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Analysis of patterns of mental health care with three different approaches (cross-sectional, longitudinal and dynamic)

Published online by Cambridge University Press:  11 October 2011

B. Moreno Küstner ,
F. Torres González  and
J.D. Luna Del Castillo
B. Moreno Küstner*
Affiliation:
Department of Psychiatry, School of Medicine, University of Granada. 18071 Granada (Spain)
F. Torres González
Affiliation:
Department of Psychiatry, School of Medicine, University of Granada. 18071 Granada (Spain)
J.D. Luna Del Castillo
Affiliation:
Department of Biostatistics, School of Medicine, University of Granada, 18071 Granada (Spain)
*
Indirizzo per la corrispondenza: Dra. Berta Moreno Küstner, Department of Psychiatry, School of Medicine, Avda de Madrid, 11, 18071 Granada (Spain). Fax: +34-958-275214 Telephone: 958-023130 E-mail: bmoreno@hsc.sas.cica.es
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Summary

Objective – This article attempts to provide an overview of different methods of analysis of information on service utilization from different approaches. Methods – A systematic review of the studies of pattern of care is done. The analysis of pattern of care has been divided into three different approaches: cross-sectional, longitudinal and dynamic. Results – In cross-sectional studies, information on utilization is based on the total number of contacts with mental health services during a given period. In the second approach, called longitudinal, survival analysis is applied considering the interval of time between each contact. The third type of analysis, called here the «dynamic» approach, involves the application of mathematical models based on the Markov chain to analyse the probability of change from one type of contact to another. Conclusions – We emphasise the need for further studies designed to analyse data from psychiatric case registers with standardised models for mental health services utilization analysis.

Riassunto

Scopo – Questo articolo si propone di fornire una panoramica dei diversi metodi di analisi delle informazioni relative alFutilizzazione dei servizi secondo approcci differenti. Metodi – E' stata predisposta un review sistematica degli studi sui pattern di cura. L'analisi sui pattern di cura è stata divisa secondo tre differenti approcci: cross-sectional, longitudinale e dinamico. Risultati – Negli studi cross-sectional, le informazioni sull'utilizzazione sono basate sui numero totale dei contatti con i servizi di salute mentale, in un certo periodo. Nel secondo approccio, chiamato longitudinale, l'analisi di sopravvivenza è applicata considerando l'intervallo di tempo tra ciascun contatto. Il terzo tipo di contatto, chiamato qui approccio «dinamico», comporta l'applicazione di modelli matematici basati sulle catene markoviane per analizzare la probabilità di cambiamento da un tipo di contatto all'altro. Conclusioni – Si sottolinea la necessita di studi ulteriori predisposti per analizzare i dati dei registri psichiatrici dei casi con modelli standardizzati per l'analisi dell'utilizzazione dei servizi psichiatrici.

Keywords

servizi di salute mentaleutilizzazione dei serviziservizi mentali territorialimetodologiamental health servicesservice utilizationcommunity mental health servicesmethodology
Type
Invited paper
Information
Epidemiology and Psychiatric Sciences , Volume 10 , Issue 2 , June 2001 , pp. 82 - 89
Copyright
Copyright © Cambridge University Press 2001

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