Doctoral thesis
Open access

Mortality gap associated with mental disorders in the Czech Republic

Defense date2020-06-30

The overall goal of this work was to stimulate and inform an evidence-based reform of mental health care in central and eastern Europe. A mix of quantitative and qualitative methods was used to analyse changes in mental health care provision during last 25 years; to deterministically link registries of mental health inpatient discharges and causes of death and assess standardized mortality ratio and causes of deaths; to explore the nature of stigma-related burden. We linked data of 283,618 individuals and demonstrated up to three-times higher mortality compared to the general population in the Czech Republic. Further, we demonstrated the pervasive nature of mental health-related stigma and discrimination in the country. Key recommendations for policy- and decision makers were formulated and communicated to the leading group of the Czech mental health-care reforms and through a WHO regional meeting and report on “Culture and reform of mental health care in CEE”.

Citation (ISO format)
KRUPCHANKA, Dzmitry. Mortality gap associated with mental disorders in the Czech Republic. 2020. doi: 10.13097/archive-ouverte/unige:147056
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Creation12/17/2020 5:52:00 PM
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