Perceived quality of primary healthcare services and its association with institutional trust among caregivers of persons diagnosed with a severe mental illness in China

Ling, Qi; Zhou, Yongjie; Wang, Ruoxi; Wang, Yang; Liu, Yifeng; Zeng, Lingyun

doi:10.1111/jpm.12687

Cited by 5 publications

(3 citation statements)

References 61 publications

(101 reference statements)

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“…Distrust in medical institutions and perceived stigma toward psychiatric treatment are prevalent ( Qi et al, 2021 ; Thornicroft et al, 2022 ), making patients with skin diseases even more reluctant to seek psychological help. Our findings indicated that a large number of patients believed that mental health care might not be effective on skin diseases.…”

Section: Discussionmentioning

confidence: 99%

Untreated depression and anxiety in patients with common skin diseases: a cross-sectional study in China

et al. 2023

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ObjectiveThe study aimed to analyze the current status and reasons for the neglect of the psychological need of patients with common skin diseases.MethodsThis cross-sectional study was conducted in China using an online self-assessment questionnaire distributed via social media. Demographic, clinical and psychological data were collected, and the main outcomes, i.e., depression (evaluated using the 9-item Patient Health Questionnaire, PHQ-9) and anxiety (evaluated using Generalized Anxiety Disorder-7, GAD-7). Multivariate regression analysis was used for the prediction of variates of mental health service seeking behaviors.ResultsA total of 1,010 patients participated in the survey, and 273 (27.0%) patients met the “with need” criteria, i.e., having the need for mental health intervention but not being treated. In the multivariate regression model, income (OR = 0.80, 95%CI: 0.65–0.99), duration of disease (OR = 0.68, 95%CI: 0.49–0.95) and suicide ideation (OR = 2.10, 95%CI: 1.14–3.87) were significant factors. For patients who did not receive mental health care, the lack of knowledge about the availability of mental health services, lack of knowledge of where to seek help, concerns about the side effects of treatment, failure to seek treatment for severe skin diseases, and absence of current psychological distress were associated with their need for psychological intervention.ConclusionThis study examined the current status of the need for psychological intervention and the reasons why the need was unmet in patients with skin diseases. Due to the confusion and a lack of knowledge about their mental health issues, mental health services are often underutilized.

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Section: Discussionmentioning

confidence: 99%

Untreated depression and anxiety in patients with common skin diseases: a cross-sectional study in China

et al. 2023

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“…There are, however, relatively few studies that emphasize the possible negative consequences for having no or highly limited contact with relatives (between family and health professionals and family and patient). For example, Qi et al ( 32 ) shed light on vulnerable families concerned about the need for confidentiality, but their worry was connected to the feeling of stigma rather than to stakeholders within the family having different views and needs in relation to confidentiality. In this case, the patient's best interest seems to be compatible with the concerns of the whole family.…”

Section: Discussionmentioning

confidence: 99%

Patients with severe mental illness and the ethical challenges related to confidentiality during family involvement: A scoping review

Hem

Molewijk

Weimand

et al. 2023

Front. Public Health

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BackgroundDespite evidence on the significant potential value of family involvement during the treatment of patients with severe mental illness, research has shown that family involvement is largely underused. The duty of confidentiality is reported to be a key barrier to family involvement. To develop more insight into this barrier, this scoping review focuses on the following question: What are the reported ethical challenges related to confidentiality when involving family in the treatment of patients with severe mental illness?MethodsA systematic search into primary studies was conducted using the following databases: Medline (Ovid), PsycINFO (Ovid), CINAHL (EBSCO), and Web of Science core collection (Clarivate). The PICO (Population, Intervention, Comparison, Outcome) scheme and qualitative content analysis were used to make the ethical challenges more explicit.ResultsTwelve studies—both qualitative and quantitative—were included. We identified the following main categories of ethical challenges: (1) the best interest of family members vs. confidentiality, (2) the patient's best interest vs. the right to confidentiality, (3) patient trust and alliance as a reason not to involve the relatives or not to share information, and (4) using confidentiality as a smokescreen. We also identified several subcategories and illustrative and concrete examples of ethical challenges.ConclusionsThrough a systematic examination, we discovered various types of ethical challenges related to confidentiality when involving the family in the treatment of patients with severe mental illness. However, research on these ethical challenges and the constituents of these challenges remains limited and often implicit. An ethical analysis will create knowledge which may facilitate a more balanced and nuanced approach to respecting the principle of confidentiality while also considering other moral principles. The duty of confidentiality does not always have to be a major barrier to family involvement; this insight and using this ethical analysis in the training of healthcare professionals may benefit the patient, the family, and the services.

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“…The scientific literature also identifies the existence of institutional trust, seen as the trust of citizens in public bodies [12], which has been addressed in recent research due to its impact on business management, in economic order and sustainability [59][60][61][62][63][64][65][66][67][68][69][70][71][72][73]. It is precisely on this trust that our study is based, since we will specifically analyze trust in large companies and in banks.…”

Section: Different Types Of Trust and Institutional Trustmentioning

confidence: 99%

Social Well-Being for a Sustainable Future: The Influence of Trust in Big Business and Banks on Perceptions of Technological Development from a Life Satisfaction Perspective in Latin America

et al. 2022

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Sustainable development is becoming increasingly important because it improves the quality of our lives. Businesses must focus beyond maximizing corporate economic profits, which are very important. They must internalize the fact that planning and governance-oriented strategies focused on promoting human health and well-being ensure a sustainable future. This study explores the influence exerted by trust in large companies and banks on the perception that technological development has on people’s life satisfaction. The research uses data from the World Value Survey (WVS) and the World Bank, contemplating six Latin American countries: Argentina, Brazil, Chile, Colombia, Mexico and Peru, in the period between 2012 and 2018. Our main results show that the lower the trust in institutions, the stronger the negative association with perceiving science and technology as making life easier, healthier and more comfortable in the near future. We also confirm that people who have very high levels of national pride tend to trust institutions. We also confirm that people who have very high levels of national pride tend to trust institutions. Finally, with this work, we contribute new empirical evidence to the current field of research on the influence of technological development on issues related to human beings, specifically in Latin America.

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Perceived quality of primary healthcare services and its association with institutional trust among caregivers of persons diagnosed with a severe mental illness in China

Cited by 5 publications

References 61 publications

Untreated depression and anxiety in patients with common skin diseases: a cross-sectional study in China

Untreated depression and anxiety in patients with common skin diseases: a cross-sectional study in China

Patients with severe mental illness and the ethical challenges related to confidentiality during family involvement: A scoping review

Social Well-Being for a Sustainable Future: The Influence of Trust in Big Business and Banks on Perceptions of Technological Development from a Life Satisfaction Perspective in Latin America

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