scholarly journals Status report - Individual, programmatic and systemic indicators of the quality of mental health care using a large health administrative database: an avenue for preventing suicide mortality

2018 ◽  
Vol 38 (7/8) ◽  
pp. 295-304
Author(s):  
Lise Thibodeau ◽  
Elham Rahme ◽  
James Lachaud ◽  
Éric Pelletier ◽  
Louis Rochette ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Care ◽  
Surveillance System ◽  
Disease Surveillance ◽  
Health Care Services ◽  
Status Report ◽  
Care Services ◽  
Disease Surveillance System

Suicide is a major public health issue in Canada. The quality of health care services, in addition to other individual and population factors, has been shown to affect suicide rates. In publicly managed care systems, such as systems in Canada and the United Kingdom, the quality of health care is manifested at the individual, program and system levels. Suicide audits are used to assess health care services in relation to the deaths by suicide at individual level and when aggregated at the program and system levels. Large health administrative databases comprise another data source used to inform population- based decisions at the system, program and individual levels regarding mental health services that may affect the risk of suicide. This status report paper describes a project we are conducting at the Institut national de santé publique du Québec (INSPQ) with the Quebec Integrated Chronic Disease Surveillance System (QICDSS) in collaboration with colleagues from Wales (United Kingdom) and the Norwegian Institute of Public Health. This study describes the development of quality of care indicators at three levels and the corresponding statistical analysis strategies designed. We propose 13 quality of care indicators, including system-level and several population-level determinants, primary care treatment, specialist care, the balance between care sectors, emergency room utilization, and mental health and addiction budgets, that may be drawn from a chronic disease surveillance system.

scholarly journals Willingness to pay for improved public health care services in Saudi Arabia: a contingent valuation study among heads of Saudi households

2018 ◽  
Vol 15 (1) ◽  
pp. 72-93 ◽  
Author(s):  
Mohammed K. Al-Hanawi ◽  
Omar Alsharqi ◽  
Kirit Vaidya
Keyword(s):  
Public Health ◽  
Health Care ◽  
Saudi Arabia ◽  
Contingent Valuation ◽  
Health Care Services ◽  
Public Health Care ◽  
Quality Improvements ◽  
The Public ◽  
Care Services

AbstractThe bulk of health care service provision in Saudi Arabia is undertaken by the public health care sector through the Ministry of Health, which is funded annually by the total government budget, which, in turn, is derived primarily from oil revenue. Public health care services in Saudi Arabia are characterised by an overload, overuse, and shortage of medical personnel, which can result in dissatisfaction with the quality of the current public health care services. This study uses a contingent valuation method to investigate the willingness of Saudi people to pay for improvements to the quality of public health care services. This study also determines the association between the willingness to pay for quality improvements and respondents’ demographic and socioeconomic characteristics. A pre-tested interviewer-administered questionnaire was used to collect data from 1187 heads of household in Jeddah Province over a five-month period. Multi-stage sampling was employed to recruit participants. Partial Tobit regression and corresponding marginal effects analyses were used to analyse the data. These empirical analyses show that the majority of the sample was willing to pay for quality improvements in the public health care services. The results of this study might be of use to policymakers to help with both priority setting and fund allocation.

PTSD in Active Combat Soldiers: To Treat or Not to Treat

2014 ◽  
Vol 42 (2) ◽  
pp. 161-170 ◽  
Author(s):  
Bethany C. Wangelin ◽  
Peter W. Tuerk
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Care ◽  
Health Care Services ◽  
Treatment Strategies ◽  
Cost Effective ◽  
Public Health Care ◽  
Care Utilization ◽  
Care Services ◽  
Cost Effective Treatment

Treatment of military-related posttraumatic stress disorder (PTSD) is a major public health care concern. Since 2001 over 2.5 million troops have been deployed to Iraq or Afghanistan, many of whom have experienced direct combat and sustained threat. Estimates of PTSD rates related to these wars range from 8% to over 20%, or 192,000 to 480,000 individuals. Already, nearly 250,000 service members of Operations Enduring Freedom, Iraqi Freedom, and New Dawn (OEF/OIF/OND) have sought VA health care services for PTSD. This recent increased need for mental health services comes in addition to the ongoing needs of Vietnam-era and other veterans who continue to suffer from PTSD. PTSD is related to high co-morbidities of other mental health difficulties, poorer physical health status, and increased medical care utilization. Such high demand for services is an important contributor to the large cost associated with combat-related PTSD. Accordingly, promoting successful, cost-effective treatment strategies for PTSD is a chief public health care priority.

scholarly journals Mental Health and Social Distancing During COVID-19 in African Settings

2021 ◽  
Vol 7 (1) ◽  
pp. 1-3
Author(s):  
Bives Mutume-N.Vivalya ◽  
◽  
Okesina Akeem Ayodeji ◽  
Hilaire Muhindo Mutuka ◽  
Louis Kasereka Muyisa ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Care ◽  
Health Care Services ◽  
Mental Health Problems ◽  
Peer Group ◽  
Social Distancing ◽  
The Public ◽  
Public Health Emergencies ◽  
Care Services

Social distancing triggers mental health problems worldwide. Limited preparedness and response structures to public health emergencies are associated with an increased disruption of mental health care services either in health-facilities or in the community during COVID-19. The community-based approach should be combined with online psychological interventions, peer group therapy, and systematic medical screening of mental disorders in primary health care settings. The public health officers should promptly act to fit the gap of mental health burden care in Africa and to avoid the related health and socioeconomic problems.

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