Responsiveness of European countries to the population mental health needs: A cross-national comparison study.

IF 6.7 2区 医学 Q1 PSYCHIATRY
Celso Arango, Andrea Fiorillo, Geert Dom, Javier-David Lopez-Morinigo
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引用次数: 0

Abstract

Background: This study aimed to cross-compare European countries' responsiveness to their populations' mental health (MH) needs.

Methods: For the EU-27 countries and the United Kingdom, the 2023 Headway Initiative collected data on 15 key performance indicators (KPIs) in responsiveness in healthcare, including workforce, facilities, quality of care, and MH expenditure, and 14 KPIs in responsiveness in workplaces, schools, and society. Bivariate correlations between Headway-transformed KPI scores, which were standardised in a 1-10 Likert Scale (1: worst performance; 10: best performance), tested for putative associations.

Results: Responsiveness in healthcare: Sweden (10), Denmark (8.8), and Finland (8.3) showed the best performance, while Romania (1.0), Slovakia (1.1), and Latvia and Bulgaria (1.2) had the poorest performance. Responsiveness in workplaces: schools, and society, Germany (10.0), France (9.1), and Denmark (9.1) were the most responsive countries, while Greece and Slovakia (1.0) had the poorest responsiveness. MH status total scores negatively correlated with global scores on responsiveness in healthcare (r = -0.34, p = .075), workplaces (r = -0.46, p = .014), schools (r = -0.59, p = .003), and society (r = -0.53, p = .003) - poorer MH status, greater responsiveness.

Conclusions: European countries significantly differed in their responsiveness to the populations' MH needs, although the real effectiveness of their MH policies remains to be elucidated. Whether more responsive countries, which achieved poorer MH outcomes, successfully met greater preexisting MH needs, they failed to do so, or the relationship is driven by other third variables (e.g., quality of MH assessment) requires future investigation.

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欧洲国家对人口心理健康需求的反应:一项跨国比较研究。
背景:本研究旨在交叉比较欧洲国家对其人口心理健康(MH)需求的反应性。方法:对于欧盟27个国家和英国,2023年进展倡议收集了医疗保健响应性的15个关键绩效指标(kpi)的数据,包括劳动力、设施、护理质量和MH支出,以及工作场所、学校和社会响应性的14个kpi。进展转化的KPI得分之间的双变量相关性,以1-10李克特量表进行标准化(1:最差表现;10:最佳表现),对假定的关联进行测试。结果:医疗保健方面的反应性:瑞典(10)、丹麦(8.8)和芬兰(8.3)表现最好,而罗马尼亚(1.0)、斯洛伐克(1.1)、拉脱维亚和保加利亚(1.2)表现最差。工作场所的响应度:学校和社会,德国(10.0)、法国(9.1)和丹麦(9.1)是响应度最高的国家,而希腊和斯洛伐克(1.0)的响应度最低。MH状态总分与医疗保健(r = -0.34, p = 0.075)、工作场所(r = -0.46, p = 0.014)、学校(r = -0.59, p = 0.003)和社会(r = -0.53, p = 0.003)的总体反应性得分呈负相关——MH状态越差,反应性越高。结论:欧洲国家在对人口卫生保健需求的响应方面存在显著差异,尽管其卫生保健政策的真正有效性仍有待阐明。无论是反应更积极的国家(实现了较差的卫生保健结果)成功地满足了更多的先前存在的卫生保健需求,还是它们未能做到这一点,或者这种关系是由其他第三个变量(例如卫生保健评估的质量)驱动的,需要进一步调查。
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来源期刊
European Psychiatry
European Psychiatry 医学-精神病学
CiteScore
8.50
自引率
3.80%
发文量
2338
审稿时长
4.5 weeks
期刊介绍: European Psychiatry, the official journal of the European Psychiatric Association, is dedicated to sharing cutting-edge research, policy updates, and fostering dialogue among clinicians, researchers, and patient advocates in the fields of psychiatry, mental health, behavioral science, and neuroscience. This peer-reviewed, Open Access journal strives to publish the latest advancements across various mental health issues, including diagnostic and treatment breakthroughs, as well as advancements in understanding the biological foundations of mental, behavioral, and cognitive functions in both clinical and general population studies.
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