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- Costa, DInstitute of Public Health, University of Porto, Porto, Portugal (author)
Factors associated with quality of services for marginalized groups with mental health problems in 14 European countries
- Article/chapterEnglish2014
Publisher, publication year, extent ...
- 2014-02-03
- Springer Science and Business Media LLC,2014
- electronicrdacarrier
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- LIBRIS-ID:oai:DiVA.org:miun-21274
- https://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-21274URI
- https://doi.org/10.1186/1472-6963-14-49DOI
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- Language:English
- Summary in:English
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- Background:Different service characteristics are known to influence mental health care delivery. Much less isknown about the impact of contextual factors, such as the socioeconomic circumstances, on the provision of careto socially marginalized groups.The objectives of this work were to assess the organisational characteristics of services providing mental health carefor marginalized groups in 14 European capital cities and to explore the associations between organisationalquality, service features and country-level characteristics.Methods:617 services were assessed in two highly deprived areas in 14 European capital cities. A Quality Index ofService Organisation (QISO) was developed and applied across all sites. Service characteristics and country levelsocioeconomic indicators were tested and related with the Index using linear regressions and random interceptlinear models.Results:The mean (standard deviation) of the QISO score (minimum = 0; maximum = 15) varied from 8.63 (2.23) inIreland to 12.40 (2.07) in Hungary. The number of different programmes provided was the only service characteristicsignificantly correlated with the QISO (p < 0.05). The national Gross Domestic Product (GDP) was inverselyassociated with the QISO. Nearly 15% of the variance of the QISO was attributed to country-level variables, withGDP explaining 12% of this variance.Conclusions:Socioeconomic contextual factors, in particular the national GDP are likely to influence theorganisational quality of services providing mental health care for marginalized groups. Such factors should beconsidered in international comparative studies. Their significance for different types of services should be exploredin further research.Keywords:Mental health services, Quality index of service organization, Socially marginalized groups,Multi-level analysis
Subject headings and genre
- Mental health services
- Quality index of service organization
- Socially marginalized groups
- Multi-level analysis
Added entries (persons, corporate bodies, meetings, titles ...)
- Matanov, AUnit for Social and Community Psychiatry, Queen Mary University of London, London, United Kingdom (author)
- Canavan, RHealth Promotion Research Centre, National University of Ireland Galway, Galway, Ireland (author)
- Gabor, ENational Institute for Health Development, Budapest, Hungary (author)
- Greacen, TLaboratoire de recherche, Etablissement public de santé Maison Blanche, Paris, France (author)
- Vondráčková, PDepartment of Addictology, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic (author)
- Kluge, UClinic for Psychiatry and Psychotherapy, Charite, University Medicine Berlin, CCM, Berlin, Germany (author)
- Nicaise, PInstitute of Health and Society (IRSS), Université Catholique de Louvain, Bruxelles, Belgium (author)
- Moskalewicz, JInstitute of Psychiatry and Neurology, Warsaw, Poland (author)
- Díaz–Olalla, JMMadrid Salud, Madrid, Spain (author)
- Straßmayr, CLudwig Boltzmann Institute for Social Psychiatry, Vienna, Austria (author)
- Kikkert, MArkin Institute for Mental Health Care, Amsterdam, The Netherlands (author)
- Soares, Joaquim J. F.Mittuniversitetet,Avdelningen för hälsovetenskap(Swepub:miun)joasoa (author)
- Gaddini, ALaziosanità ASP–Public Health Agency, Lazio Region, Rome, Italy (author)
- Barros, HLudwig Boltzmann Institute for Social Psychiatry, Vienna, Austria (author)
- Priebe, SUnit for Social and Community Psychiatry, Queen Mary University of London, London, United Kingdom (author)
- Institute of Public Health, University of Porto, Porto, PortugalUnit for Social and Community Psychiatry, Queen Mary University of London, London, United Kingdom (creator_code:org_t)
Related titles
- In:BMC Health Services Research: Springer Science and Business Media LLC, s. Art. no. 49-1472-6963
Internet link
- https://doi.org/10.1186/1472-6963-14-49Fulltext
- https://miun.diva-portal.org/smash/get/diva2:695253/FULLTEXT01.pdffulltext:print
- https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/1472-6963-14-49
- https://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-21274
- https://doi.org/10.1186/1472-6963-14-49
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