Inpatient Profile of Patients with Major Depression in Portuguese <italic>National Health System</italic> Hospitals, in 2008 and 2013: Variation in a Time of Economic Crisis.

The economic crisis has placed Portugal in a situation of budgetary constraints with repercussions on mental health, since 2009. This study analyses the association between economic crisis and the inpatient profile of major depression in the working-age population in Portuguese National Health Syste...

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Publicado en:Community Mental Health Journal Vol. 54; no. 2; pp. 224 - 236
Autores principales: Rodrigues, Daniel Francisco Santos, Nunes, Carla
Formato: Artículo
Publicado: Springer Nature Feb2018
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2018
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      pub: Springer Nature
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        10.1007/s10597-017-0144-5
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        atl: Inpatient Profile of Patients with Major Depression in Portuguese <italic>National Health System</italic> Hospitals, in 2008 and 2013: Variation in a Time of Economic Crisis.
      aug:
        au:
          Rodrigues, Daniel Francisco Santos
          Nunes, Carla
        affil:
          Psychiatry Department, Hospital Vila Franca de Xira, Estrada Nacional 1, Povos, 2600-009, Vila Franca de Xira, Portugal
          Escola Nacional de Saúde Pública e Centro de Investigação em Saúde Pública, Universidade NOVA de Lisboa, Av. Padre Cruz, 1600-560, Lisboa, Portugal
      su:
        Portugal
        Mental depression
        Economics
        Hospital care
        Cross-sectional method
        Research methodology
      sug:
        subj:
          Mental depression
          Economics
          Hospital care
          Cross-sectional method
          Portugal
          Research methodology
      keyword:
        Accessibility
        Depression
        Economic crisis
        Health services
        Inpatient
        Utilisation
        Accessibility
        Depression
        Economic crisis
        Health services
        Inpatient
        Utilisation
      ab: The economic crisis has placed Portugal in a situation of budgetary constraints with repercussions on mental health, since 2009. This study analyses the association between economic crisis and the inpatient profile of major depression in the working-age population in Portuguese National Health System hospitals. This was an observational, descriptive and cross-sectional study. An individual analysis of hospitalisation and an ecological analysis at district level, were performed before 2008 and during the crisis (2013). Data on the hospitalisation episodes, working-age population and psychiatric inpatient beds were analysed. An increase in hospitalisation rates for major depression were observed, and across country, high spatial variations were perceived: districts with lower rates of urbanisation and population density had higher hospitalisation rates for major depression. Hospitalisation rates were positively influenced by the available inpatient beds. The results for 2013 were more critical (higher hospitalisation rates, less beds). Further research is needed to understand all patterns, considering other individual and contextual information.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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