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Table 1 Theoretical framework of economic barriers [11]

From: Barriers to delivering mental health services in Georgia with an economic and financial focus: informing policy and acting on evidence

Information barriers Resource inappropriateness
• Limited evidence base • Difficulties of transferring services research findings • Services do not match the needs • Dominance of large institutions • Over-investment in expensive technology
Insufficiency of resources Resource inflexibility
• Poor economic conditions • Vulnerable currency • Low willingness/ability to pay • Poor stewardship • Centralized budgets • “Benefit trap” disincentives • Poor coordination across agencies • “Silo budgeting”
Resource distribution Resource timing
• Concentration in urban areas • Highly institutionalized services • Neglect of particular disorders • Supply inelasticity • Training delays • Capacity-constrained systems