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oai:recercat.cat:11351/65942025-10-24T07:50:21Zcom_2072_451669com_2072_378040col_2072_451670

A Comparison of Mental Health Care Systems in Northern and Southern Europe: A Service Mapping Study Sadeniemi, Minna Almeda, Nerea Salinas-Perez, José Alberto Gutiérrez-Colosía, MR García Alonso, Carlos Ala-Nikkola, Taina Joffe, Grigori Pirkola, Sami Wahlbeck, Kristian Cid Colom, Jordi Salvador-Carulla, Luis [Sadeniemi M] Department of Social Services and Health Care, City of Helsinki, Southern Psychiatric Outpatient Clinic, Helsinki, Finland. University of Helsinki and Helsinki University Hospital, Välskärinkatu 12, FI-00029 Helsinki, Finland. Unit for Mental Health, National Institute for Health and Welfare (THL), Helsinki, Finland. [Almeda N, Gutiérrez-Colosía MR] PSICOST Research Association, Department of Psychology, Universidad Loyola Andalucía, Spain. [Salinas-Pérez JA, García-Alonso, C] PSICOST Research Association, Department of Quantitative Methods, Universidad Loyola Andalucía, Spain. [Ala-Nikkola T ] University of Helsinki and Helsinki University Hospital, Välskärinkatu 12, FI-00029 Helsinki, Finland. Unit for Mental Health, National Institute for Health and Welfare (THL),Helsinki, Finland. [Joffe G] University of Helsinki and Helsinki University Hospital, Helsinki, Finland.[ Pirkola S] University of Tampere School of Health Sciences, and Tampere University Hospital,Tampere, Finland. [Wahlbeck K] Unit for Mental Health, National Institute for Health and Welfare (THL), Helsinki, Finland. [Cid J] Grup de recerca en salut mental i addiccions, Institut d’Investigació Biomèdica de Girona (IdibGI), Institut d’Assistència Sanitària, Salt, Spain. [Salvador-Carulla L] VIDEA Lab, Centre for Mental Health Research, Australian National University, Canberra, Australia Institut d'Assistència Sanitària Malalties mentals Serveis comunitaris de salut mental Salut pública - Administració PSYCHIATRY AND PSYCHOLOGY::Mental Disorders HEALTH CARE::Health Services Administration::Organization and Administration::Efficiency::Efficiency, Organizational PSYCHIATRY AND PSYCHOLOGY::Behavioral Disciplines and Activities::Mental Health Services::Community Mental Health Services ATENCIÓN DE SALUD::instalaciones, servicios y personal de asistencia sanitaria::centros sanitarios::centros de atención ambulatoria::centros comunitarios de salud mental PSIQUIATRÍA Y PSICOLOGÍA::trastornos mentales ATENCIÓN DE SALUD::administración de los servicios de salud::organización y administración::eficiencia::eficiencia organizacional Atenció a la salut mental; Atenció comunitària; Comparació estàndard Cuidado de la salud mental; Atención comunitaria; Comparación estándar Mental health care; Community care; Standard comparison Mental health services (MHS) have gone through vast changes during the last decades, shifting from hospital to community-based care. Developing the optimal balance and use of resources requires standard comparisons of mental health care systems across countries. This study aimed to compare the structure, personnel resource allocation, and the productivity of the MHS in two benchmark health districts in a Nordic welfare state and a southern European, family-centered country. The study is part of the REFINEMENT (Research on Financing Systems' Effect on the Quality of Mental Health Care) project. The study areas were the Helsinki and Uusimaa region in Finland and the Girona region in Spain. The MHS were mapped by using the DESDE-LTC (Description and Evaluation of Services and Directories for Long Term Care) tool. There were 6.7 times more personnel resources in the MHS in Helsinki and Uusimaa than in Girona. The resource allocation was more residential-service-oriented in Helsinki and Uusimaa. The difference in mental health personnel resources is not explained by the respective differences in the need for MHS among the population. It is important to make a standard comparison of the MHS for supporting policymaking and to ensure equal access to care across European countries. This part of the study received research grants from Helsinki City and Hospital District of Helsinki and Uusimaa. 2021-11-24T12:13:37Z 2021-11-24T12:13:37Z 2018-05-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Sadeniemi M, Almeda N, Salinas-Pérez JA, Gutiérrez-Colosía MR, García-Alonso C, Ala-Nikkola T, et al. A Comparison of Mental Health Care Systems in Northern and Southern Europe: A Service Mapping Study. Int J Environ Res Public Health. 31 May 2018;15(6):E1133. 1660-4601 https://hdl.handle.net/11351/6594 10.3390/ijerph15061133 29857556 http://hdl.handle.net/11351/6594 eng International Journal of Environmental Research and Public Health;15(6) https://doi.org/10.3390/ijerph15061133 info:eu-repo/grantAgreement/EC/FP7/2007-2013 info:eu-repo/grantAgreement/EC/FP7/2007-2011 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess application/pdf MDPI Scientia