Quality of care and its determinants in longer term mental health facilities across Europe; a cross-sectional analysis

Purpose: To characterise the current health quality of retired Royal New Zealand Navy (RNZN) personnel. Methods: A Cross-sectional analysis of self-reported survey data was conducted. A total of 300 retired RNZN personnel completed a Health-Related Quality of Life (HRQOL) survey on-line using the SF-36v2 to assess physical and mental health domains. The Physical Component Summary [PCS] combined Physical Function (PF), Role Physical (RP), Bodily Pain (BP) and General Health (GH) subscales. The Mental Component Summary [MCS] combined Vitality (VT), Social Functioning (SF), Role Emotional (RE) and Mental Health (MH) subscales. Analysis by age, gender, ethnicity, and rank were conducted for the subscale results. Comparisons of the RNZN cohort with the 1998 US National and New Zealand 2006-2007 health surveys were made. Results: New Zealand Europeans (NZE) recorded a higher mean RP and PCS than New Zealand Māori (NZM) (RP: 66.9 vs. 54.9; t(46)=-2.2; p=0.0294; d=0.50; PCS: 68.9 vs. 65.7; t(46)=-2.3; p=0.0267; d=0.47). Senior Rates recorded a higher MH (69.5 vs. 66.2; t(19)=-1.1; p=0.0568; d=0.35) but a lower PCS (65.0 vs. 65.6; t(19)=0.6;p=0.0681 d=0.07) and MCS (59.2 vs. 59.4; t(19)=-1.4; p=0.0865; d=0.46) than Officers. Compared with the New Zealand 2006-2007 health survey, the retired RNZN cohort had a lower RP (58.0 vs. 85.7; d=1.14), BP (42.6 vs. 75.3; d=1.51), SF (59.8 vs. 88.4; d=1.85) and MH (68.5 vs. 82.3; d=1.28). Conclusion: The lower HRQOL subscales results (especially BP) for retired RNZN personnel compared to the general population and other service personnel indicates a need for more research to understand the potential reasons for these findings. The effects of the lifestyle and training requirements combined with the entry selection of healthy people into the navy may have impacted on the results reported in this survey.

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The influence of patient–clinician ethnocultural and language concordance on continuity and quality of care: a cross-sectional analysis

CMAJ Open ◽

10.9778/cmajo.20170160 ◽

2018 ◽

Vol 6 (3) ◽

pp. E276-E284 ◽

Cited By ~ 3

Author(s):

Sina Waibel ◽

Sabrina T. Wong ◽

Alan Katz ◽

Jean-Frederic Levesque ◽

Raji Nibber ◽

...

Keyword(s):

Quality Of Care ◽

Cross Sectional ◽

Language Concordance ◽

Cross Sectional Analysis ◽

Sectional Analysis

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Diabetes Quality of Care and Outpatient Utilization Associated With Electronic Patient-Provider Messaging: A Cross-Sectional Analysis

Diabetes Care ◽

10.2337/dc08-1771 ◽

2009 ◽

Vol 32 (7) ◽

pp. 1182-1187 ◽

Cited By ~ 63

Author(s):

L. T. Harris ◽

S. J. Haneuse ◽

D. P. Martin ◽

J. D. Ralston

Keyword(s):

Quality Of Care ◽

Cross Sectional ◽

Cross Sectional Analysis ◽

Outpatient Utilization ◽

Sectional Analysis

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Association Between Quality of Care and the Sociodemographic Composition of Physicians’ Patient Panels: A Repeat Cross-Sectional Analysis

Journal of General Internal Medicine ◽

10.1007/s11606-011-1740-7 ◽

2011 ◽

Vol 26 (9) ◽

pp. 987-994 ◽

Cited By ~ 4

Author(s):

Emily R. Carrier ◽

Eric Schneider ◽

Hoangmai H. Pham ◽

Peter B. Bach

Keyword(s):

Quality Of Care ◽

Cross Sectional ◽

Cross Sectional Analysis ◽

Sectional Analysis

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Design features that reduce the use of seclusion and restraint in mental health facilities: a rapid systematic review

BMJ Open ◽

10.1136/bmjopen-2020-046647 ◽

2021 ◽

Vol 11 (7) ◽

pp. e046647

Author(s):

Sanne Oostermeijer ◽

Catherine Brasier ◽

Carol Harvey ◽

Bridget Hamilton ◽

Cath Roper ◽

...

Keyword(s):

Mental Health ◽

Physical Environment ◽

Critical Appraisal ◽

Physical Restraint ◽

Health Facilities ◽

Rapid Review ◽

Cochrane Library ◽

Design Features ◽

Mental Health Facilities

Increasing efforts are being made to prevent and/or eliminate the use of seclusion and restraint in mental health facilities. Recent literature recognises the importance of the physical environment in supporting better outcomes in mental health services. This rapid review scoped the existing literature studying what physical design features of mental health facilities can reduce the use of seclusion and physical restraint.DesignA rapid review of peer-reviewed literature.MethodsPeer-reviewed literature was searched for studies on architectural design and the use of restraint and seclusion in mental health facilities. The following academic databases were searched: Cochrane Library, Medline, PsycINFO, Scopus and Avery for English language literature published between January 2010 and August 2019. The Joanna Briggs Institute’s critical appraisal tool was used to assess the quality of included studies.ResultsWe identified 35 peer-reviewed studies. The findings revealed several overarching themes in design efforts to reduce the use of seclusion and restraint: a beneficial physical environment (eg, access to gardens or recreational facilities); sensory or comfort rooms; and private, uncrowded and calm spaces. The critical appraisal indicated that the overall quality of studies was low, as such the findings should be interpreted with caution.ConclusionThis study found preliminary evidence that the physical environment has a role in supporting the reduction in the use of seclusion and restraint. This is likely to be achieved through a multilayered approach, founded on good design features and building towards specific design features which may reduce occurrences of seclusion and restraint. Future designs should include consumers in a codesign process to maximise the potential for change and innovation that is genuinely guided by the insights of lived experience expertise.

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Association between food insecurity and access to a mental health professional: cross-sectional analysis of NHANES 2007–2014

BMC Public Health ◽

10.1186/s12889-021-10818-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Nina Camille Burruss ◽

Marina Girgis ◽

Karen Elizabeth Green ◽

Lingyi Lu ◽

Deepak Palakshappa

Keyword(s):

Mental Health ◽

Health Professional ◽

Food Insecurity ◽

Mental Health Professional ◽

The United States ◽

Bivariate Analysis ◽

Cross Sectional ◽

The Past ◽

Cross Sectional Analysis ◽

Sectional Analysis

Abstract Background To determine if individuals with food insecurity (FI) were less likely to have seen a mental health professional (MHP) within the past year than individuals without FI. Methods This is a cross-sectional analysis of data from the National Health and Nutrition Examination Survey (NHANES) conducted in the United States between 2007 and 2014. All participants 20 years of age or older were eligible for this study. We excluded participants who were pregnant, missing FI data, or missing data from the Patient Health Questionnaire (PHQ-9). The primary outcome was self-reported contact with a MHP in the past 12 months. We used multivariable logistic regression models to test the association between FI and contact with a MHP, controlling for all demographic and clinical covariates. Results Of the 19,789 participants, 13.9% were food insecure and 8.1% had major depressive disorder (MDD). In bivariate analysis, participants with FI were significantly more likely to have MDD (5.3% vs 2.8%, p < 0.0001) and to have been seen by a MHP in the preceding 12 months (14.0% vs 6.9%, p < 0.0001). In multivariable models, adults with FI had higher odds of having seen a MHP (OR = 1.32, CI: 1.07, 1.64). Conclusions This study demonstrates that individuals with FI were significantly more likely to have seen a MHP in the preceding 12 months compared to individuals without FI. Given the growing interest in addressing unmet social needs in healthcare settings, this data suggests that visits with MHPs may be a valuable opportunity to screen for and intervene on FI.

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