Reforming the Portuguese mental health system: an incentive-based approach

International Journal of Mental Health Systems
Julian PerelmanMaria Ana Matias

Abstract

To promote an effective mental health system, the World Health Organization recommends the involvement of primary care in prevention and treatment of mild diseases and community-based care for serious mental illnesses. Despite a prevalence of lifetime mental health disorders above 30%, Portugal is failing to achieve such recommendations. It was argued that this failure is partly due to inadequate financing mechanisms of mental health care providers. This study proposes an innovative payment model for mental health providers oriented toward incentivising best practices. We performed a comprehensive review of healthcare providers' payment schemes and their related incentives, and a narrative review of best practices in mental health prevention and care. We designed an alternative payment model, on the basis of the literature, and then we presented it individually, through face-to-face interviews, to a panel of 22 experts with different backgrounds and experience, and from southern and northern Portuguese regions, asking them to comment on the model and provide suggestions. Then, after a first round of interviews, we revised our model, which we presented to experts again for their approval, and provide new suggestions and comments...Continue Reading

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Citations

Apr 7, 2020·JMIR Mental Health·Cristina Mendes-SantosGerhard Andersson
Mar 31, 2019·Current Psychiatry Reports·Enrico G CastilloKenneth B Wells
Feb 6, 2020·Focus : Journal of Life Long Learning in Psychiatry·Enrico G CastilloKenneth B Wells
Sep 14, 2021·Revista da Escola de Enfermagem da U S P·Gabriella de Andrade BoskaRui Manuel Russo Sequeira

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