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Title: |
Outcomes of Nordic mental health systems: life expectancy of patients with mental disorders. |
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Reference: |
British Journal of Psychiatry, 199(6), December 2011, pp.453-458. |
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ISSN paper: |
0007-1250 |
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ISSN online: |
1472-1465 |
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Abstract: |
People with mental disorders show excess mortality due to natural and unnatural deaths. The gap in life expectancy between psychiatric patients and the population at large is seen as a proxy indicator of the effectiveness of social policy and health service provision. This study evaluated the achievements of Nordic mental health care reforms by looking at the life expectancy of people with serious mental disorders in Denmark, Finland and Sweden. Nationwide 5-year consecutive cohorts of people admitted to hospital for mental disorders between 1987–2006 were examined. The risk population was identified from hospital discharge registers and mortality data were retrieved from cause-of-death registers. The main outcome measure was life expectancy at age 15 years. People admitted to hospital for a mental disorder had a 2-3 fold higher mortality than the general population in all three countries; the gap in life expectancy was more pronounced for men than for women. Overall the gap decreased during the study period, especially for women, but a notable exception was Swedish men with mental disorders. In spite of the positive general trend, men with mental disorders still live 20 years less, and women 15 years less, than the general population. The authors believe that their results support further development of the Nordic welfare state model, i.e. tax-funded community-based public services and social protection. |
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Format: |
article; |
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Topics: |
life expectancy; long term outcomes; longitudinal studies; mental health services; mortality; severe mental health problems; |
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Record ID: |
www.scie-socialcareonline.org.uk/profile.asp?guid=8a1d9ad9-f391-40ae-8d1c-4a92d17d8ca2 |
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