This study examines the effect of managing agency (local authority, private or voluntary) on the use of other health and social care services by residents in mental health hostels and group homes with different levels of staffing in England and Wales.
The sample comprised 1323 residents in 275 facilities in eight districts.
The measures of service use were number of days in hospital and number of other service contacts.
There were highly significant differences between facilities with similar levels of staffing managed by different agencies.
Residents in the voluntary sector used fewer community services overall ; residents in low-staffed local authority facilities used more services than those in similar facilities managed by other agencies.
These differences were not easily explained by differences in the social or clinical characteristics of residents.
This suggests that there may be organisational factors, e.g. hostel staff knowledge of services, which influence access to and use of community services.
Mots-clés Pascal : Utilisation, Service santé, Santé mentale, Besoin utilisateur, Organisation santé, Angleterre, Grande Bretagne, Royaume Uni, Europe, Pays de Galles, Homme
Mots-clés Pascal anglais : Use, Health service, Mental health, User need, Public health organization, England, Great Britain, United Kingdom, Europe, Wales, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0427001
Code Inist : 002B18H05B. Création : 25/01/1999.