PMID: 8963087Jul 1, 1996Paper

Quality of the location as a principle in psychiatric health care planning

Das Gesundheitswesen
U MeiseW Rössler

Abstract

The goal of reasonable accessibility of specialised care to all those who need it must be kept in mind when planning to establish mental health service in the community. For methodological purposes, an attempt is made to quantify and thus render measurable the accessibility factor, also to be called "quality of location", based on "spatial" as well as "non-spatial" indicators. In many areas of community life involving planning and political decision making, the importance of such an approach cannot be underestimated. On the basis of the 1989 case register in the Austrian State of Tyrol, we investigated the relationship between administrative prevalence and the distance between the patient's home and the nearest hospital providing in-patient care, this distance being measured in terms of the time it takes to get to the hospital by public transportation. Our investigation confirmed the phenomenon described for the first time in 1852 by E. Jarvis, that there is an inverse relationship between the frequency of hospital admission and the geographical distance patients had to travel. This observation was validated, first of all, by excluding the possibility of selective migration influencing the inverse relationship between utilisati...Continue Reading

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