Title of article :
Mental health services in the health accounts: the Czech Republic
Author/Authors :
Martin Dlouhy، نويسنده ,
Issue Information :
ماهنامه با شماره پیاپی سال 2011
Abstract :
Background Policy makers as well as health services
researchers lack information on financial flows within
national mental health systems. The studies that are
available use different methodologies and hence it is difficult
to make any comparisons. The aim of this study was
to modify the existing health accounting framework and
apply it to describe and analyse the financial flows within a
national mental health system.
Methods Mental health expenditures are classified by the
three-dimensional methodology of OECD health accounts
that is extended by two other dimensions for the purpose of
the study.
Results The framework of five-dimensional mental health
accounts is introduced and applied to mental health
expenditure in the Czech Republic, 2006. Mental health
expenditure is estimated to be 4.14% of the total health
expenditure. Mental health expenditure is classified based
on its source of financing, provider industry, health-care
function, cost category and diagnostic group.
Conclusions Health expenditure estimates present the
most detailed information on resource allocation in the
mental health system of the Czech Republic. The application
of the standardized framework in other countries can
improve the quality of international comparisons. On the
national level, especially if the time series are available,
mental health accounts can serve as a useful tool for strategic
resource allocation decisions. This is particularly
useful for the countries that plan changes in resource
allocation directed from institutional to community-based
care.
Keywords :
Health accounts Mental health expenditure Czech Republic
Journal title :
Social Psychiatry and Psychiatric Epidemiology (SPPE)
Journal title :
Social Psychiatry and Psychiatric Epidemiology (SPPE)