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

• Type: Article in International Scientific Journal
• Date: 2014

Authors

Costa, D (Author) Other; Matanov, A (Author) Other; Canavan, R (Author) Other; Gabor, E (Author) Other; Greacen, T (Author) Other; Vondrackova, P (Author) Other; Kluge, U (Author) Other; Nicaise, P (Author) Other; Moskalewicz, J (Author) Other; Diaz Olalla, JM (Author) Other; Strassmayr, C (Author) Other; Kikkert, M (Author) Other; Soares, JJF (Author) Other; Gaddini, A (Author) Other; Barros H (Author) FMUP; Priebe, S (Author) Other

Journal

Title: BMC Health Services Research

Vol. 14

Pages: 70-49

ISSN: 1472-6963

Publisher: Springer Nature

Indexing

ISI Web of Knowledge - 3 Citations

Scopus - 2 Citations

Other information

Authenticus ID: P-002-3SQ

DOI: 10.1186/1472-6963-14-49

Abstract (EN): 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.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 12