Projections of psychiatrists’ distribution for patients in Japan: a utilization-based approach
| Autor: | Norio Sugawara, Kazutaka Shimoda, Norio Yasui-Furukori |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Population ageing Demand–supply balance Public Administration behavioral disciplines and activities Health administration 03 medical and health sciences 0302 clinical medicine Japan Maldistribution Health care mental disorders Humans Medicine 030212 general & internal medicine Psychiatry lcsh:R5-920 business.industry Research Mental Disorders Public health lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Health services research lcsh:RA1-1270 medicine.disease Mental illness Mental health 030227 psychiatry Mood disorders business lcsh:Medicine (General) Utilization-based approach Forecasting |
| Zdroj: | Human Resources for Health, Vol 19, Iss 1, Pp 1-10 (2021) Human Resources for Health |
| ISSN: | 1478-4491 |
| Popis: | Background Depopulation accompanied by population aging is a major public health concern in Japan. Although adequate allocation of mental healthcare resources is needed, there have been few studies on the impact of population change on the supply–demand balance for mental illness in Japan. The aim of this study is to predict psychiatrists' distribution for patients with mental illness via a utilization-based approach. Methods We set patients with schizophrenia, mood disorders, vascular dementia or Alzheimer’s disease as study subjects and conducted analyses for 2015, 2025, 2035, and 2045 across all prefectures. Moreover, we evaluated the regional maldistribution of demand and supply by calculating the number of psychiatrists per patient, Gini coefficients (GC), and Herfindahl–Hirschman Index (HHI). Results The mean number of psychiatrists per patient for patients with schizophrenia, mood disorders, vascular dementia, and Alzheimer’s disease in 2025, 2035, and 2045 was significantly lower than in 2015. For all of the abovementioned diseases, both the GC and HHI will increase until 2045. Conclusion If psychiatrists are allocated at the current population-to-psychiatrist ratio, the shortage of psychiatrists will continue to worsen in the future. To overcome this inequity, policy makers should make plans to shift responsibilities from psychiatrists to other mental health workers and to ensure the adequate geographical allocation of healthcare resources. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|