1 research outputs found
Evaluation of primary care responsiveness by people with mental illness in Spain.
Background: The health system responsiveness is a concept developed by the World Health Organization that
measures patients’ expectations for the non-medical care they receive. The aim of this study is to assess primary care
responsiveness as seen by people with mental illness and to analyse the factors associated with poor responsiveness.
Methods: Cross-sectional descriptive study on 426 people with mental illness who had attended primary care consultations
at least once in the previous 12 months. The responsiveness of the health system was determined through
the short questionnaire “Multi-country Survey Study on Health and Health Systems Responsiveness”. Differences in
responsiveness by sociodemographic characteristics were compared through the Chi-squared test. Logistic regression
identified the factors associated with poor responsiveness.
Results: Overall responsiveness was measured as good by 77.4% of patients, being this probability higher in the
domains: dignity, confidentiality, and communication. The most valued domains by people with mental illness were
prompt attention (42.4%), dignity (30.1%), and communication (17%). Only prompt attention scored high importance
and poor responsiveness. In patients with an income lower than 900 euros per month and low level of studies, the
probability of poor confidentiality responsiveness was multiplied by 3 and 2.7 respectively.
Conclusions: People with mental illness perceive good responsiveness from primary care in terms of dignity, confidentiality,
and communication. Prompt attention, as the domain of greatest importance and worst valuation, should
be prioritised through the implementation of organisational measures in health centres to reduce waiting times,
especially in urban areas.post-print968 K