title: Relationship between national mental health expenditure and quality of care in longer-term psychiatric and social care facilities in Europe: cross-sectional study.
abstract: BackgroundIt is not known whether increased mental health expenditure is associated with better outcomes.AimsTo estimate the association between national mental health expenditure and (a) quality of longer-term mental healthcare, (b) service users' ratings of that care in eight European countries.MethodNational mental health expenditure (per cent of health budget spent on mental health) was calculated from international sources. Multilevel models were developed to assess associations with quality of care and service user experiences of care using ratings of 171 facility managers and 1429 service users.ResultsSignificant positive associations were found between mental health spend and (a) six of seven quality of care domains; and (b) service user autonomy and experiences of care.ConclusionsGreater national mental health expenditure was associated with higher quality of care and better service user experience.
authors.affiliation: Tatiana Taylor Salisbury, PhD, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, and Department of Population Health, London School of Hygiene and Tropical Medicine, London; Helen Killaspy, PhD, Michael King, PhD, Division of Psychiatry, University College London, London, UK tatiana.salisbury@kcl.ac.uk.
authors.forename: Tatiana Taylor
authors.initials: TT
authors.lastname: Salisbury
authors.affiliation: Tatiana Taylor Salisbury, PhD, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, and Department of Population Health, London School of Hygiene and Tropical Medicine, London; Helen Killaspy, PhD, Michael King, PhD, Division of Psychiatry, University College London, London, UK.
authors.forename: Helen
authors.initials: H
authors.lastname: Killaspy
authors.affiliation: Tatiana Taylor Salisbury, PhD, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, and Department of Population Health, London School of Hygiene and Tropical Medicine, London; Helen Killaspy, PhD, Michael King, PhD, Division of Psychiatry, University College London, London, UK.
authors.forename: Michael
authors.initials: M
authors.lastname: King
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005060:Europe; D005260:Female; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006801:Humans; D008134:Long-Term Care / Q000191:economics*; D008297:Male; D008605:Mental Health Services / Q000191:economics*; D008875:Middle Aged; D017060:Patient Satisfaction; D011787:Quality of Health Care / Q000191:economics*