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Patient Journeys and Outcomes in Mental Healtcare Systems in Europe – Narrative Review and Study Protocol for a Trans-European Comparison

Published online by Cambridge University Press:  26 August 2025

H. F. Wiegand ,
O. Tüscher  and
K. Adorjan
H. F. Wiegand*
Affiliation:
Department of Psychiatry, Psychotherapy and Psychosomatics, University Medicine Halle, Halle (Saale) Department of Psychiatry and PSychotherapy, University Medicine Mainz, Mainz, Germany
O. Tüscher
Affiliation:
Department of Psychiatry, Psychotherapy and Psychosomatics, University Medicine Halle, Halle (Saale) Department of Psychiatry and PSychotherapy, University Medicine Mainz, Mainz, Germany
K. Adorjan
Affiliation:
Department of Psychiatry and PSychotherapy, University of Bern, Bern, Switzerland Department of Psychiatry and PSychotherapy, LMU Munich, Munich, Germany
*
*Corresponding author.

Abstract

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Introduction

Mental healthcare systems in Europe differ greatly in terms of access and care settings. Whereas comparisons of the structures partly exist (e.g. REFINEMENT project), not much is known neither about the patient journeys for specific disease entities nor about outcomes of these differently organized systems.

Objectives

The first objective is to review the existing literature on structural differences in mental healthcare sytsems in Europe. The second objective is to discuss options for studies that gather differences in patient journeys and outcomes for specific disease entities.

Methods

Narrative review about structural differences in mental healthcare in Europe and discussion of a study protocol for assessing patient journeys for 6 important disease entities (Severe Major Depressive Disorder, Schizophrenia, Behavioural disorders in Dementia, Borderline Personality Disorder, PTSD, Alcohol Addiction).

Results

European mental healthcare systems differ greatly in terms of structures of mental healthcare provision. E.g. Belgium had 141 hospital beds per 100,000 inhabitants, Germany 131, the Netherlands 112, Switzerland 95, Austria 75, and Denmark 5 (eurostat, 2024a). However, what these numbers mean for the patient journeys and for the systems outcomes is unclear. We discuss an approach for examining prototypical patient journeys for the above-mentioned disorders and for comparing their outcomes in terms of quality of life and global psychosocial functioning.

Conclusions

We are looking for European partner institutions for establishing a mental health systems research network. The goal is to set up studies that allow to compare patient journeys and outcomes within the differing European Mental Healthcare Systems as a basis for mutual learning from best practice examples.

Disclosure of Interest

None Declared

Information

Type
Abstract
Information
European Psychiatry , Volume 68 , Special Issue S1: Abstracts of the 33rd European Congress of Psychiatry , April 2025 , pp. S323
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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