Mental health service areas in Switzerland

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

doi:10.1002/mpr.1937

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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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.