Factors of specialized mental health care use in the Netherlands: a scoping review applying Andersen-Newman's care utilization model

As mental disorders impact quality of life and result in high costs for society, it is important patients receive timely and adequate care. This scoping review first aims to summarize which factors contribute to specialized mental health care (SMHC) use. Within the Dutch health care system, the general practitioner (GP) is the filter for SMHC and care use costs are relatively low. Second, to organize factors by Andersen and Newman's care utilization model in illness level, predisposing, and enabling factors. Third, to assess equity of access to SMHC in the Netherlands. A health care system is equitable when illness level and the demographic predisposing factors age and gender account for most variation in care use and inequitable when enabling factors and social predisposing factors such as education predominate. We identified 13 cross-sectional and cohort studies in the Netherlands published between 1970 and September 2020 with 20 assessed factors. Illness level factors, disease severity, diagnosis, personality, and comorbidity contributed the most to SMHC use. Predisposing factors related to a more solitary lifestyle contributed to a lesser degree. Enabling factors income and urbanicity contributed the least to SMHC use. These results imply inequity. Factors that did not fit the care utilization model were GP related, for example the ability to recognize mental disorders. This emphasizes their importance in a system where patients are dependent on GPs for access to SMHC. Focus should be on improving recognition of mental disorders by GPs as well as collaboration with mental health care professionals.Pathways through Adolescenc

UP's: A cohort study on recovery in psychotic disorder patients : Design protocol

Recovery is a multidimensional concept, including symptomatic, functional, social, as well as personal recovery. The present study aims at exploring psychosocial and biological determinants of personal recovery, and disentangling time-dependent relationships between personal recovery and the other domains of recovery in a sample of people with a psychotic disorder. A cohort study is conducted with a 10-year follow-up. Personal recovery is assessed using the Recovering Quality of Life Questionnaire (ReQoL) and the Individual Recovery Outcomes Counter (I.ROC). Other domains of recovery are assessed by the Positive and Negative Symptom Scale Remission (PANSS-R), the BRIEF-A and the Social Role Participation Questionnaire—Short version (SRPQ) to assess symptomatic, functional and societal recovery, respectively. In addition, multiple biological, psychological, and social determinants are assessed. This study aims to assess the course of personal recovery, and to find determinants and time-dependent relationships with symptomatic, functional and societal recovery in people with a psychotic disorder. Strengths of the study are the large number of participants, long duration of follow-up, multiple assessments over time, extending beyond the treatment trajectory, and the use of a broad range of biological, psychological, and social determinants

Collaborative Government for Improved Public Service Delivery in South Africa

This article focuses on the expansive stakeholder interaction within collaborative networks that can lead to collective understanding and management of service delivery issues. Critique of public service delivery in South Africa is levelled by citizens who have vastly different expectations and experiences, chiefl y because of their socio-economic position within the society. It is against this background that this article argues that issues of service delivery can be addressed and expedited in collaborative networks. It concludes that collaborative interaction should enable shared public value for improved service deliver

Quality Public Services: A South African Citizen Perspective

Clients hold experiences and perceptions of their service encounters and interaction with the public service. Furthermore, policy frameworks such as the ‘White Paper on the Transformation of the Public Service of 1997’ set the parameters for the quality of public service that South African citizens can expect. The citizen, as a client of the public service, expresses levels of satisfaction or dissatisfaction with service quality using various available mediums to do so. This type of responsive citizenship in a developmental context such as South Africa is critical for redefining services and reshaping service quality. The objective of this article is to contextualise the relevance of and criteria for service quality in the public service that aims to inspire confidence in citizens. Two service quality models will be analysed with the focus on functional quality and organisational image that stems from experience and perception with service quality

Client Satisfaction and Trust in the South African Public Service

This article discusses the relationship between service quality (as defined by the legislative framework) from the public service and client satisfaction from the point of view of citizens. The article will confine itself to organisational trust – that is, the experience and perception held by citizens of the commitment and competence of public officials to provide accurate services timeously (also referred to as rational knowledge-based trust). Particular attention is paid to the necessity for effective monitoring and evaluation within departments. Furthermore, the study by the Public Service Commission on client satisfaction regarding service delivery between 2009 and 2010 as well as related government reports will be analysed. Finally, lessons will be drawn from the analysis of, and interrelationship between service quality, client satisfaction and trust

Liefde in het Lazarushuis. Hertaling van het vierde en vijfde bedrijf

Medieval and Early Modern Studie

Professionalism in Meeting Social Assistance: Interventions Adopted by the South African Social Security Agency

The aim of this article is to explore the organisational professionalism that  will result in the provision of service quality in meeting social assistance at theSouth African Social Security Agency. It is postulated that service quality and professionalism are inversely related. The article explores a conceptual defi nition of organisational professionalism. Attention is then turned to training initiatives that have been implemented for the various managerial levels within the Agency in respect of new strategies that have been introduced to yield improved service quality. The article draws on the empirical findings oaf study conducted during 2011 and 2012