Skip to main content

Mental health services in the health accounts: the Czech Republic

Abstract

Background

Policy makers as well as health services researchers lack information on financial flows within national mental health systems. The studies that are available use different methodologies and hence it is difficult to make any comparisons. The aim of this study was to modify the existing health accounting framework and apply it to describe and analyse the financial flows within a national mental health system.

Methods

Mental health expenditures are classified by the three-dimensional methodology of OECD health accounts that is extended by two other dimensions for the purpose of the study.

Results

The framework of five-dimensional mental health accounts is introduced and applied to mental health expenditure in the Czech Republic, 2006. Mental health expenditure is estimated to be 4.14% of the total health expenditure. Mental health expenditure is classified based on its source of financing, provider industry, health-care function, cost category and diagnostic group.

Conclusions

Health expenditure estimates present the most detailed information on resource allocation in the mental health system of the Czech Republic. The application of the standardized framework in other countries can improve the quality of international comparisons. On the national level, especially if the time series are available, mental health accounts can serve as a useful tool for strategic resource allocation decisions. This is particularly useful for the countries that plan changes in resource allocation directed from institutional to community-based care.

This is a preview of subscription content, access via your institution.

References

  1. Czech Statistical Office (2008) Vysledky zdravotnickych uctu 2000–2006 [Results of Health Accounts 2000–2006]. Czech Statistical Office, Prague

    Google Scholar 

  2. Dlouhy M (2004) Mental health care system and mental health care expenditures in the Czech Republic. J Ment Health Policy Econ 7:159–165

    PubMed  Google Scholar 

  3. Dlouhy M (2009) Economic aspects of mental health in the Czech Republic. Polit Ekon 57:792–800

    Google Scholar 

  4. The General Health Insurance Fund of the Czech Republic (2008) The Yearbook of the General Health Insurance Fund of the Czech Republic. VZP CR, Prague

    Google Scholar 

  5. Horak P (2007) Direct cost of the General Health Insurance Fund to psychiatric care. Presentation at the meeting of the Czech Society of Psychiatry, Prague, March 8, 2007

  6. Hu T-W (2006) An international review of the national cost estimates of mental illness, 1999–2003. J Ment Health Policy Econ 9:3–13

    PubMed  Google Scholar 

  7. Hu TW, He Y, Zhang M, Chen N (2007) Economic costs of depression in China. Soc Psychiatry Psychiatr Epidemiol 42:110–116

    PubMed  Article  Google Scholar 

  8. Institute of Health Information and Statistics (2007) Psychiatric Care 2006. Institute of Health Information and Statistics of the Czech Republic, Prague

    Google Scholar 

  9. Institute of Health Information and Statistics (2008) Economic Information on Health Care 2006. Institute of Health Information and Statistics of the Czech Republic, Prague

    Google Scholar 

  10. Jacob KS, Sharan P, Mirza I, Garrido-Cumbrera M, Seedat S, Mari JJ, Sreevinas V, Saxena S (2007) Mental health system in countries: where are we now? Lancet 370:1061–1077

    PubMed  Article  CAS  Google Scholar 

  11. Kitzlerova E, Howardova A, Pubal K, Kalisova L, Sekot M, Bakova N, Cihal L, Raboch J (2005) Economic aspects of daily psychiatric care II: comparison of patients in daily care and classical hospitalization. Ceska Slov Psychiatr 101:148–154

    Google Scholar 

  12. Knapp M (2002) Mental health: familiar challenges, unprecedented opportunities? Eurohealth 8:21–22

    Google Scholar 

  13. Knapp M, McDaid D, Mossialos E, Thornicroft G (eds) (2007) Mental health policy and practice across Europe: the future direction of mental health care. Open University Press, Maidenhead

    Google Scholar 

  14. OECD (2000) A system of health accounts, version 1.0. OECD, Paris

    Google Scholar 

  15. Office of National Statistics (2004) SHA Guidelines. Office of National Statistics

  16. Pec O (2003) Naklady na peci o dusevne nemocne v roce 2001 [The cost of care about the mentally ill in 2001]. In Transformace oboru psychiatrie, Amepra, Prague

  17. Raciborska DA, Hernández P, Glassman A (2008) Accounting for health spending in developing countries. Health Aff 27:1371–1380

    Article  Google Scholar 

  18. Scheffler RM, Potucek M (eds) (2008) Mental health care reform in the Czech and Slovak Republics, 1989 to the present. Karolinum Press, Prague

    Google Scholar 

  19. World Health Organization (2003) Guide to producing national health accounts with special applications for low-income and middle-income countries. World Health Organization, Geneva

    Google Scholar 

Download references

Acknowledgments

This research was supported by the project “Finance and Mental Health Services Training in Czech Republic/Central Europe”, funded by the U.S. National Institutes of Health John E. Fogarty International Center (5 D43 TW005810-07), and by the project P403/10/0041 “Financing and Resource Allocation in Mental Health Care in Central and Eastern Europe”, funded by the Czech Science Foundation.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Martin Dlouhy.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Dlouhy, M. Mental health services in the health accounts: the Czech Republic. Soc Psychiatry Psychiatr Epidemiol 46, 447–453 (2011). https://doi.org/10.1007/s00127-010-0210-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00127-010-0210-6

Keywords

  • Health accounts
  • Mental health expenditure
  • Czech Republic