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Table 1 Operational description of integrated community care in Mental Health according to the European Service Mapping Schedule (ESMS) code groupings of "Main Types of Care" and technical characteristics of the Expert-driven Basic Model of Mental Health Community Care (B-MHCC) based on expert knowledge and characteristics of the 12 Small Health Areas (12 variables relevant for integrated community care have been included in the B-MHCC) (Salvador-Carulla et al, 2007) [9]

From: Integrating clinicians, knowledge and data: expert-based cooperative analysis in healthcare decision support

Grouping of services

ESMS Coding(*)

Description of ESMS "Main Types Care"

Variables: Types (T)1, Utilisation (U)2, Places (P)3

Technical characteristics of the Expert-driven Model of Community Care (B-MHCC)[rates per 100.000 population]4

Acute Care



Types: TR2

Places (beds): PR2

Utilisation: UR2

High availability and utilisation by users from the area BUT avoiding over-use.

1. TR2 within a [1,1.5] range.

2. PR2 within a [9, 20] range.

3. UR2 Medium-High to High avoiding over-use. Within a [10, 19] range. T9 0[6], T1 (6,19], T9 (19,100]. Uw[0.10,0.15]

Non-acute hospital care

R4, R5, R6 and R7


Types: TR4R7

Places (beds): PR4R7

Utilisation: UR4R7

Low availability and utilisation BUT not "0".

4. TR4-R7 Low, within [1,3.1]. T9 [0,1.9], T1 (1.9,3.1], T11 (3.1,15]. Uw[0.20,0.25].

5. PR4-R7 Low, within [3, 13]. T9 0[3], T1 (3,13], T7 (13,200]. Uw[0.10,0.15].

6. UR4-R7: Low use, within [3, 12]. T9 0[3], T1 (3,13], T9 (13,100]. Uw[0.13,0.17].

Residential community care

R8, R9, R10, R11, R12 and R13


Types: TR8R13

Places (beds): PR8R13

Utilisation: UR8R13

High availability and utilisation.

7. TR8-R13: High [> 3]. T9 0[3], T2 (3,20]. Uw[0.18,0.23].

8. PR8-R13: High [> 10]. T9 0[3], T1 (3,13], T8 (13,20]. Uw[0.10,0.15].

9. UR8-R13 High avoiding over-use, within [10, 40].

Day care


D1: Day care/Acute (day hospitals)

D4: Day care/Non-acute/Other structured activities

Types: TD1+D4

Places: PD1+D4

Utilisation: UD1+D4

High availability and utilisation

10. TD1+D4 High [> 3]. T9 0[3], T2 (3,20]. Uw[0.25,0.3].

11. PD1+D4 High [> 34]. T12 0[28], T11 (28,100]. Uw[].

12. UD1+D4 High [> 33]. T9 0[15], T1 (15,37], T2 (37,100]. Uw[0.13,0.17].

  1. (*) For an explanation of ESMS service coding system see [26]. (1) T: Number of the ESMS codes or "main type of care" (R2, R4 to R7, R8 to R13 and D1+D4) per 100.000 inhabitants available within a small health area; (2) U: Utilisation per 100.000 inhabitants of the ESMS codes or "main type of care" by patients from the small health area; (3) P: Places or beds available per 100.000 inhabitants at the small health area; (4) Selected variables, T1, T2,... T12: I/O interpretation in a specific range, Uw: Uniform statistical distribution of the I/O weight; (5) Work (D2), work-related (D3) and non-structured care (D5) have not been included in this