Reliability and validity of a Mental Health System Responsiveness Questionnaire in Iran

Forouzan, Ameneh Setare; Rafiey, Hassan; Padyab, Mojgan; Ghazinour, Mehdi; Dejman, Masoumeh; Sebastián, Miguel San

doi:10.3402/gha.v7.24748

Cited by 15 publications

(20 citation statements)

References 20 publications

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“…With some modifications, the concept was proved to suit Iranian mental health service users’ expectations ( 17 ). A new domain of effective care was added; the domain of prompt attention was divided into two new domains (attention and access to care), and the domains choice of health-care providers and autonomy were combined into one domain (Table 1 ) ( 18 ).…”

Section: Methodsmentioning

confidence: 99%

“…In accordance with the WHO health system responsiveness questionnaire ( 19 ) and the findings of our previous qualitative study ( 17 ), a Farsi version of the mental health system responsiveness questionnaire was adapted to suit the mental health-care system in Iran ( 18 ). Classic psychometric criteria of the Farsi version of the questionnaire have been measured and its feasibility, reliability, and validity tested previously ( 18 ). The questionnaire consisted of 40 questions representing eight domains.…”

Section: Methodsmentioning

confidence: 99%

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Measuring the Mental Health-Care System Responsiveness: Results of an Outpatient Survey in Tehran

Forouzan

Padyab

Rafiey

et al. 2016

Front. Public Health

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As explained by the World Health Organization (WHO) in 2000, the concept of health system responsiveness is one of the core goals of health systems. Since 2000, further efforts have been made to measure health system responsiveness and the factors affecting responsiveness, yet few studies have applied responsiveness concepts to the evaluation of mental health systems. The present study aims to measure responsiveness and its related domains in the mental health-care system of Tehran. Utilizing the same method used by the WHO for its responsiveness survey, responsiveness for outpatient mental health care was evaluated using a validated Farsi questionnaire. A sample of 500 public mental health service users in Tehran participated and subsequently completed the questionnaire. On average, 47% of participants reported experiencing poor responsiveness. Among responsiveness domains, confidentiality and dignity were the best performing factors while autonomy, access to care, and quality of basic amenities were the worst performing. Respondents who reported their social status as low were more likely to experience poor responsiveness overall. Attention and access to care were responsiveness dimensions that performed poorly but were considered to be highly important by study participants. In summary, the study suggests that measuring responsiveness could provide guidance for further development of mental health-care systems to become more patient orientated and provide patients with more respect.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Measuring the Mental Health-Care System Responsiveness: Results of an Outpatient Survey in Tehran

Forouzan

Padyab

Rafiey

et al. 2016

Front. Public Health

Self Cite

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“…Sixty-one instruments were self-administered (81.3%), and 14 were designed to be administered during an interview (18.7%). 43 , 44 , 49 , 52 , 60 , 65 , 68 , 82 , 89 , 93 , 94 , 97 , 108 , 112 , 113 , 117…”

Section: Resultsmentioning

confidence: 99%

“…Twenty-six instruments (48.0%) presented a combination of positively and negatively worded items. 42 , 43 , 46 – 48 , 53 , 54 , 59 , 60 , 67 , 71 , 73 , 81 , 82 , 86 , 87 , 89 , 93 , 97 , 99 , 102 , 108 , 110 , 116 , 124 Most items had Likert-type scale, though the response options varied between the instruments: the majority had an odd number of response options (52.0%), among which 35 had a 5-point Likert scale, two had a 7-point Likert scale, and two had a 3-point Likert scale. Seventeen instruments had a balanced rating scale (22.7%), among which 15 had a 4-point Likert scale and two had a 6-point Likert scale.…”

Section: Resultsmentioning

confidence: 99%

<p>Measuring the Patient Experience of Mental Health Care: A Systematic and Critical Review of Patient-Reported Experience Measures</p>

Fernandes¹,

Fond²,

Zendjidjian³

et al. 2020

PPA

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Background There is growing concern about measuring patient experience with mental health care. There are currently numerous patient-reported experience measures (PREMs) available for mental health care, but there is little guidance for selecting the most suitable instruments. The objective of this systematic review was to provide an overview of the psychometric properties and the content of available PREMs. Methods A comprehensive review following the preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines was conducted using the MEDLINE database with no date restrictions. The content of PREMs was analyzed using an inductive qualitative approach, and the methodological quality was assessed according to Pesudovs quality criteria. Results A total of 86 articles examining 75 PREMs and totaling 1932 items were included. Only four PREMs used statistical methods from item response theory (IRT). The 1932 items covered seven key mental health care domains: interpersonal relationships (22.6%), followed by respect and dignity (19.3%), access and care coordination (14.9%), drug therapy (14.1%), information (9.6%), psychological care (6.8%) and care environment (6.1%). Additionally, a few items focused on patient satisfaction (6.7%) rather than patient experience. No instrument covered the latent trait continuum of patient experience, as defined by the inductive qualitative approach, and the psychometric properties of the instruments were heterogeneous. Conclusion This work is a critical step in the creation of an item library to measure mental health care patient-reported experience that will be used in France to develop, validate, and standardize item banks and computerized adaptive testing (CAT) based on IRT. It will also provide internationally replicable measures that will allow direct comparisons of mental health care systems. Trial Registration NCT02491866.

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“…We assessed patients' perceptions on eight domains of responsiveness and service quality through the World Health Organization (WHO)'s Health System Responsiveness Questionnaire, a publicly and freely available tool 39 which has been widely used in various settings 17,34,36,40,37,41 . The tool is structured along eight domains: (i) autonomy; (ii) choice of health care provider; (iii) clear communication; (iv) con dentiality; (v) dignity; (vi) prompt attention; (vii) quality of basic amenities; and (viii) access to social support networks.…”

Section: Questionnaire On Patient Perceptionmentioning

confidence: 99%

Users' perspectives on non-clinical quality of care in public and private primary healthcare in Albania

Gabrani

Schindler

Wyss

2020

Preprint

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Background: Aiming to tackle the rise of non-communicable diseases and an ageing population, Albania is engaged in boosting primary healthcare services and quality of care. The patients’ perspectives on their experience with public and private providers are, however, missing, although their viewpoints are critical while shaping the developing services. Consequently, we analyse perceptions of users of primary healthcare as it relates to non-clinical quality of care and the association to sociodemographic characteristics of patients and the type of provider. Methods: A facility-based survey was conducted in 2018 using the World Health Organization responsiveness questionnaire which is based on a 4-point scale along eight non-clinical domains of quality of care. The data of 954 patients were analysed through descriptive statistics and linear mixed regression models.Results: Similar mean values were reported on total scale of the quality of care for private and public providers, also after sociodemographic adjustments. The highest mean score was reported for the domain ‘communication’ (3.75) followed by ‘dignity’ (3.65), while the lowest mean scores were given for ‘choice’ (2.89) and ‘prompt attention’ (3.00). Urban governmental PHC services were rated significantly better than private outpatient clinics in ‘coordination of care’ (2.90 vs 2.12, p < 0.001). In contrast, private outpatient clinics were judged significantly better than urban PHC clinics in ‘confidentiality’ (3.77 vs 3.38, p = 0.04) and ‘quality of basic amenities’ (3.70 vs 3.02, p < 0.001). For the other domains, no statistically significant differences were observed. ‘Autonomy’ was reported as least important attribute of quality. Enrolment in health insurance was a predictor of higher quality ratings (coefficient = 0.06, p = 0.02).Conclusion: While the perception of non-clinical care quality was found to be high and similar for public and private providers, promptness and coordination of care require attention to meet patient’s expectations on good quality of care. There is a need to shift from a ‘paternalistic’ model to a ‘co-managing the illness’, raising awareness on autonomy.

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Reliability and validity of a Mental Health System Responsiveness Questionnaire in Iran

Cited by 15 publications

References 20 publications

Measuring the Mental Health-Care System Responsiveness: Results of an Outpatient Survey in Tehran

Measuring the Mental Health-Care System Responsiveness: Results of an Outpatient Survey in Tehran

<p>Measuring the Patient Experience of Mental Health Care: A Systematic and Critical Review of Patient-Reported Experience Measures</p>

Users' perspectives on non-clinical quality of care in public and private primary healthcare in Albania

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