2020
DOI: 10.1371/journal.pone.0233351
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Mediation and moderation effects of health system structure and process on the quality of mental health services in Ghana – structural equation modelling.

Abstract: Introduction Incorporating consumers' perspectives into the quality of mental health service measurement is a growing priority among mental health professionals' and policymakers. Despite this, there is limited empirical evidence related to consumer perspectives of quality of mental health services. This study, therefore, aims to measure the mediation and moderation effects of health system structure and process on mental health quality in Ghana. Methods A random sample of 510 consumers were recruited to compl… Show more

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Cited by 6 publications
(6 citation statements)
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“…This notwithstanding, mental health services are faced with several challenges, which include limited funding sources, high unmet service needs, poor management of mental health cadres, low priority, irregular supply of drugs, limited services for marginalized groups, and poor state of psychiatric facilities [45]. Also, consumers of mental health services face individual-level barriers, such as negative attitudes, limited knowledge on services, high treatment cost as well as transportation and distance to mental health facility [45,48,56].…”
Section: Study Settingmentioning
confidence: 99%
“…This notwithstanding, mental health services are faced with several challenges, which include limited funding sources, high unmet service needs, poor management of mental health cadres, low priority, irregular supply of drugs, limited services for marginalized groups, and poor state of psychiatric facilities [45]. Also, consumers of mental health services face individual-level barriers, such as negative attitudes, limited knowledge on services, high treatment cost as well as transportation and distance to mental health facility [45,48,56].…”
Section: Study Settingmentioning
confidence: 99%
“…Data were captured through semi-structured interviews, surveys, and a review of the literature. The literature review [ 19 , 21 ], concepts [ 16 , 26 ] and quantitative components [ 29 , 30 ] informing this realistic evaluation have previously been published. The realistic evaluation provides a unique perspective on services and is grounded in theory [ 27 , 31 ].…”
Section: Methodsmentioning
confidence: 99%
“…The items for the study constructs were collectively and individually assessed to identify how they fit the data and correctly capture the characteristic for which they were constructed to describe. The measurement model assessment describes the various statistical models that are used to assess the reliability and validity of substantive measurement theories (Badu et al , 2020; Lei and Wu, 2007). One of the steps of this process ensured that all missing values in the data set were identified and removed.…”
Section: Methodsmentioning
confidence: 99%