Den gylne regel for prioritering av rusbehandling og psykisk helsevern en kvalitativ studie.
Tidsskr Nor Laegeforen
; 143(16)2023 11 07.
Article
en Nor
| MEDLINE
| ID: mdl-37938011
ABSTRACT
BACKGROUND:
For many years there has been broad political agreement on prioritising substance use treatment and mental health care in the specialist health service. Between 2014 and 2021, the 'golden rule' applied, meaning that there should be higher relative growth in mental health care and interdisciplinary specialised substance use treatment compared to somatic healthcare services. This study aimed to investigate the understanding among Norwegian health leaders and bureaucrats of the golden rule's role in the prioritisation of resources to the field of substance use and psychiatry in the specialist health service. MATERIAL ANDMETHOD:
The study is based on a one-year ethnographic study of priority-setting in Norwegian health trusts and bureaucracy. Documents, observations of meetings and twelve qualitative in-depth interviews were analysed using a qualitative discourse method.RESULTS:
The golden rule contributed to an increased investment in substance use treatment and mental health care in the health trusts, according to health leaders. However, the golden rule was only one of many competing and at times conflicting guidelines they had to take into account. Many factors impeded higher growth in substance use treatment and mental health care compared to somatic health care. Several participants argued that it was impossible to follow the golden rule. The inability to achieve the goal was explained by demographic trends, funding arrangements and lack of follow-up of the rule.INTERPRETATION:
Healthcare priorities are set in institutions that have to consider numerous political interests and social mandates. The study's findings illustrate the complexity of practical implementation of political priorities.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Salud Mental
/
Trastornos Relacionados con Sustancias
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
Nor
Revista:
Tidsskr Nor Laegeforen
Año:
2023
Tipo del documento:
Article