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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