Evaluation of primary care responsiveness by people with mental illness in Spain

BMC Health Services Research

Eva Rodríguez-Eguizábal¹  María Josefa Gil-de-Gómez²  Valle Coronado-Vázquez³  Juan Gómez-Salgado⁴  Bárbara Oliván-Blázquez⁵  Rosa Magallón-Botaya⁶  María Antonia Sánchez-Calavera⁷ 

[1] Aragonese Institute for Health Sciences (IACS), 50009, Zaragoza, Spain;Puerta de Arnedo Primary Care Health Center, La Rioja Health Service, 26580, Arnedo, Spain;Aragonese Institute for Health Sciences (IACS), 50009, Zaragoza, Spain;San Pedro Hospital, La Rioja Health Service, 26006, Logroño, Spain;Aragonese Institute for Health Sciences (IACS), 50009, Zaragoza, Spain;School of Medicine, Universidad Francisco de Vitoria, 28223, Madrid, Spain;Illescas Primary Care Health Center, Castilla-La Mancha Health Service, 45200, Toledo, Spain;Group B21-20R, Health Research Institute of Aragon (IIS), 50009, Zaragoza, Spain;redIAPP group RD16/0007/0005, Aragonese Primary Care Research Group, 50009, Zaragoza, Spain;Department of Sociology, Social Work and Public Health. Campus El Carmen, Universidad de Huelva, Av. de 3 de Marzo, 21007, Huelva, Spain;Safety and Health Postgraduate Programme, Universidad Espíritu Santo, 092301, Guayaquil, Ecuador;Group B21-20R, Health Research Institute of Aragon (IIS), 50009, Zaragoza, Spain;redIAPP group RD16/0007/0005, Aragonese Primary Care Research Group, 50009, Zaragoza, Spain;University of Zaragoza, 50009, Zaragoza, Spain;Group B21-20R, Health Research Institute of Aragon (IIS), 50009, Zaragoza, Spain;redIAPP group RD16/0007/0005, Aragonese Primary Care Research Group, 50009, Zaragoza, Spain;University of Zaragoza, 50009, Zaragoza, Spain;Arrabal Primary Care Health Center, Aragon Health Service, 50009, Zaragoza, Spain;Group B21-20R, Health Research Institute of Aragon (IIS), 50009, Zaragoza, Spain;redIAPP group RD16/0007/0005, Aragonese Primary Care Research Group, 50009, Zaragoza, Spain;University of Zaragoza, 50009, Zaragoza, Spain;Fuentes Norte Primary Care Health Center, Aragon Health Service, 50002, Zaragoza, Spain;

关键词: Responsiveness;    Primary care;    Mental illness;   

DOI  :  10.1186/s12913-022-07516-2

来源: Springer

【 摘 要 】

BackgroundThe 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.MethodsCross-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.ResultsOverall 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.ConclusionsPeople 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.

【 授权许可】

CC BY