Use, Quality, and Outcomes of Care for Mental Health: The Rural Perspective  

Oleh:

Rost, Kathryn ; Fortney, John ; Fischer, Ellen ; Smith, Jeffrey

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Medical Care Research and Review vol. 59 no. 3 (Sep. 2002), page 231-265.
Topik: the mental health of rural Americans; advocacy efforts
Fulltext: 231MCR59.3.pdf (142.8KB)

Isi artikel

This reviewsynthesizes empirical research in rural mental health services to identify current research priorities to improve the mental health of rural Americans. Using a conceptual framework of the multiple determinants of use, quality, and outcomes, the authors address (1) howkey constructs are operationalized, (2) their theoretical influence on the care process, (3) reported differences for nonmetropolitan and metropolitan individuals or within nonmetropolitan individuals, (4) salient issues rural advocates have raised, and (5) key research questions. While the authors recognize that rurality is a useful political umbrella to organize advocacy efforts, they propose that investigators no longer employ any of the multiple definitions of the term in the literature as even intrarural comparisons have not provided compelling evidence about the underlying causes of observed outcomes differences. Until these underlying causes have been identified, it is difficult to determine which components of the nonmetropolitan service system need to be improved.

Opini Anda

Klik untuk menuliskan opini Anda tentang koleksi ini!

Kembali