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

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 t...

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Autores principales: Costa, Diogo, Matanov, Aleksandra, Canavan, Reamonn, Gabor, Edina, Greacen, Tim, Vondráčková, Petra, Kluge, Ulrike, Nicaise, Pablo, Moskalewicz, Jacek, Díaz–Olalla, José Manuel, Straßmayr, Christa, Kikkert, Martijn, Soares, Joaquim JF, Gaddini, Andrea, Barros, Henrique, Priebe, Stefan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3915221/
https://www.ncbi.nlm.nih.gov/pubmed/24490720
http://dx.doi.org/10.1186/1472-6963-14-49
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author Costa, Diogo
Matanov, Aleksandra
Canavan, Reamonn
Gabor, Edina
Greacen, Tim
Vondráčková, Petra
Kluge, Ulrike
Nicaise, Pablo
Moskalewicz, Jacek
Díaz–Olalla, José Manuel
Straßmayr, Christa
Kikkert, Martijn
Soares, Joaquim JF
Gaddini, Andrea
Barros, Henrique
Priebe, Stefan
author_facet Costa, Diogo
Matanov, Aleksandra
Canavan, Reamonn
Gabor, Edina
Greacen, Tim
Vondráčková, Petra
Kluge, Ulrike
Nicaise, Pablo
Moskalewicz, Jacek
Díaz–Olalla, José Manuel
Straßmayr, Christa
Kikkert, Martijn
Soares, Joaquim JF
Gaddini, Andrea
Barros, Henrique
Priebe, Stefan
author_sort Costa, Diogo
collection PubMed
description 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.
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spelling pubmed-39152212014-02-07 Factors associated with quality of services for marginalized groups with mental health problems in 14 European countries Costa, Diogo Matanov, Aleksandra Canavan, Reamonn Gabor, Edina Greacen, Tim Vondráčková, Petra Kluge, Ulrike Nicaise, Pablo Moskalewicz, Jacek Díaz–Olalla, José Manuel Straßmayr, Christa Kikkert, Martijn Soares, Joaquim JF Gaddini, Andrea Barros, Henrique Priebe, Stefan BMC Health Serv Res Research Article 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. BioMed Central 2014-02-03 /pmc/articles/PMC3915221/ /pubmed/24490720 http://dx.doi.org/10.1186/1472-6963-14-49 Text en Copyright © 2014 Costa et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Research Article
Costa, Diogo
Matanov, Aleksandra
Canavan, Reamonn
Gabor, Edina
Greacen, Tim
Vondráčková, Petra
Kluge, Ulrike
Nicaise, Pablo
Moskalewicz, Jacek
Díaz–Olalla, José Manuel
Straßmayr, Christa
Kikkert, Martijn
Soares, Joaquim JF
Gaddini, Andrea
Barros, Henrique
Priebe, Stefan
Factors associated with quality of services for marginalized groups with mental health problems in 14 European countries
title Factors associated with quality of services for marginalized groups with mental health problems in 14 European countries
title_full Factors associated with quality of services for marginalized groups with mental health problems in 14 European countries
title_fullStr Factors associated with quality of services for marginalized groups with mental health problems in 14 European countries
title_full_unstemmed Factors associated with quality of services for marginalized groups with mental health problems in 14 European countries
title_short Factors associated with quality of services for marginalized groups with mental health problems in 14 European countries
title_sort factors associated with quality of services for marginalized groups with mental health problems in 14 european countries
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3915221/
https://www.ncbi.nlm.nih.gov/pubmed/24490720
http://dx.doi.org/10.1186/1472-6963-14-49
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