Which Country Has the World's Best Health Care? by Ezekiel J Emanuel

Which Country Has the World's Best Health Care? by Ezekiel J Emanuel

Author:Ezekiel J Emanuel [J. EMANUEL, EZEKIEL]
Language: eng
Format: epub
Publisher: PublicAffairs
Published: 2020-06-16T00:00:00+00:00


Mental Health

Like most countries, the Netherlands has shifted from institution-based mental health care toward community-based care. Since 2010, the number of mental health contacts per 1,000 patients in primary care settings has almost doubled. While the number of integrated mental health institutions has remained steady at about 30, the number of general mental hospitals decreased from 12 to 2 between 2000 and 2014.

Mental health service delivery is divided into 3 levels. The first level of mental health care occurs in the GP’s office. This care is initially managed by a mental health practice nurse who works in the GP’s office. If the nurse and GP suspect that the patient suffers from a more severe mental condition, such as bipolar disorder or difficult-to-treat depression, they refer the patient to the 2nd level of care, which is short-term mental care provided by psychologists and psychiatrists in hospital-outpatient settings. The 3rd level of care is for even more severe cases requiring specialist care for complex conditions and may include inpatient care. If prolonged inpatient care is necessary, it is provided at specialized mental health institutions and financed through long-term care mechanisms.



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