Please use this identifier to cite or link to this item: http://dx.doi.org/10.14279/depositonce-11615
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Main Title: Improving access to services for psychotic patients: does implementing a waiting time target make a difference
Author(s): Kreutzberg, Anika
Jacobs, Rowena
Type: Article
URI: https://depositonce.tu-berlin.de/handle/11303/12815
http://dx.doi.org/10.14279/depositonce-11615
License: https://creativecommons.org/licenses/by/4.0/
Abstract: Objective: In April 2015, the English National Health Service started implementing the first waiting time targets in mental health care. This study aims to investigate the effect of the 14-day waiting time target for early intervention in psychosis (EIP) services after the first six months of its implementation. Study design: We analyse a cohort of first-episode psychosis patients from the English administrative Mental Health and Learning Disabilities Dataset 2011 to 2015. We compare patients being treated by EIP services (treatment) with those receiving care from standard community mental health services (control). We combine non-parametric matching with a difference-in-difference approach to account for observed and unobserved group differences. We analyse the probability of waiting below target and look at different percentiles of the waiting time distribution. Results: EIP patients had an 11.6–18.4 percentage point higher chance of waiting below target post-policy compared to standard care patients. However, post-policy trends at different percentiles of the waiting time distribution were not different between groups. Conclusions: Mental health providers seem to respond to waiting time targets in a similar way as physical health providers. The increased proportion waiting below target did not, however, result in an overall improvement across the waiting time distribution.
Subject(s): difference-in-difference analysis
early intervention in psychosis
mental health
waiting time targets
psychosis
Issue Date: 25-Feb-2020
Date Available: 12-Mar-2021
Language Code: en
DDC Class: 610 Medizin und Gesundheit
Sponsor/Funder: TU Berlin, Open-Access-Mittel – 2020
Journal Title: The European Journal of Health Economics
Publisher: SpringerNature
Volume: 21
Issue: 5
Publisher DOI: 10.1007/s10198-020-01165-0
Page Start: 703
Page End: 716
EISSN: 1618-7601
ISSN: 1618-7598
TU Affiliation(s): Fak. 7 Wirtschaft und Management » Inst. Technologie und Management (ITM) » FG Management im Gesundheitswesen
Appears in Collections:Technische Universität Berlin » Publications

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