Título Service availability and capacity in rural mental health in Australia: Analysing gaps using an Integrated Mental Health Atlas
Autores van Spijker B.A. , SALINAS PÉREZ, JOSÉ ALBERTO, Mendoza J. , Bell T. , Bagheri N. , Furst M.A. , Reynolds J. , Rock D. , Harvey A. , Rosen A. , Salvador-Carulla L.
Publicación externa No
Medio Aust N Z J Psychiatry
Alcance Article
Naturaleza Científica
Cuartil JCR 1
Cuartil SJR 1
Impacto JCR 4.65700
Impacto SJR 1.52000
Web https://www.scopus.com/inward/record.uri?eid=2-s2.0-85068394635&doi=10.1177%2f0004867419857809&partnerID=40&md5=78b00b0c79a8ac042c2b3f89c0d4c160
Fecha de publicacion 01/01/2019
ISI 000487511900011
Scopus Id 2-s2.0-85068394635
DOI 10.1177/0004867419857809
Abstract Objective: Access to services and workforce shortages are major challenges in rural areas worldwide. In order to improve access to mental health care, it is imperative to understand what services are available, what their capacity is and where existing funds might be spent to increase availability and accessibility. The aim of this study is to investigate mental health service provision in a selection of rural and remote areas across Australia by analysing service availability, placement capacity and diversity. Method: This research studies the health regions of Western New South Wales and Country Western Australia and their nine health areas. Service provision was analysed using the DESDE-LTC system for long-term care service description and classification that allows international comparison. Rates per 100,000 inhabitants were calculated to compare the care availability and placement capacity for children and adolescents, adults and older adults. Results: The lowest diversity was found in northern Western Australia. Overall, Western New South Wales had a higher availability of non-acute outpatient services for adults, but hardly any acute outpatient services. In Country Western Australia, substantially fewer non-acute outpatient services were found, while acute services were much more common. Acute inpatient care services were more common in Western New South Wales, while sub-acute inpatient services and non-acute day care services were only found in Western New South Wales. Conclusion: The number and span of services in the two regions showed discrepancies both within and between regions, raising issues on the equity of access to mental health care in Australia. The standard description of the local pattern of rural mental health care and its comparison across jurisdictions is critical for evidence-informed policy planning and resource allocation. © The Royal Australian and New Zealand College of Psychiatrists 2019.
Palabras clave adolescent; adult; aged; article; child; controlled study; day care; hospital patient; human; long term care; mental health care; mental health service; New South Wales; outpatient care; resource allo
Miembros de la Universidad Loyola

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