Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway.

International Journal of Integrated Care
Lars Henrik MyklebustKnut Sørgaard

Abstract

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. 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. 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. 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 h...Continue Reading

Citations

Dec 9, 2016·International Journal of Environmental Research and Public Health·Taina Ala-NikkolaKristian Wahlbeck
May 17, 2019·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Samuel V NickelsCynthia A Hunter
Feb 11, 2014·BMC Health Services Research·Lars Henrik MyklebustRolf Wynn
Oct 4, 2014·European Psychiatry : the Journal of the Association of European Psychiatrists·S OmerD Giacco
Nov 29, 2020·International Journal of Methods in Psychiatric Research·Lars Henrik Myklebust, Eva Lassemo

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