ABSTRACT
OBJECTIVE: This study examines whether older adult primary care patients are satisfied with two intervention models designed to ameliorate their behavioral health problems. METHODS: A total of 1,052 primary care patients aged 65 and older with depression, anxiety, or at-risk drinking were randomly assigned to and participated in either integrated care (IC) or enhanced specialty referral (ESR) model and completed the Client Satisfaction Questionnaire (CSQ) administered at three-month follow-up assessment. RESULTS: Older adult patients' satisfaction with IC (mean: 3.4, standard deviation [SD]: 0.60) was significantly higher than that with ESR (mean: 3.2, SD: 0.78), but the absolute difference was modest. Regression results showed that patients who used the IC model, attended the treatment service twice or more, or showed clinical improvement were more likely to express greater satisfaction. Stigma toward mental illness was negatively associated with satisfaction with mental health services. CONCLUSIONS: Older adults are more likely to have greater satisfaction with mental health services integrated in primary care settings than through enhanced referrals to specialty mental health and substance abuse clinics.
Subject(s)
Mental Disorders/therapy , Patient Satisfaction , Primary Health Care/standards , Aged , Alcohol Drinking/therapy , Anxiety/therapy , Delivery of Health Care, Integrated , Demography , Depression/therapy , Female , Follow-Up Studies , Humans , Male , Surveys and QuestionnairesABSTRACT
Esta Guía presenta los lineamientos generales para la vigilancia epidemiológica de la muerte materna. El objeto principal del Sistema de Vigilancia de la Mortalidad Materna (SVEMM) es contribuir al mejor conocimiento de los factores médicos-sociales que determinan las muertes maternas y proveer información para el desarrollo de estrategias para mejorar la salud de la mujer
El propósito principal de esta Guía es ofrecer a los paíse en una forma resumida, y lenguaje simple, las orientaciones más importatnes para establecer un SVEMM o perfeccionarlo en aquellos países que ya cuenten con él
Subject(s)
Maternal Mortality , Epidemiological Monitoring , Cause of Death , 28374 , Statistics , Health Systems , Information Systems/standards , Latin AmericaABSTRACT
Esta Guia presenta los lineamientos generales para la vigilancia epidemiologica de la muerte materna. El objeto principal del Sistema de Vigilancia de la Mortalidad Materna (SVEMM) es contribuir al mejor conocimiento de los factores medicos-sociales que determinan las muertes maternas y proveer informacion para el desarrollo de estrategias para mejorar la salud de la mujerEl proposito principal de esta Guia es ofrecer a los paise en una forma resumida, y lenguaje simple, las orientaciones mas importantes para establecer un SVEMM o perfeccionarlo en aquellos países que ya cuenten con el
