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Still in the shadows: a national study of acute mental health unit location across New Zealand hospitals
BACKGROUND: This study aimed to explore the location of acute mental health inpatient units in general hospitals by mapping their location relative to hospital facilities and community facilities and to compare their proximity to hospital facilities with that of general medical acute units. METHODS:...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9830750/ https://www.ncbi.nlm.nih.gov/pubmed/36627635 http://dx.doi.org/10.1186/s12913-022-09004-z |
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author | Lian, Anne Carr, Gawen Peterson, Debbie Jenkin, Gabrielle Lockett, Helen Every-Palmer, Susanna Cunningham, Ruth |
author_facet | Lian, Anne Carr, Gawen Peterson, Debbie Jenkin, Gabrielle Lockett, Helen Every-Palmer, Susanna Cunningham, Ruth |
author_sort | Lian, Anne |
collection | PubMed |
description | BACKGROUND: This study aimed to explore the location of acute mental health inpatient units in general hospitals by mapping their location relative to hospital facilities and community facilities and to compare their proximity to hospital facilities with that of general medical acute units. METHODS: We obtained Google maps and hospital site maps for all New Zealand public hospitals. Geographic data were analysed and mental health units’ locations in relation to hospital facilities and public amenities were mapped. Radar plots were constructed comparing acute medical and mental health units’ locations in relation to hospital facilities. RESULTS: Twenty-two mental health units were identified. They were located predominantly at the periphery of hospital campuses, but also at a distance from community facilities. Compared to acute medical units, mental health units were almost universally located further from shared hospital facilities – with distances approximately three times further to reach the main hospital entrance (2.7 times distance), the nearest public café (3.4 times), the emergency department (2.4 times), and medical imaging (3.3 times). CONCLUSION: Despite the reforms of the 20(th) Century, mental health units still appear to occupy a liminal space; neither fully integrated into the hospital, nor part of the community. The findings warrant further investigation to understand the impact of these structural factors on parity of health care provision between mental and physical health care and the ability of mental health care services to support recovery. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-09004-z. |
format | Online Article Text |
id | pubmed-9830750 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-98307502023-01-11 Still in the shadows: a national study of acute mental health unit location across New Zealand hospitals Lian, Anne Carr, Gawen Peterson, Debbie Jenkin, Gabrielle Lockett, Helen Every-Palmer, Susanna Cunningham, Ruth BMC Health Serv Res Research BACKGROUND: This study aimed to explore the location of acute mental health inpatient units in general hospitals by mapping their location relative to hospital facilities and community facilities and to compare their proximity to hospital facilities with that of general medical acute units. METHODS: We obtained Google maps and hospital site maps for all New Zealand public hospitals. Geographic data were analysed and mental health units’ locations in relation to hospital facilities and public amenities were mapped. Radar plots were constructed comparing acute medical and mental health units’ locations in relation to hospital facilities. RESULTS: Twenty-two mental health units were identified. They were located predominantly at the periphery of hospital campuses, but also at a distance from community facilities. Compared to acute medical units, mental health units were almost universally located further from shared hospital facilities – with distances approximately three times further to reach the main hospital entrance (2.7 times distance), the nearest public café (3.4 times), the emergency department (2.4 times), and medical imaging (3.3 times). CONCLUSION: Despite the reforms of the 20(th) Century, mental health units still appear to occupy a liminal space; neither fully integrated into the hospital, nor part of the community. The findings warrant further investigation to understand the impact of these structural factors on parity of health care provision between mental and physical health care and the ability of mental health care services to support recovery. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-09004-z. BioMed Central 2023-01-10 /pmc/articles/PMC9830750/ /pubmed/36627635 http://dx.doi.org/10.1186/s12913-022-09004-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Lian, Anne Carr, Gawen Peterson, Debbie Jenkin, Gabrielle Lockett, Helen Every-Palmer, Susanna Cunningham, Ruth Still in the shadows: a national study of acute mental health unit location across New Zealand hospitals |
title | Still in the shadows: a national study of acute mental health unit location across New Zealand hospitals |
title_full | Still in the shadows: a national study of acute mental health unit location across New Zealand hospitals |
title_fullStr | Still in the shadows: a national study of acute mental health unit location across New Zealand hospitals |
title_full_unstemmed | Still in the shadows: a national study of acute mental health unit location across New Zealand hospitals |
title_short | Still in the shadows: a national study of acute mental health unit location across New Zealand hospitals |
title_sort | still in the shadows: a national study of acute mental health unit location across new zealand hospitals |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9830750/ https://www.ncbi.nlm.nih.gov/pubmed/36627635 http://dx.doi.org/10.1186/s12913-022-09004-z |
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