Pathways to psychiatric care and reform of the public health care system in Poland
| Autor: | T. Pawłowski, Andrzej Kiejna |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male Mental Health Services medicine.medical_specialty Adolescent National Health Programs Health Services Accessibility Nursing Health care Epidemiology medicine Humans Insurance Psychiatric Psychiatry Aged Aged 80 and over Service (business) business.industry Mental Disorders Public health Middle Aged Patient Acceptance of Health Care medicine.disease Mental health Public health care Psychiatry and Mental health Schizophrenia Health Care Reform Female Poland Health care reform business Public Health Administration |
| Zdroj: | European Psychiatry. 19:168-171 |
| ISSN: | 1778-3585 0924-9338 |
| Popis: | ObjectiveSince 01.01.1999 a reform of the health care system in Poland has been realised based on the general health insurance act. We attempt to use the pathway method, especially measuring of time intervals along pathways, as a way of making accessibility to mental health services operational.MethodIn a period of 2 months all patients aged 15 and over who had not sought care from any public or private psychiatric service during the previous 365 days, were interviewed by psychiatrists, using the Polish version of the WHO Encounter Form.ResultsA total of 228 patients were seen. The study reveals that the median interval between first seeing a primary care giver and arrival at a mental health service was 12 weeks, which is much longer than all other European centres in previous studies.ConclusionMaking use of the pathway method and, in particular, median interval analysis between the onset of the mental health problem and seeing mental health professionals (MHPs) has shown practically limited access of patients, with a new episode of care to psychiatric services in both epidemiological catchment areas. This method seems to be a simple and inexpensive way of monitoring the accessibility to MHP in the period of health care reform. |
| Databáze: | OpenAIRE |
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