Geografisk variasjon i vaksnes bruk av avtalespesialistar og DPS i psykisk helsevern
Background: Equitable mental healthcare regardless of area of residence is a political aim in Norway. The purpose of this study is to evaluate geographical variation in private practitioner coverage and explore differences between private practitioners with public reimbursement and local community m...
Published in: | Tidsskrift for Norsk psykologforening |
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Online Access: | https://hdl.handle.net/11250/3087749 https://doi.org/10.52734/IHAK9103 |
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fthsinnlandet:oai:brage.inn.no:11250/3087749 2024-03-03T08:47:23+00:00 Geografisk variasjon i vaksnes bruk av avtalespesialistar og DPS i psykisk helsevern Holsen, Maria Lien, Lars Solbakken, Ole Andre Holman, Per Arne Norway 2023-08-01 application/pdf https://hdl.handle.net/11250/3087749 https://doi.org/10.52734/IHAK9103 nno nno urn:issn:0332-6470 https://hdl.handle.net/11250/3087749 https://doi.org/10.52734/IHAK9103 cristin:2167579 Navngivelse 4.0 Internasjonal http://creativecommons.org/licenses/by/4.0/deed.no Tidsskrift for Norsk Psykologforening Mental healthcare Outpatient consultations Private practitioners CMHC Geographical variation Equal access Equity Priority setting Psykisk helsevern Polikliniske konsultasjoner privatpraktiserende lege Geografisk variasjon Rettferdighet VDP::Samfunnsvitenskap: 200::Psykologi: 260 Peer reviewed Journal article 2023 fthsinnlandet https://doi.org/10.52734/IHAK9103 2024-02-02T12:42:25Z Background: Equitable mental healthcare regardless of area of residence is a political aim in Norway. The purpose of this study is to evaluate geographical variation in private practitioner coverage and explore differences between private practitioners with public reimbursement and local community mental health centers (CMHCs) in terms of diagnoses and scope of outpatient treatment, with a focus on mood and neurotic disorders. Method: Cross-sectional registry-based study of adults in outpatient mental healthcare at private practitioners or CMHCs in Norway in 2014–2018. We calculated distribution of diagnoses, geographical variation in rates of private practitioners, and analyzed scope of treatment for patients with mood and neurotic disorders (ICD-10 disorders F3, F4). We estimate cost per treated patient and report geographic variation for hospital catchment areas. Results: Patients with F3, F4 disorders accounted for 64.7 % at private practitioners, and 41.5 % at CMHCs, and received more treatment at private practitioners, five more consultations in a 42 day longer period. There is considerable geographical variation in private practitioner coverage, highest in South-Eastern Norway and lowest in Northern Norway. Implications: As long as management and priority setting are differently organized for CMHCs and private practitioners in mental health care, we must expect geographical variation in access and use. It appears as an equity paradox that a group of patients, rejected by or not referred to CMHC, receive more treatment by private practitioners publishedVersion Article in Journal/Newspaper Northern Norway Høgskolen i Innlandet: Brage INN Norway Tidsskrift for Norsk psykologforening 60 8 |
institution |
Open Polar |
collection |
Høgskolen i Innlandet: Brage INN |
op_collection_id |
fthsinnlandet |
language |
Norwegian Nynorsk |
topic |
Mental healthcare Outpatient consultations Private practitioners CMHC Geographical variation Equal access Equity Priority setting Psykisk helsevern Polikliniske konsultasjoner privatpraktiserende lege Geografisk variasjon Rettferdighet VDP::Samfunnsvitenskap: 200::Psykologi: 260 |
spellingShingle |
Mental healthcare Outpatient consultations Private practitioners CMHC Geographical variation Equal access Equity Priority setting Psykisk helsevern Polikliniske konsultasjoner privatpraktiserende lege Geografisk variasjon Rettferdighet VDP::Samfunnsvitenskap: 200::Psykologi: 260 Holsen, Maria Lien, Lars Solbakken, Ole Andre Holman, Per Arne Geografisk variasjon i vaksnes bruk av avtalespesialistar og DPS i psykisk helsevern |
topic_facet |
Mental healthcare Outpatient consultations Private practitioners CMHC Geographical variation Equal access Equity Priority setting Psykisk helsevern Polikliniske konsultasjoner privatpraktiserende lege Geografisk variasjon Rettferdighet VDP::Samfunnsvitenskap: 200::Psykologi: 260 |
description |
Background: Equitable mental healthcare regardless of area of residence is a political aim in Norway. The purpose of this study is to evaluate geographical variation in private practitioner coverage and explore differences between private practitioners with public reimbursement and local community mental health centers (CMHCs) in terms of diagnoses and scope of outpatient treatment, with a focus on mood and neurotic disorders. Method: Cross-sectional registry-based study of adults in outpatient mental healthcare at private practitioners or CMHCs in Norway in 2014–2018. We calculated distribution of diagnoses, geographical variation in rates of private practitioners, and analyzed scope of treatment for patients with mood and neurotic disorders (ICD-10 disorders F3, F4). We estimate cost per treated patient and report geographic variation for hospital catchment areas. Results: Patients with F3, F4 disorders accounted for 64.7 % at private practitioners, and 41.5 % at CMHCs, and received more treatment at private practitioners, five more consultations in a 42 day longer period. There is considerable geographical variation in private practitioner coverage, highest in South-Eastern Norway and lowest in Northern Norway. Implications: As long as management and priority setting are differently organized for CMHCs and private practitioners in mental health care, we must expect geographical variation in access and use. It appears as an equity paradox that a group of patients, rejected by or not referred to CMHC, receive more treatment by private practitioners publishedVersion |
format |
Article in Journal/Newspaper |
author |
Holsen, Maria Lien, Lars Solbakken, Ole Andre Holman, Per Arne |
author_facet |
Holsen, Maria Lien, Lars Solbakken, Ole Andre Holman, Per Arne |
author_sort |
Holsen, Maria |
title |
Geografisk variasjon i vaksnes bruk av avtalespesialistar og DPS i psykisk helsevern |
title_short |
Geografisk variasjon i vaksnes bruk av avtalespesialistar og DPS i psykisk helsevern |
title_full |
Geografisk variasjon i vaksnes bruk av avtalespesialistar og DPS i psykisk helsevern |
title_fullStr |
Geografisk variasjon i vaksnes bruk av avtalespesialistar og DPS i psykisk helsevern |
title_full_unstemmed |
Geografisk variasjon i vaksnes bruk av avtalespesialistar og DPS i psykisk helsevern |
title_sort |
geografisk variasjon i vaksnes bruk av avtalespesialistar og dps i psykisk helsevern |
publishDate |
2023 |
url |
https://hdl.handle.net/11250/3087749 https://doi.org/10.52734/IHAK9103 |
op_coverage |
Norway |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_source |
Tidsskrift for Norsk Psykologforening |
op_relation |
urn:issn:0332-6470 https://hdl.handle.net/11250/3087749 https://doi.org/10.52734/IHAK9103 cristin:2167579 |
op_rights |
Navngivelse 4.0 Internasjonal http://creativecommons.org/licenses/by/4.0/deed.no |
op_doi |
https://doi.org/10.52734/IHAK9103 |
container_title |
Tidsskrift for Norsk psykologforening |
container_volume |
60 |
container_issue |
8 |
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1792503570678939648 |