RT Journal Article
T1 Evaluation of primary care responsiveness by people with mental illness in Spain
A1 Coronado Vázquez, María del Valle
A1 Gil de Gómez, María Josefa
A1 Rodríguez Eguizábal, Eva
A1 Oliván Blázquez, Bárbara
A1 Gómez Salgado, Juan
A1 Magallón Botaya, Rosa
A1 Sánchez Calavera, María Antonia
AB Background: The health system responsiveness is a concept developed by the World Health Organization thatmeasures patients’ expectations for the non-medical care they receive. The aim of this study is to assess primary careresponsiveness 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 con‑sultations at least once in the previous 12months. The responsiveness of the health system was determined throughthe short questionnaire “Multi-country Survey Study on Health and Health Systems Responsiveness”. Diferences inresponsiveness by sociodemographic characteristics were compared through the Chi-squared test. Logistic regressionidentifed the factors associated with poor responsiveness.Results: Overall responsiveness was measured as good by 77.4% of patients, being this probability higher in thedomains: dignity, confdentiality, and communication. The most valued domains by people with mental illness wereprompt attention (42.4%), dignity (30.1%), and communication (17%). Only prompt attention scored high importanceand poor responsiveness. In patients with an income lower than 900 euros per month and low level of studies, theprobability of poor confdentiality responsiveness was multiplied by 3 and 2.7 respectively.Conclusions: People with mental illness perceive good responsiveness from primary care in terms of dignity, conf‑dentiality, and communication. Prompt attention, as the domain of greatest importance and worst valuation, shouldbe prioritised through the implementation of organisational measures in health centres to reduce waiting times,especially in urban areas
PB BMC
SN 1472-6963 (electrónico)
YR 2022
FD 2022-01
LK http://hdl.handle.net/10272/21192
UL http://hdl.handle.net/10272/21192
LA eng
NO Coronado-Vázquez, V., Gil-de-Gómez, M. J., Rodríguez-Eguizábal, E., Oliván-Blázquez, B., Gómez-Salgado, J., Magallón-Botaya, R., & Sánchez-Calavera, M. A. (2022). Evaluation of primary care responsiveness by people with mental illness in Spain. In BMC Health Services Research (Vol. 22, Issue 1). Springer Science and Business Media LLC. https://doi.org/10.1186/s12913-022-07516-2
NO This work was supported by the Instituto Aragonés de Ciencias de la Salud(grant number PI17/02274)
DS Repositorio Institucional de la Universidad de Huelva
RD 30 may 2026