Perception of the primary health care response capacity by patients with and without mental health problems, and health professionals: qualitative study

• Published in: BMC health services research 2021-03, Vol.21 (1), p.285-285, Article 285
• Main Authors: Rodríguez-Eguizabal, Eva, Oliván-Blázquez, Bárbara, Coronado-Vázquez, Valle, Sánchez-Calavera, Mª Antonia, Gil-de-Goméz, Mª Josefa, Lafita-Mainz, Sergio, Garcia-Roy, África, Magallón-Botaya, Rosa
• Format: Article
• Language: English
• Subjects: Anxiety; Beliefs, opinions and attitudes; Content analysis; Discussion groups; Evaluation; Health Personnel; Health services; Humans; Medical personnel; Mental depression; Mental disorders; Mental Disorders - therapy; Mental Health; Mental health care; Mental Health Services; Patient satisfaction; Patients; Perception; Physicians; Population; Primary care; Primary Health Care; Psychiatric services; Qualitative Research; Responsiveness
• ISSN: 1472-6963; 1472-6963
• DOI: 10.1186/s12913-021-06205-w

The objective of this study is to deepen our understanding of perceptions towards Primary Health Care Response Capacity by specifically using patients with and without mental disorders, as well as family doctors and a manager, in order to compare and endorse perspectives. For it, a qualitative study was performed. In-depth interviews were conducted with 28 patients with and without mental health disorders and focus groups were held with 21 professionals and a manager. An inductive thematic content analysis was performed in order to explore, develop and define the emergent categories of analysis. The fundamental domains for patients are dignity, communication, and rapid service. People with mental health problems also highlight the domain of confidentiality as relevant, while patients who do not have a mental health problem prioritize the domain of autonomy. Patients with mental health disorders report a greater number of negative experiences in relation to the domain of dignity. Patients do not consider their negative experiences to be a structural problem of the system. These findings are also endorsed by health care professionals. It is necessary to take these results into account as responsive systems can improve service uptake, ensure adherence to treatment, and ultimately enhance patient welfare.