & Kristian Wahlbeck & Samuli I. Saarni, 2018. "Identifying Local and Centralized Mental Health Services—The Development of a New Categorizing Variable," IJERPH, MDPI, vol. 15(6), pages 1-16, May.
    2. Taina Ala-Nikkola & Sami Pirkola & Minna Kaila & Samuli I. Saarni & Grigori Joffe & Raija Kontio & Olli Oranta & Minna Sadeniemi & Kristian Wahlbeck, 2016. "Regional Correlates of Psychiatric Inpatient Treatment," IJERPH, MDPI, vol. 13(12), pages 1-16, December.
    3. Minna Sadeniemi & Nerea Almeda & Jose A. Salinas-Pérez & Mencía R. Gutiérrez-Colosía & Carlos García-Alonso & Taina Ala-Nikkola & Grigori Joffe & Sami Pirkola & Kristian Wahlbeck & Jordi Cid & Luis Sa, 2018. "A Comparison of Mental Health Care Systems in Northern and Southern Europe: A Service Mapping Study," IJERPH, MDPI, vol. 15(6), pages 1-15, May.

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