Please use this identifier to cite or link to this item:
https://doi.org/10.21256/zhaw-29718
Publication type: | Article in scientific journal |
Type of review: | Peer review (publication) |
Title: | Mental health service areas in Switzerland |
Authors: | 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, Graham Traber, Rafael Wieser, Simon Tuch, Alexandre Hepp, Urs |
et. al: | No |
DOI: | 10.1002/mpr.1937 10.21256/zhaw-29718 |
Published in: | International Journal of Methods in Psychiatric Research |
Volume(Issue): | 32 |
Issue: | 1 |
Page(s): | e1937 |
Issue Date: | 17-Aug-2022 |
Publisher / Ed. Institution: | Wiley |
ISSN: | 1049-8931 1557-0657 |
Language: | English |
Subjects: | Geography; Psychiatry; Service use; Small area analysis |
Subject (DDC): | 362.1041: Health economics |
Abstract: | 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. |
URI: | https://digitalcollection.zhaw.ch/handle/11475/29718 |
Fulltext version: | Published version |
License (according to publishing contract): | CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International |
Departement: | School of Management and Law |
Organisational Unit: | Winterthur Institute of Health Economics (WIG) |
Appears in collections: | Publikationen School of Management and Law |
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2022_Stulz-etal_Mental-health-service-areas-in-Switzerland.pdf | 970.86 kB | Adobe PDF | View/Open |
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Stulz, N., Jörg, R., Reim-Gautier, C., Bonsack, C., Conus, P., Evans-Lacko, S., Gabriel-Felleiter, K., Heim, E., Jäger, M., Knapp, M., Richter, D., Schneeberger, A., Thornicroft, G., Traber, R., Wieser, S., Tuch, A., & Hepp, U. (2022). Mental health service areas in Switzerland. International Journal of Methods in Psychiatric Research, 32(1), e1937. https://doi.org/10.1002/mpr.1937
Stulz, N. et al. (2022) ‘Mental health service areas in Switzerland’, International Journal of Methods in Psychiatric Research, 32(1), p. e1937. Available at: https://doi.org/10.1002/mpr.1937.
N. Stulz et al., “Mental health service areas in Switzerland,” International Journal of Methods in Psychiatric Research, vol. 32, no. 1, p. e1937, Aug. 2022, doi: 10.1002/mpr.1937.
STULZ, Niklaus, Reto JÖRG, Constanze REIM-GAUTIER, Charles BONSACK, Philippe CONUS, Sara EVANS-LACKO, Kerstin GABRIEL-FELLEITER, Eva HEIM, Matthias JÄGER, Martin KNAPP, Dirk RICHTER, Andres SCHNEEBERGER, Graham THORNICROFT, Rafael TRABER, Simon WIESER, Alexandre TUCH und Urs HEPP, 2022. Mental health service areas in Switzerland. International Journal of Methods in Psychiatric Research. 17 August 2022. Bd. 32, Nr. 1, S. e1937. DOI 10.1002/mpr.1937
Stulz, Niklaus, Reto Jörg, Constanze Reim-Gautier, Charles Bonsack, Philippe Conus, Sara Evans-Lacko, Kerstin Gabriel-Felleiter, et al. 2022. “Mental Health Service Areas in Switzerland.” International Journal of Methods in Psychiatric Research 32 (1): e1937. https://doi.org/10.1002/mpr.1937.
Stulz, Niklaus, et al. “Mental Health Service Areas in Switzerland.” International Journal of Methods in Psychiatric Research, vol. 32, no. 1, Aug. 2022, p. e1937, https://doi.org/10.1002/mpr.1937.
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