Skip to main content

Comparative Effectiveness research on Psychiatric HOSpitalisation by record LINKage of large administrative data sets

Objective

Psychiatric services have undergone profound changes over the last decades. Large mental hospitals were downsized or closed and community mental health services set up, in order to move treatment of patients from institutions to the community. However, little is known about the effectiveness of this “de-institutionalisation” approach. In fact, psychiatric hospital admission and re-admission rates are still high in most countries, and it is only little understood why. Since repeated hospital admissions constitute profound interruptions in patients’ lives and are feared by patients because of stigma, their decrease can be regarded as a patient centred outcome (PCO); also, unplanned readmissions are not regarded as an indicator of efficiency and good quality of care. CEPHOS-LINK will make use of record linkage methods in data sets of large administrative electronic health care databases in six European countries with different health care systems (Austria, Finland, Italy, Norway, Romania and Slovenia), for exploring in routine settings the relationship between a large array of factors (on the patient, service and health system level) and rehospitalisation of psychiatric patients who were discharged from hospital, and to compare the outcome of several naturally occurring service use patterns. Cost-effectiveness issues will be dealt with. Given the use of data from multiple databases in six countries, work on data availability, acquisition, management, quality, interoperability, privacy protection and linkage methods will precede local and pooled data analyses, performed with statistical methods and innovative dynamic modelling approaches. Views form users and carers, cost-effectiveness aspects and findings from systematic reviews of the literature will be integrated with results of the record linkage studies for producing guidelines, recommendations and decision support tools for decision makers in the field of mental health system and services interventions.

Call for proposal

FP7-HEALTH-2013-INNOVATION-1
See other projects for this call

Coordinator

TERVEYDEN JA HYVINVOINNIN LAITOS
Address
Mannerheimintie 166
00271 Helsinki
Finland
Activity type
Research Organisations
EU contribution
€ 882 010
Administrative Contact
Sanna Leppämäki (Ms.)

Participants (6)

IMEHPS.RESEARCH - FORSCHUNGSINSTITUT FUR SOZIALPSYCHIATRIE GMBH
Austria
EU contribution
€ 498 120
Address
Glasergasse 24/23
1090 Wien
Activity type
Private for-profit entities (excluding Higher or Secondary Education Establishments)
Administrative Contact
Heinz Katschnig (Prof.)
SCOALA NATIONALA DE SANATATE PUBLICA, MANAGEMENT SI PERFECTIONARE IN DOMENIUL SANITAR BUCURESTI
Romania
EU contribution
€ 138 960
Address
Strada Vaselor 31
021253 Bucuresti
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Raluca Sfetcu (Mrs.)
STIFTELSEN SINTEF
Norway
EU contribution
€ 753 418
Address
Strindveien 4
7034 Trondheim
Activity type
Research Organisations
Administrative Contact
Jorid Kalseth (Mrs.)
UNIVERSITA DEGLI STUDI DI VERONA
Italy
EU contribution
€ 185 600
Address
Via Dell Artigliere 8
37129 Verona
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Susanna Montalto (Dr.)
ZNANSTVENORAZISKOVALNI CENTER SLOVENSKE AKADEMIJE ZNANOSTI IN UMETNOSTI
Slovenia
EU contribution
€ 218 440
Address
Novi Trg 2
1000 Ljubljana
Activity type
Research Organisations
Administrative Contact
Mimi Urbanc (Dr.)
dwh GmbH
Austria
EU contribution
€ 233 600
Address
Neustiftgasse 57-59
1050 Wien
Activity type
Private for-profit entities (excluding Higher or Secondary Education Establishments)
Administrative Contact
Nikolas Popper (Mr.)