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Tidsskrift For Den Norske Laegeforening... Oct 2021
Topics: Health Services; Humans
PubMed: 34726040
DOI: 10.4045/tidsskr.21.0725 -
Psychiatry and Clinical Neurosciences Aug 2019A high disease burden of mental disorders has been noted worldwide, including Japan. It is important to monitor mental disorder prevalence trends and the use of mental... (Review)
Review
A high disease burden of mental disorders has been noted worldwide, including Japan. It is important to monitor mental disorder prevalence trends and the use of mental health services over time using epidemiological data and to plan appropriate policies and measures that consider mental health in each country. This review outlines the prevalence trends of common mental disorders (CMD) and the use of mental health services in Japan from the 2000s to the 2010s and compares them with those in other countries. This review clarifies that the prevalence of CMD in Japan has been relatively stable in the past decade. The 12-month prevalence of mental health service use has increased about 1.2 times to 1.6 times in the past 10-15 years. Thus, it is very likely that the rise in mental health service use contributes to increased patient numbers. Regarding cross-national comparison, the prevalence rate of CMD in Japan is much lower compared to rates in the USA and Europe. The 12-month prevalence of mental health service use was also lower in Japan compared to prevalence rates in other high-income countries. Mental health epidemiology has clarified that the prevalence of CMD worldwide has remained unchanged, even though mental health service use has increased in high-income countries. Thus, the gap in treatment quality and prevention should be addressed in the future.
Topics: Facilities and Services Utilization; Humans; Japan; Mental Disorders; Mental Health Services; Prevalence
PubMed: 31141260
DOI: 10.1111/pcn.12894 -
Tidsskrift For Den Norske Laegeforening... Nov 2023
Topics: Humans; Empathy; Health Services
PubMed: 37938003
DOI: 10.4045/tidsskr.23.0724 -
BMC Health Services Research Oct 2021Substantial and important benefits flow to all stakeholders, including the service user, when mental health services meaningfully engage with carers and family members....
BACKGROUND
Substantial and important benefits flow to all stakeholders, including the service user, when mental health services meaningfully engage with carers and family members. Government policies around the world clearly supports inclusiveness however health service engagement with family and carers remains sporadic, possibly because how best to engage is unclear. A synthesis of currently used surveys, relevant research and audit tools indicates seven core ways that families and carers might be engaged by health services. This study sought to confirm, from the perspective of family and carers, the importance of these seven health service engagement practices.
METHODS
In a mixed method online survey, 134 family members and carers were asked what they received and what they wanted from mental health services. Participants also quantified the importance of each of the seven core practices on a 0-100 point likert scale.
RESULTS
Almost 250 verbatim responses were deductively matched against the seven themes, with additional unaligned responses inductively categorised. The findings triangulate with multiple diverse literatures to confirm seven fundamental engagement practices that carers and family want from health services. Conceptually, the seven practices are represented by two broad overarching practice themes of (i) meeting the needs of the family member and (ii) addressing the needs of the service user.
CONCLUSION
Policy, clinical practice, training and future research might encompass the seven core practices along with consideration of the intertwined relationship of family, carers and the service user suggested by the two broader concepts.
Topics: Caregivers; Family; Humans; Mental Health Services; Surveys and Questionnaires
PubMed: 34627245
DOI: 10.1186/s12913-021-07104-w -
BMC Public Health Apr 2021The floating population in China consists primarily of internal immigrants and represents a typical health vulnerable group. Poor health literacy has recently become an...
BACKGROUND
The floating population in China consists primarily of internal immigrants and represents a typical health vulnerable group. Poor health literacy has recently become an obstacle in the accessibility and utilization of health services for the vulnerable population, leading to adverse health outcomes. This study aimed to examine whether health literacy affected health outcomes in China's floating population and whether health service utilization had a mediating effect between health literacy and health outcomes.
METHOD
The current study utilized a cross-sectional stratified, multistage, proportional to scale (PPS) study in Zhejiang Province, China, in November and December 2019. In total, 657 valid self-reported questionnaires were recovered and used for data collection. Questionnaires included questions regarding sociodemographic characteristics, health literacy, health outcomes, and health service utilization. Confirmatory factor analysis was used to test questionnaire validity; descriptive statistics were used to understand the demographic characteristics of the floating population; and structural equation modeling was used to determine whether health service utilization mediated health literacy and health outcomes.
RESULTS
We report positive correlations between health literacy, health service utilization, and health outcomes. Mediation analysis demonstrated that health service utilization had partial mediating effects between health literacy and health outcomes. In the relationship between health literacy and health outcomes, the indirect effects of health service utilization accounted for 6.6-8.7% of the total effects.
CONCLUSION
Complete health literacy, through health care literacy and health promotion literacy, affects the mobile population's initiative to use health services, which, in turn, affects health outcomes. Thus, improving the health literacy of the floating population will help to improve health outcomes. Furthermore, health service providers should enhance the diversity of health service supply to ensure that the floating population has the external resources to improve personal health literacy.
Topics: China; Cross-Sectional Studies; Health Literacy; Health Services; Humans; Outcome Assessment, Health Care; Surveys and Questionnaires
PubMed: 33832480
DOI: 10.1186/s12889-021-10662-7 -
Health & Social Care in the Community Nov 2022Inequity in health outcomes is pervasive, with poorer health outcomes identified in rural, regional and remote communities. An international call to action emphasises... (Review)
Review
Inequity in health outcomes is pervasive, with poorer health outcomes identified in rural, regional and remote communities. An international call to action emphasises the need for service models adapted for less well-resourced settings. The aim of this study was to identify key elements of a framework for the adaptation of specialist community-based child and family health (CFH) service models for rural and other under-resourced settings. A modified Delphi study was undertaken with a 12-person expert panel in CFH including Australian and international professionals and parents from rural and remote communities. The study was informed by the WHO Framework for Strengthening Health Service Systems building blocks, the outcomes of an integrative review of literature and a Participatory Action Research study. Experts assessed 107 potential elements for service model development and rated them for importance when adapting service models for different contexts. Round 1 of the Delphi generated considerable consensus with 80 of the 107 potential elements identified as necessary for the service model adaptation framework. A further 17 elements for CFH service models were added in round 2. While multiple varied elements are important for adapting CFH service models for diverse settings, some elements had common themes. Experts highlighted the importance of community engagement and participation; utilising both data and local knowledge to develop a robust understanding of the community context; and the need for a flexible approach to funding and modes of service delivery to address barriers to implementation and access.
Topics: Child; Humans; Delphi Technique; Australia; Child Health Services; Community Health Services; Rural Population
PubMed: 36195997
DOI: 10.1111/hsc.14052 -
Journal of Rehabilitation Medicine Aug 2020To determine how health-related rehabilitation services have been described in recently pub-lished randomized clinical trials, using the International Classification... (Review)
Review
OBJECTIVE
To determine how health-related rehabilitation services have been described in recently pub-lished randomized clinical trials, using the International Classification System for Service Organization in Health-Related Rehabilitation (ICSO-R 2.0) as a framework.
METHODS
Medline was searched for English--language randomized clinical trials (RCTs) published between 1 January 2018 and 31 December 2018. RCTs were eligible if the primary goal was to provide rehabilitation services to targeted patient populations. Two authors independently screened and extracted data, and assessed the methodological quality of eligible trials. Descriptive analysis was used to compare service descriptions between eligible trials and the ICSO-R 2.0 framework (23 categories, 9 categories for provider, 14 categories for delivery).
RESULTS
Twenty-nine RCTs, with a wide range of organizational units and target groups, were included. The median number of categories reported in the provider dimension was 4 (range 3-5). The median number of categories reported in the service delivery dimension was 8 (range 6-12). None of the RCTs described all ICSO-R recommended categories.
CONCLUSION
Descriptions of service organization in rehabilitation varied widely among recently published randomized clinical trials. Use of the framework for the classification of service organization and standardization of description of services is recommended in future RCTs, to facilitate better comparisons in service research across studies.
Topics: Health Services; Humans; Randomized Controlled Trials as Topic; Rehabilitation Centers
PubMed: 32830278
DOI: 10.2340/16501977-2726 -
International Journal of Environmental... Jun 2021Internationally, mental health service developments are increasingly informed by the principles of recovery, and the availability of arts and creative activities are...
Internationally, mental health service developments are increasingly informed by the principles of recovery, and the availability of arts and creative activities are becoming more common as part of provision. Mental health service users' experiences, reflecting on the complex nature of using music participation in recovery are, however, limited. This essay considers literature that explores how music can support mental health service users in a recovery process. We have selected studies that include a broad spectrum of music activities, as well as literature considering various concepts about recovery. The conceptual recovery framework CHIME, that includes five important components in the recovery process, is used as the backdrop for exploring music activities as a contribution to recovery-oriented practice and services in mental health care. Eleven key components are identified in which music can support the recovery process: Feelings of equality; Social and emotional wellbeing; Tolerance; Hope and social agency; Triggering encounters; Redefining and reframing; A social practice; Moments of flow and peak experiences; Moments of meaning; Continuity; and Potentials instead of limitations. This essay concludes that the experiential knowledge of music activities from service users' perspectives is essential knowledge when developing and using music activities in mental health recovery services. While this essay acknowledges that music activities can also produce unintended negative outcomes, the focus is on the positive contributions of music to mental health recovery processes.
Topics: Coloboma; Humans; Mental Disorders; Mental Health Recovery; Mental Health Services; Music
PubMed: 34205491
DOI: 10.3390/ijerph18126638 -
Australian and New Zealand Journal of... Apr 2022To identify key mental health service components required for Aboriginal and Torres Strait Islander peoples and develop proposed modelling to modify the National Mental... (Review)
Review
OBJECTIVE
To identify key mental health service components required for Aboriginal and Torres Strait Islander peoples and develop proposed modelling to modify the National Mental Health Service Planning Framework to account for the unique needs of these populations.
METHODS
Service areas and corresponding modelling rules were informed by a review and analysis of literature and data (on existing service models and policy directions) and expert group discussions on the important aspects of mental health care for Aboriginal and Torres Strait Islander peoples.
RESULTS
Eight key service areas were identified and translated into proposed modelling rules for service planning: culturally appropriate assessment; increased care coordination; more family and carer involvement and support; specified workforce; holistic primary care teams; enhanced staffing for inpatient care; integrating culture; and earlier support for behavioural and psychological symptoms of dementia.
CONCLUSIONS
This study provides a consolidated framework and implementation guidance to support more effective mental health service planning for Aboriginal and Torres Strait Islander peoples.
IMPLICATIONS FOR PUBLIC HEALTH
Better supporting planners to make informed decisions regarding mental health service provision for Aboriginal and Torres Strait Islander peoples will assist in a nationally coordinated approach to closing the mental health gap between Indigenous and non-Indigenous peoples.
Topics: Consensus; Health Services, Indigenous; Humans; Indigenous Peoples; Mental Health Services; Native Hawaiian or Other Pacific Islander
PubMed: 34978362
DOI: 10.1111/1753-6405.13202 -
Journal of Environmental and Public... 2021The Ethiopian government is striving to improve the health status of its population through the expansion and strengthening of primary health care services in both rural...
BACKGROUND
The Ethiopian government is striving to improve the health status of its population through the expansion and strengthening of primary health care services in both rural and urban settings of the country. The study aimed to measure modern health service utilization and associated factors in Wolaita Sodo town, Ethiopia.
METHOD
A cross-sectional study design was implemented from May to June 2019 in Wolaita Sodo town, Ethiopia. All 786 study participants were selected by multistage systematic random sampling. Data were collected by face-to-face interviews using a pretested structured questionnaire. Data were collected by an open data kit. Stata window version 15.0 was also employed for statistical analysis. Multiple logistic regression was conducted, and a 95% confidence interval was considered for interpretation.
RESULT
Health service utilization was 77.2% with (95% CI of 74.1%, 80.0%). In terms of health facilities in which they visit, first 50.6% were at the public health center and 25.5% of them were at Teaching and Referral Hospital. Respondents with marital status married and widowed have higher odds of utilizing health services compared to single marital status (AOR: 2.96; 95% CI: 1.7-5.2 and 9.0; 95% CI: 1.69-48.0), respectively. Respondents with middle and highest wealth status have higher odds of health service utilization than poor wealth status with AOR (1.75 95% CI 1.03-2.97 and 1.58 95% CI; 1.01, 2.77). Similarly, respondents who had chronic disease and perceived poor health status have higher odds of health service utilization.
CONCLUSION
Modern health services utilization was found to be unsatisfactory. Being married, wealth status being middle and high, having chronic health conditions, and having poor perceived health status were found to have a statistically significant association with health service utilization.
Topics: Adolescent; Adult; Cross-Sectional Studies; Ethiopia; Facilities and Services Utilization; Female; Health Services; Humans; Male; Socioeconomic Factors; Young Adult
PubMed: 33505477
DOI: 10.1155/2021/8835780