2003 issue 4

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Volume 12, issue 4

Original article

A comparison of public and non-public outpatient psychiatric care facilities in the year 2001 – on the grounds of routine statistical data

Wanda Langiewicz1
1. Zakład Organizacji Ochrony Zdrowia Instytutu Psychiatrii i Neurologii w Warszawie
Postępy Psychiatrii i Neurologii, 2003, 12 (4),383-391
Keywords: privatisation, public and non-public mental health outpatient facilities

Abstract

The development of non-public outpatient health care facilities seen also in psychiatry requires that this phenomenon should be analysed using available routinely collected statistical data.

Aims: To determine the degree of privatisation and to compare activities of public and non-public mental health out patient facilities.

Material and method: The analysed data were obtained from 661 routine report forms MZ-15 concerning psychiatric care accessibility, staffing, the population treated, and provided services. Results: Differences between the two types of facilities were found in almost all of the analysed dimensions of their activity. As regards accessibility, staffing and characteristics of the treated population the differences were small, while considerable differences pertained to regional development of privatisation. Non-public outpatient psychiatric facilities were found to prevail in three districts: Pomeranian, Warmia-Masurian, and Wielkopolskie.

Discussion: The differences in the degree of privatisation of outpatient psychiatric services resulted .from the policy of the Regional Sick Funds. Namely, in regions in which advantageous terms of contracting for psychiatric services had been provided the degree of privatisation was rather high.

Conclusions: In Poland every third, and in some districts every other psychiatric outpatient facility is a non-public one. In the category of non-public outpatient clinics significantly more numerous are those which provide treatment to a small percentage of patients with schizophrenia or other disorders from this spectrum.

Address for correspondence:
Mgr Wanda Langiewicz, Zakład Organizacji Ochrony Zdrowia Instytutu Psychiatrii i Neurologii, Al. Sobieskiego 9, 02-957 Warszawa