Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway
Background: The issue of continuity of care is central in contemporary psychiatric services research. In Norway, inpatient admissions are mainly to take place locally, in a system of small bed-units that represent an alternative to traditional central psychiatric hospitals. This type of organization...
Published in: | International Journal of Integrated Care |
---|---|
Main Authors: | , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Ubiquity Press
2011
|
Subjects: | |
Online Access: | https://doi.org/10.5334/ijic.674 https://doaj.org/article/1b1a0e7903b242d48bae36712ca01dd6 |
id |
ftdoajarticles:oai:doaj.org/article:1b1a0e7903b242d48bae36712ca01dd6 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:1b1a0e7903b242d48bae36712ca01dd6 2023-05-15T17:43:35+02:00 Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway Lars Henrik Myklebust Reidun Olstad Svein Bjorbekkmo Martin Eisemann Rolf Wynn Knut Sørgaard 2011-12-01T00:00:00Z https://doi.org/10.5334/ijic.674 https://doaj.org/article/1b1a0e7903b242d48bae36712ca01dd6 EN eng Ubiquity Press http://www.ijic.org/articles/674 https://doaj.org/toc/1568-4156 1568-4156 doi:10.5334/ijic.674 https://doaj.org/article/1b1a0e7903b242d48bae36712ca01dd6 International Journal of Integrated Care, Vol 11, Iss 4 (2011) decentralization integration psychiatry service models hospitalization outpatients Medicine (General) R5-920 article 2011 ftdoajarticles https://doi.org/10.5334/ijic.674 2022-12-31T00:33:32Z Background: The issue of continuity of care is central in contemporary psychiatric services research. In Norway, inpatient admissions are mainly to take place locally, in a system of small bed-units that represent an alternative to traditional central psychiatric hospitals. This type of organization may be advantageous for accessibility and cooperation, but has been given little scientific attention. Aims: To study whether inpatients' utilization of outpatient services differ between an area with a decentralized care model in comparison to an adjacent area with a partly centralized model. Method: The study was based on data from a one-year registered prevalence sample, drawing on routinely sampled data supplemented with data from medical records. Service-utilization for 247 inpatients was analyzed. The results were controlled for diagnosis, demographic variables, type of service system, localization of inpatient admissions, and length of hospitalization. Results : Most inpatients in the area with the decentralized care model also utilized outpatient consultations, whereas a considerable number of inpatients in the area with a partly centralized model did not enter outpatient care at all. Type of service system, localization of inpatient admission, and length of hospitalization predicted inpatients' utilization of outpatient consultations. The results are discussed in the light of systems integration, particularly management-arrangements and clinical bridging over the transitional phase from inpatient to outpatient care. Conclusion : Inpatients' utilization of outpatient services differed between an area with a decentralized care model in comparison to an adjacent area with a partly centralized care model. In the areas studied, extensive decentralization of the psychiatric services positively affected coordination of inpatient and outpatient services for people with severe psychiatric disorders. Small, local-bed units may therefore represent a favourable alternative to traditional central psychiatric hospitals. Article in Journal/Newspaper Northern Norway Directory of Open Access Journals: DOAJ Articles Norway International Journal of Integrated Care 11 4 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
decentralization integration psychiatry service models hospitalization outpatients Medicine (General) R5-920 |
spellingShingle |
decentralization integration psychiatry service models hospitalization outpatients Medicine (General) R5-920 Lars Henrik Myklebust Reidun Olstad Svein Bjorbekkmo Martin Eisemann Rolf Wynn Knut Sørgaard Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway |
topic_facet |
decentralization integration psychiatry service models hospitalization outpatients Medicine (General) R5-920 |
description |
Background: The issue of continuity of care is central in contemporary psychiatric services research. In Norway, inpatient admissions are mainly to take place locally, in a system of small bed-units that represent an alternative to traditional central psychiatric hospitals. This type of organization may be advantageous for accessibility and cooperation, but has been given little scientific attention. Aims: To study whether inpatients' utilization of outpatient services differ between an area with a decentralized care model in comparison to an adjacent area with a partly centralized model. Method: The study was based on data from a one-year registered prevalence sample, drawing on routinely sampled data supplemented with data from medical records. Service-utilization for 247 inpatients was analyzed. The results were controlled for diagnosis, demographic variables, type of service system, localization of inpatient admissions, and length of hospitalization. Results : Most inpatients in the area with the decentralized care model also utilized outpatient consultations, whereas a considerable number of inpatients in the area with a partly centralized model did not enter outpatient care at all. Type of service system, localization of inpatient admission, and length of hospitalization predicted inpatients' utilization of outpatient consultations. The results are discussed in the light of systems integration, particularly management-arrangements and clinical bridging over the transitional phase from inpatient to outpatient care. Conclusion : Inpatients' utilization of outpatient services differed between an area with a decentralized care model in comparison to an adjacent area with a partly centralized care model. In the areas studied, extensive decentralization of the psychiatric services positively affected coordination of inpatient and outpatient services for people with severe psychiatric disorders. Small, local-bed units may therefore represent a favourable alternative to traditional central psychiatric hospitals. |
format |
Article in Journal/Newspaper |
author |
Lars Henrik Myklebust Reidun Olstad Svein Bjorbekkmo Martin Eisemann Rolf Wynn Knut Sørgaard |
author_facet |
Lars Henrik Myklebust Reidun Olstad Svein Bjorbekkmo Martin Eisemann Rolf Wynn Knut Sørgaard |
author_sort |
Lars Henrik Myklebust |
title |
Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway |
title_short |
Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway |
title_full |
Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway |
title_fullStr |
Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway |
title_full_unstemmed |
Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway |
title_sort |
impact on continuity of care of decentralized versus partly centralized mental health care in northern norway |
publisher |
Ubiquity Press |
publishDate |
2011 |
url |
https://doi.org/10.5334/ijic.674 https://doaj.org/article/1b1a0e7903b242d48bae36712ca01dd6 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_source |
International Journal of Integrated Care, Vol 11, Iss 4 (2011) |
op_relation |
http://www.ijic.org/articles/674 https://doaj.org/toc/1568-4156 1568-4156 doi:10.5334/ijic.674 https://doaj.org/article/1b1a0e7903b242d48bae36712ca01dd6 |
op_doi |
https://doi.org/10.5334/ijic.674 |
container_title |
International Journal of Integrated Care |
container_volume |
11 |
container_issue |
4 |
_version_ |
1766145693033955328 |