scholarly journals Integration of mental health care in private not-for-profit health centres in Guinea, West Africa: a systemic entry point towards the delivery of more patient-centred care?

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Abdoulaye Sow ◽  
Jeroen De Man ◽  
Myriam De Spiegelaere ◽  
Veerle Vanlerberghe ◽  
Bart Criel
Keyword(s):  
Mental Health ◽  
Health Care ◽  
West Africa ◽  
Mental Health Care ◽  
Entry Point ◽  
Patient Centred Care ◽  
For Profit ◽  
Not For Profit ◽  
Health Centres

scholarly journals Integration of mental health care in private not-for-profit health centres in Guinea, West Africa: a systemic entry point towards the delivery of more patient-centred care?

2019 ◽  
Author(s):  
Abdoulaye Sow ◽  
Jeroen De Man ◽  
Myriam De Spiegelaere ◽  
Veerle Vanlerberghe ◽  
Bart Criel
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Patient Participation ◽  
Care Providers ◽  
Patient Centred Care ◽  
For Profit ◽  
Not For Profit ◽  
Health Centres ◽  
Care Package

Abstract Abstract Background Patient-centred care is an essential component of quality of health care. We hypothesize that integration of a mental health care package into versatile first-line health care services can strengthen patient participation, an important dimension of patient-centred care. The objective of this study is to analyse whether consultations conducted by providers in facilities that integrated mental health care score higher in terms of patient participation. Methods This study was conducted in Guinea in 12 not-for-profit health centres, 4 of which had integrated a mental health care package (MH+) and 8 had not (MH-). The study involved 450 general curative consultations (175 in MH+ and 275 in MH- centres), conducted by 18 care providers (7 in MH+ and 11 in MH- centres). Patients were interviewed after the consultation on how they perceived their involvement in the consultation, using the Patient Participation Scale (PPS). The providers completed a self-administered questionnaire on their perception of patient’s involvement in the consultation. We compared scores of the PPS between MH+ and MH- facilities and between patients and providers. Results The mean PPS score was 24.21 and 22.54 in MH+ and MH- health centres, respectively. Participation scores depended on both care providers and the health centres they work in and ranged from 19.12 to 26.96 (p <0.001) for providers and from 20.49 to 26.96 (p <0.001) for the health centres. When adjusting for health providers and the duration of consultation, the patients consulting an MH+ centre were scoring higher on patient participation score than the ones of an MH- centre (adjusted odds ratio of 4.06 with a 95% CI of 1.17-14.10, p = 0.03). All care providers agreed they understood the patients' concerns, and patients shared this view. All patients agreed they wanted to be involved in the decision-making concerning their treatment; providers, however, were reluctant to do so. Conclusion Integrating a mental health care package into versatile first-line health services can promote more positive attitudes of care provider-patient interactions, even though this process by its own is not sufficient.

scholarly journals Integration of mental health care in private not-for-profit health centres in Guinea, West Africa: a systemic entry point towards the delivery of more patient-centred care?

2019 ◽  
Author(s):  
Abdoulaye Sow ◽  
Jeroen De Man ◽  
Myriam De Spiegelaere ◽  
Veerle Vanlerberghe ◽  
Bart Criel
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Patient Participation ◽  
Care Providers ◽  
Patient Centred Care ◽  
For Profit ◽  
Not For Profit ◽  
Health Centres ◽  
Care Package

Abstract Background: Patient-centred care is an essential component of quality of health care. We hypothesize that integration of a mental health care package into versatile first-line health care services can strengthen patient participation, an important dimension of patient-centred care. The objective of this study is to analyse whether consultations conducted by providers in facilities that integrated mental health care score higher in terms of patient participation. Methods: This study was conducted in Guinea in 12 not-for-profit health centres, 4 of which had integrated a mental health care package (MH+) and 8 had not (MH-). The study involved 450 general curative consultations (175 in MH+ and 275 in MH- centres), conducted by 18 care providers (7 in MH+ and 11 in MH- centres). Patients were interviewed after the consultation on how they perceived their involvement in the consultation, using the Patient Participation Scale (PPS). The providers completed a self-administered questionnaire on their perception of patient’s involvement in the consultation. We compared scores of the PPS between MH+ and MH- facilities and between patients and providers. Results: The mean PPS score was 24.21 and 22.54 in MH+ and MH- health centres, respectively. Participation scores depended on both care providers and the health centres they work in. The patients consulting an MH+ centre were scoring higher on patient participation score than the ones of an MH- centre (adjusted odds ratio of 4.06 with a 95% CI of 1.17-14.10, p = 0.03). All care providers agreed they understood the patients' concerns, and patients shared this view. All patients agreed they wanted to be involved in the decision-making concerning their treatment; providers, however, were reluctant to do so. Conclusion: Integrating a mental health care package into versatile first-line health services can promote more patient-centred care . Key words: Mental health. Quality of care. Patient-centred care. Patient participation. Not-for-profit health centres. Guinea.

scholarly journals Integration of mental health care in private not-for-profit health centres in Guinea, West Africa: a systemic entry point towards the delivery of more patient-centred care?

2020 ◽  
Author(s):  
Abdoulaye Sow ◽  
Jeroen De Man ◽  
Myriam De Spiegelaere ◽  
Veerle Vanlerberghe ◽  
Bart Criel
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Patient Participation ◽  
Care Providers ◽  
Patient Centred Care ◽  
For Profit ◽  
Not For Profit ◽  
Health Centres ◽  
Care Package

Abstract Background: Patient-centred care is an essential component of quality of health care. We hypothesize that integration of a mental health care package into versatile first-line health care services can strengthen patient participation, an important dimension of patient-centred care. The objective of this study is to analyse whether consultations conducted by providers in facilities that integrated mental health care score higher in terms of patient participation. Methods: This study was conducted in Guinea in 12 not-for-profit health centres, 4 of which had integrated a mental health care package (MH+) and 8 had not (MH-). The study involved 450 general curative consultations (175 in MH+ and 275 in MH- centres), conducted by 18 care providers (7 in MH+ and 11 in MH- centres). Patients were interviewed after the consultation on how they perceived their involvement in the consultation, using the Patient Participation Scale (PPS). The providers completed a self-administered questionnaire on their perception of patient’s involvement in the consultation. We compared scores of the PPS between MH+ and MH- facilities and between patients and providers. Results: The mean PPS score was 24.21 and 22.54 in MH+ and MH- health centres, respectively. Participation scores depended on both care providers and the health centres they work in. The patients consulting an MH+ centre were scoring higher on patient participation score than the ones of an MH- centre (adjusted odds ratio of 4.06 with a 95% CI of 1.17-14.10, p = 0.03). All care providers agreed they understood the patients' concerns, and patients shared this view. All patients agreed they wanted to be involved in the decision-making concerning their treatment; providers, however, were reluctant to do so. Conclusion: Integrating a mental health care package into versatile first-line health services can promote more patient-centred care . Key words : Mental health. Quality of care. Patient-centred care. Patient participation. Not-for-profit health centres. Guinea.

scholarly journals Consumer satisfaction with community mental health care in Durban

2004 ◽  
Vol 9 (1) ◽  
Author(s):  
Renée Almeida ◽  
Oluyinka Adejumo
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Quality Assurance ◽  
Community Mental Health ◽  
Mental Health Care ◽  
Full Text ◽  
Consumer Satisfaction ◽  
Community Mental Health Care ◽  
Consumer Evaluation ◽  
Health Centres

This study presents a consumer evaluation of the delivery and aspects of services provided at three community run mental health centres with the aim of using this information to improve the services in future for quality assurance. Opsomming Hierdie studie handel oor 'n verbruikersevaluering van die lewering van dienste en aspekte daarvan wat aan die drie gemeenskapsonder-houdende geestesgesondheidsentra gelewer is met die doel om hierdie inligting te gebruik om die dienste in die toekoms vir kwaliteits-versekering te verbeter. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

scholarly journals Spain. The new mental health care system in Navarra, Spain

1990 ◽  
Vol 14 (8) ◽  
pp. 487-489
Author(s):  
Jone Aizarna ◽  
Jose A. Inchauspe
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Publicly Funded ◽  
General Hospitals ◽  
Mental Health Care System ◽  
Health Area ◽  
Health Centres ◽  
Psychiatric Units ◽  
Day Hospitals

Your two correspondents are psychiatrists in their mid-30s working at two publicly-funded mental health centres in Navarra. We share the responsibility for co-ordinating the eight mental health centres, two day hospitals and two psychiatric units in general hospitals in the province. Each of us takes care of half these resources, grouped in a ‘mental health area’.

Public, Private and Voluntary Residential Mental Health Care: Is There a Cost Difference?

1998 ◽  
Vol 3 (3) ◽  
pp. 141-148 ◽  
Author(s):  
Martin Knapp ◽  
Daniel Chisholm ◽  
Jack Astin ◽  
Paul Lelliott ◽  
Bernard Audini
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Local Government ◽  
Mental Health Care ◽  
Residential Care ◽  
Consistent Difference ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Non Profit ◽  
For Profit

Objectives: To determine how public (NHS or local government), private (for-profit) and voluntary (non-profit) providers of residential mental health care compare. Do they support different clienteles? And do their services cost different amounts? Methods: Based on a cross-sectional survey of residential care facilities and their residents in eight English and Welsh localities, the characteristics and costs of care in the different sectors (NHS, local government, private, voluntary) were compared. Variations in cost were examined in relation to residents' characteristics using multiple regression analyses, which also allowed standardisation of results before making inter-sectoral comparisons. Results: Private and voluntary providers of residential care support different clienteles from the public sector. The patterns of inter-sectoral cost differences vary between London and non-London localities. In London, voluntary sector facilities may be more cost-efficient than the other sectors, but local government/private sector comparisons show no consistent difference. Outside London, the results suggest clear cost advantages for the private and voluntary sectors over the local government sector. Conclusions: Private and voluntary providers may have some economic advantages over their public counterparts. However, outcomes for residents were not studied, leaving unanswered the question of comparative cost-effectiveness.

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