<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Tore Hofstad</style></author><author><style face="normal" font="default" size="100%">Tonje Lossius Husum</style></author><author><style face="normal" font="default" size="100%">Jorun Rugkåsa</style></author><author><style face="normal" font="default" size="100%">Bjørn Morten Hofmann</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Geographical variation in compulsory hospitalisation – ethical challenges</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Health Services Research (Open Access)</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Autonomi</style></keyword><keyword><style  face="normal" font="default" size="100%">autonomy</style></keyword><keyword><style  face="normal" font="default" size="100%">Beneficence</style></keyword><keyword><style  face="normal" font="default" size="100%">Coercion</style></keyword><keyword><style  face="normal" font="default" size="100%">Ethical analysis</style></keyword><keyword><style  face="normal" font="default" size="100%">Etisk analyse</style></keyword><keyword><style  face="normal" font="default" size="100%">Involuntary hospitalisation</style></keyword><keyword><style  face="normal" font="default" size="100%">Justice</style></keyword><keyword><style  face="normal" font="default" size="100%">Non-maleficence</style></keyword><keyword><style  face="normal" font="default" size="100%">Rettferdighet</style></keyword><keyword><style  face="normal" font="default" size="100%">Right care</style></keyword><keyword><style  face="normal" font="default" size="100%">Riktig omsorg</style></keyword><keyword><style  face="normal" font="default" size="100%">Service delivery variation</style></keyword><keyword><style  face="normal" font="default" size="100%">small area analysis</style></keyword><keyword><style  face="normal" font="default" size="100%">Småområdestatistikk</style></keyword><keyword><style  face="normal" font="default" size="100%">tvang</style></keyword><keyword><style  face="normal" font="default" size="100%">Ufrivillig sykehusinnleggelse</style></keyword><keyword><style  face="normal" font="default" size="100%">Variasjon i tjenesteleveranse</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2022</style></year><pub-dates><date><style  face="normal" font="default" size="100%">12/2022</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://link.springer.com/article/10.1186/s12913-022-08798-2</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">22</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Background&lt;/h3&gt;&lt;p&gt;Compulsory hospitalisation in mental health care restricts patients&amp;rsquo; liberty and is experienced as harmful by many. Such hospitalisations continue to be used due to their assumed benefit, despite limited scientific evidence. Observed geographical variation in compulsory hospitalisation raises concern that rates are higher and lower than necessary in some areas.&lt;/p&gt;&lt;h3 data-test=&quot;abstract-sub-heading&quot;&gt;Methods/discussion&lt;/h3&gt;&lt;p&gt;We present a specific normative ethical analysis of how geographical variation in compulsory hospitalisation challenges four core principles of health care ethics. We then consider the theoretical possibility of a &amp;ldquo;right&amp;rdquo;, or appropriate, level of compulsory hospitalisation, as a general norm for assessing the moral divergence, i.e., too little, or too much. Finally, we discuss implications of our analysis and how they can inform the future direction of mental health services.&lt;/p&gt;</style></abstract></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Hofstad, Tore</style></author><author><style face="normal" font="default" size="100%">Rugkåsa, Jorun</style></author><author><style face="normal" font="default" size="100%">Ose, Solveig O.</style></author><author><style face="normal" font="default" size="100%">Nyttingnes, Olav</style></author><author><style face="normal" font="default" size="100%">Husum, Tonje L.</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Measuring the level of compulsory hospitalisation in mental health care: The performance of different measures across areas and over time</style></title><secondary-title><style face="normal" font="default" size="100%">Int J Methods Psychiatr Res</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">compulsory hospitalisation</style></keyword><keyword><style  face="normal" font="default" size="100%">geografisk variasjon</style></keyword><keyword><style  face="normal" font="default" size="100%">geographic variation</style></keyword><keyword><style  face="normal" font="default" size="100%">measurement</style></keyword><keyword><style  face="normal" font="default" size="100%">small area analysis</style></keyword><keyword><style  face="normal" font="default" size="100%">Tvangsinnleggelse</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2021</style></year><pub-dates><date><style  face="normal" font="default" size="100%">05/2021</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://onlinelibrary.wiley.com/doi/10.1002/mpr.1881</style></url></web-urls></urls><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;section id=&quot;mpr1881-sec-0001&quot;&gt;&lt;h3 id=&quot;mpr1881-sec-0001-title&quot;&gt;Objective&lt;/h3&gt;&lt;p&gt;A variety of measures are used for reporting levels of compulsory psychiatric hospitalisation. This complicates comparisons between studies and makes it hard to establish the extent of geographic variation. We aimed to investigate how measures based on events, individuals and duration portray geographical variation differently and perform over time, how they correlate and how well they predict future ranked levels of compulsory hospitalisation.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;mpr1881-sec-0002&quot;&gt;&lt;h3 id=&quot;mpr1881-sec-0002-title&quot;&gt;Methods&lt;/h3&gt;&lt;p&gt;Small-area analysis, correlation analysis and linear regressions of data from a Norwegian health registry containing whole population data from 2014 to 2018.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;mpr1881-sec-0003&quot;&gt;&lt;h3 id=&quot;mpr1881-sec-0003-title&quot;&gt;Results&lt;/h3&gt;&lt;p&gt;The average compulsory hospitalisation rate per 100,000 inhabitant was 5.6 times higher in the highest area, compared to the lowest, while the difference for the compulsory inpatient rate was 3.2. Population rates based on inpatients correlate strongly with rates of compulsory hospitalisations (&lt;i&gt;r&lt;/i&gt;&amp;nbsp;=&amp;nbsp;0.88) and duration (&lt;i&gt;r&lt;/i&gt;&amp;nbsp;=&amp;nbsp;0.78). 68%&amp;ndash;81% of ranked compulsory hospitalisation rates could be explained by each area&amp;#39;s rank the previous year.&lt;/p&gt;&lt;/section&gt;&lt;section id=&quot;mpr1881-sec-0004&quot;&gt;&lt;h3 id=&quot;mpr1881-sec-0004-title&quot;&gt;Conclusion&lt;/h3&gt;&lt;p&gt;There are stable differences in service delivery between catchment areas in Norway. In future research, multiple measures of the level of compulsory hospitalisation should ideally be included when investigating geographical variation. It is important that researchers describe accurately the measure upon which their results are based.&lt;/p&gt;&lt;/section&gt;</style></abstract><label><style face="normal" font="default" size="100%">Tvangsinnleggelse</style></label></record></records></xml>