Factors associated with quality of services for marginalized groups with mental health problems in 14 European countries

Hdl Handle:
http://hdl.handle.net/10147/315455
Title:
Factors associated with quality of services for marginalized groups with mental health problems in 14 European countries
Authors:
Costa, Diogo; Matanov, Aleksandra; Canavan, Reamonn; Gabor, Edina; Greacen, Tim; Vondráčková, Petra; Kluge, Ulrike; Nicaise, Pablo; Moskalewicz, Jacek; Díaz–Olalla, José M; Straßmayr, Christa; Kikkert, Martijn; Soares, Joaquim JF; Gaddini, Andrea; Barros, Henrique; Priebe, Stefan
Citation:
BMC Health Services Research. 2014 Feb 03;14(1):49
Issue Date:
3-Feb-2014
URI:
http://dx.doi.org/10.1186/1472-6963-14-49; http://hdl.handle.net/10147/315455
Abstract:
Abstract Background Different service characteristics are known to influence mental health care delivery. Much less is known about the impact of contextual factors, such as the socioeconomic circumstances, on the provision of care to socially marginalized groups.The objectives of this work were to assess the organisational characteristics of services providing mental health care for marginalized groups in 14 European capital cities and to explore the associations between organisational quality, service features and country-level characteristics. Methods 617 services were assessed in two highly deprived areas in 14 European capital cities. A Quality Index of Service Organisation (QISO) was developed and applied across all sites. Service characteristics and country level socioeconomic indicators were tested and related with the Index using linear regressions and random intercept linear models. Results The mean (standard deviation) of the QISO score (minimum = 0; maximum = 15) varied from 8.63 (2.23) in Ireland to 12.40 (2.07) in Hungary. The number of different programmes provided was the only service characteristic significantly correlated with the QISO (p < 0.05). The national Gross Domestic Product (GDP) was inversely associated with the QISO. Nearly 15% of the variance of the QISO was attributed to country-level variables, with GDP explaining 12% of this variance. Conclusions Socioeconomic contextual factors, in particular the national GDP are likely to influence the organisational quality of services providing mental health care for marginalized groups. Such factors should be considered in international comparative studies. Their significance for different types of services should be explored in further research.
Item Type:
Article
Language:
en
Keywords:
MENTAL AND BEHAVIOURAL DISORDER; SOCIAL EXCLUSION; MENTAL HEALTH SERVICES

Full metadata record

DC FieldValue Language
dc.contributor.authorCosta, Diogoen_GB
dc.contributor.authorMatanov, Aleksandraen_GB
dc.contributor.authorCanavan, Reamonnen_GB
dc.contributor.authorGabor, Edinaen_GB
dc.contributor.authorGreacen, Timen_GB
dc.contributor.authorVondráčková, Petraen_GB
dc.contributor.authorKluge, Ulrikeen_GB
dc.contributor.authorNicaise, Pabloen_GB
dc.contributor.authorMoskalewicz, Jaceken_GB
dc.contributor.authorDíaz–Olalla, José Men_GB
dc.contributor.authorStraßmayr, Christaen_GB
dc.contributor.authorKikkert, Martijnen_GB
dc.contributor.authorSoares, Joaquim JFen_GB
dc.contributor.authorGaddini, Andreaen_GB
dc.contributor.authorBarros, Henriqueen_GB
dc.contributor.authorPriebe, Stefanen_GB
dc.date.accessioned2014-04-07T10:01:25Z-
dc.date.available2014-04-07T10:01:25Z-
dc.date.issued2014-02-03-
dc.identifier.citationBMC Health Services Research. 2014 Feb 03;14(1):49en_GB
dc.identifier.urihttp://dx.doi.org/10.1186/1472-6963-14-49-
dc.identifier.urihttp://hdl.handle.net/10147/315455-
dc.description.abstractAbstract Background Different service characteristics are known to influence mental health care delivery. Much less is known about the impact of contextual factors, such as the socioeconomic circumstances, on the provision of care to socially marginalized groups.The objectives of this work were to assess the organisational characteristics of services providing mental health care for marginalized groups in 14 European capital cities and to explore the associations between organisational quality, service features and country-level characteristics. Methods 617 services were assessed in two highly deprived areas in 14 European capital cities. A Quality Index of Service Organisation (QISO) was developed and applied across all sites. Service characteristics and country level socioeconomic indicators were tested and related with the Index using linear regressions and random intercept linear models. Results The mean (standard deviation) of the QISO score (minimum = 0; maximum = 15) varied from 8.63 (2.23) in Ireland to 12.40 (2.07) in Hungary. The number of different programmes provided was the only service characteristic significantly correlated with the QISO (p < 0.05). The national Gross Domestic Product (GDP) was inversely associated with the QISO. Nearly 15% of the variance of the QISO was attributed to country-level variables, with GDP explaining 12% of this variance. Conclusions Socioeconomic contextual factors, in particular the national GDP are likely to influence the organisational quality of services providing mental health care for marginalized groups. Such factors should be considered in international comparative studies. Their significance for different types of services should be explored in further research.-
dc.language.isoenen
dc.subjectMENTAL AND BEHAVIOURAL DISORDERen_GB
dc.subjectSOCIAL EXCLUSIONen_GB
dc.subjectMENTAL HEALTH SERVICESen_GB
dc.titleFactors associated with quality of services for marginalized groups with mental health problems in 14 European countriesen_GB
dc.typeArticleen
dc.language.rfc3066en-
dc.rights.holderDiogo Costa et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2014-04-05T11:20:04Z-
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