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Measuring the menta...
Measuring the mental health care system responsiveness : results of an outpatient survey in Tehran
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- Forouzan, Setareh (author)
- Umeå universitet,Avdelningen för medicin,Social Determinants of Health Research Centre, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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- Padyab, Mojgan (author)
- Umeå universitet,Institutionen för socialt arbete,Enheten för demografi och åldrandeforskning (CEDAR)
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- Rafiey, Hassan (author)
- Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Iran
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- Ghazinour, Mehdi (author)
- Umeå universitet,Institutionen för socialt arbete
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- Dejman, Masoumeh (author)
- Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA
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- San Sebastian, Miguel (author)
- Umeå universitet,Epidemiologi och global hälsa
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(creator_code:org_t)
- 2016-01-27
- 2016
- English.
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In: Frontiers In Public Health. - : Frontiers Media S.A.. - 2296-2565. ; 3
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Abstract
Subject headings
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- As explained by the World Health Organization (WHO) in 2000, the concept of health system responsiveness is one of the core goals of health systems. Since 2000, further efforts have been made to measure health system responsiveness and the factors affecting responsiveness, yet few studies have applied responsiveness concepts to the evaluation of mental health systems. The present study aims to measure responsiveness and its related domains in the mental health-care system of Tehran. Utilizing the same method used by the WHO for its responsiveness survey, responsiveness for outpatient mental health care was evaluated using a validated Farsi questionnaire. A sample of 500 public mental health service users in Tehran participated and subsequently completed the questionnaire. On average, 47% of participants reported experiencing poor responsiveness. Among responsiveness domains, confidentiality and dignity were the best performing factors while autonomy, access to care, and quality of basic amenities were the worst performing. Respondents who reported their social status as low were more likely to experience poor responsiveness overall. Attention and access to care were responsiveness dimensions that performed poorly but were considered to be highly important by study participants. In summary, the study suggests that measuring responsiveness could provide guidance for further development of mental health-care systems to become more patient orientated and provide patients with more respect.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- responsiveness
- mental health care
- outpatient
- social status
- Iran
Publication and Content Type
- ref (subject category)
- art (subject category)
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