Evaluation of primary care responsiveness by people with mental illness in Spain
Abstract Background The health system responsiveness is a concept developed by the World Health Organization that measures patients’ expectations for the non-medical care they receive. The aim of this study is to assess primary care responsiveness as seen by people with mental illness and to analyse...
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-022-07516-2 |
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| author | Valle Coronado-Vázquez María Josefa Gil-de-Gómez Eva Rodríguez-Eguizábal Bárbara Oliván-Blázquez Juan Gómez-Salgado Rosa Magallón-Botaya María Antonia Sánchez-Calavera |
| author_facet | Valle Coronado-Vázquez María Josefa Gil-de-Gómez Eva Rodríguez-Eguizábal Bárbara Oliván-Blázquez Juan Gómez-Salgado Rosa Magallón-Botaya María Antonia Sánchez-Calavera |
| author_sort | Valle Coronado-Vázquez |
| collection | DOAJ |
| description | Abstract Background The health system responsiveness is a concept developed by the World Health Organization that measures patients’ expectations for the non-medical care they receive. The aim of this study is to assess primary care responsiveness as seen by people with mental illness and to analyse the factors associated with poor responsiveness. Methods Cross-sectional descriptive study on 426 people with mental illness who had attended primary care consultations at least once in the previous 12 months. The responsiveness of the health system was determined through the short questionnaire “Multi-country Survey Study on Health and Health Systems Responsiveness”. Differences in responsiveness by sociodemographic characteristics were compared through the Chi-squared test. Logistic regression identified the factors associated with poor responsiveness. Results Overall responsiveness was measured as good by 77.4% of patients, being this probability higher in the domains: dignity, confidentiality, and communication. The most valued domains by people with mental illness were prompt attention (42.4%), dignity (30.1%), and communication (17%). Only prompt attention scored high importance and poor responsiveness. In patients with an income lower than 900 euros per month and low level of studies, the probability of poor confidentiality responsiveness was multiplied by 3 and 2.7 respectively. Conclusions People with mental illness perceive good responsiveness from primary care in terms of dignity, confidentiality, and communication. Prompt attention, as the domain of greatest importance and worst valuation, should be prioritised through the implementation of organisational measures in health centres to reduce waiting times, especially in urban areas. |
| first_indexed | 2024-04-11T17:53:57Z |
| format | Article |
| id | doaj.art-0d18813ff83c4f47a89fa4c11acd2c96 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-11T17:53:57Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-0d18813ff83c4f47a89fa4c11acd2c962022-12-22T04:10:58ZengBMCBMC Health Services Research1472-69632022-01-012211910.1186/s12913-022-07516-2Evaluation of primary care responsiveness by people with mental illness in SpainValle Coronado-Vázquez0María Josefa Gil-de-Gómez1Eva Rodríguez-Eguizábal2Bárbara Oliván-Blázquez3Juan Gómez-Salgado4Rosa Magallón-Botaya5María Antonia Sánchez-Calavera6Aragonese Institute for Health Sciences (IACS)Aragonese Institute for Health Sciences (IACS)Aragonese Institute for Health Sciences (IACS)Group B21-20R, Health Research Institute of Aragon (IIS)Department of Sociology, Social Work and Public Health. Campus El Carmen, Universidad de HuelvaGroup B21-20R, Health Research Institute of Aragon (IIS)Group B21-20R, Health Research Institute of Aragon (IIS)Abstract Background The health system responsiveness is a concept developed by the World Health Organization that measures patients’ expectations for the non-medical care they receive. The aim of this study is to assess primary care responsiveness as seen by people with mental illness and to analyse the factors associated with poor responsiveness. Methods Cross-sectional descriptive study on 426 people with mental illness who had attended primary care consultations at least once in the previous 12 months. The responsiveness of the health system was determined through the short questionnaire “Multi-country Survey Study on Health and Health Systems Responsiveness”. Differences in responsiveness by sociodemographic characteristics were compared through the Chi-squared test. Logistic regression identified the factors associated with poor responsiveness. Results Overall responsiveness was measured as good by 77.4% of patients, being this probability higher in the domains: dignity, confidentiality, and communication. The most valued domains by people with mental illness were prompt attention (42.4%), dignity (30.1%), and communication (17%). Only prompt attention scored high importance and poor responsiveness. In patients with an income lower than 900 euros per month and low level of studies, the probability of poor confidentiality responsiveness was multiplied by 3 and 2.7 respectively. Conclusions People with mental illness perceive good responsiveness from primary care in terms of dignity, confidentiality, and communication. Prompt attention, as the domain of greatest importance and worst valuation, should be prioritised through the implementation of organisational measures in health centres to reduce waiting times, especially in urban areas.https://doi.org/10.1186/s12913-022-07516-2ResponsivenessPrimary careMental illness |
| spellingShingle | Valle Coronado-Vázquez María Josefa Gil-de-Gómez Eva Rodríguez-Eguizábal Bárbara Oliván-Blázquez Juan Gómez-Salgado Rosa Magallón-Botaya María Antonia Sánchez-Calavera Evaluation of primary care responsiveness by people with mental illness in Spain BMC Health Services Research Responsiveness Primary care Mental illness |
| title | Evaluation of primary care responsiveness by people with mental illness in Spain |
| title_full | Evaluation of primary care responsiveness by people with mental illness in Spain |
| title_fullStr | Evaluation of primary care responsiveness by people with mental illness in Spain |
| title_full_unstemmed | Evaluation of primary care responsiveness by people with mental illness in Spain |
| title_short | Evaluation of primary care responsiveness by people with mental illness in Spain |
| title_sort | evaluation of primary care responsiveness by people with mental illness in spain |
| topic | Responsiveness Primary care Mental illness |
| url | https://doi.org/10.1186/s12913-022-07516-2 |
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