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BMC Health Services Research

, 14:49

Organization, structure and delivery of healthcare

Abstract

BackgroundDifferent 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.

Methods617 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.

ResultsThe 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.

ConclusionsSocioeconomic 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.

KeywordsMental health services Quality index of service organization Socially marginalized groups Multi-level analysis Electronic supplementary materialThe online version of this article doi:10.1186-1472-6963-14-49 contains supplementary material, which is available to authorized users.

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Autor: Diogo Costa - Aleksandra Matanov - Reamonn Canavan - Edina Gabor - Tim Greacen - Petra Vondráčková - Ulrike Kluge - Pabl

Fuente: https://link.springer.com/







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