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dc.contributor.authorHolsen, Maria
dc.contributor.authorLien, Lars
dc.contributor.authorSolbakken, Ole Andre
dc.contributor.authorHolman, Per Arne
dc.description.abstractBackground: Equitable mental healthcare regardless of area of residence is a political aim in Norway. The purpose of this study is to evaluate geographical variation in private practitioner coverage and explore differences between private practitioners with public reimbursement and local community mental health centers (CMHCs) in terms of diagnoses and scope of outpatient treatment, with a focus on mood and neurotic disorders. Method: Cross-sectional registry-based study of adults in outpatient mental healthcare at private practitioners or CMHCs in Norway in 2014–2018. We calculated distribution of diagnoses, geographical variation in rates of private practitioners, and analyzed scope of treatment for patients with mood and neurotic disorders (ICD-10 disorders F3, F4). We estimate cost per treated patient and report geographic variation for hospital catchment areas. Results: Patients with F3, F4 disorders accounted for 64.7 % at private practitioners, and 41.5 % at CMHCs, and received more treatment at private practitioners, five more consultations in a 42 day longer period. There is considerable geographical variation in private practitioner coverage, highest in South-Eastern Norway and lowest in Northern Norway. Implications: As long as management and priority setting are differently organized for CMHCs and private practitioners in mental health care, we must expect geographical variation in access and use. It appears as an equity paradox that a group of patients, rejected by or not referred to CMHC, receive more treatment by private practitionersen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.subjectMental healthcareen_US
dc.subjectOutpatient consultationsen_US
dc.subjectPrivate practitionersen_US
dc.subjectGeographical variationen_US
dc.subjectEqual accessen_US
dc.subjectPriority settingen_US
dc.subjectPsykisk helsevernen_US
dc.subjectPolikliniske konsultasjoneren_US
dc.subjectprivatpraktiserende legeen_US
dc.subjectGeografisk variasjonen_US
dc.titleGeografisk variasjon i vaksnes bruk av avtalespesialistar og DPS i psykisk helsevernen_US
dc.title.alternativeGeografisk variasjon i vaksnes bruk av avtalespesialistar og DPS i psykisk helsevernen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.subject.nsiVDP::Samfunnsvitenskap: 200::Psykologi: 260en_US
dc.source.journalTidsskrift for Norsk Psykologforeningen_US

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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal