The role of perceived helpfulness in predicting subjective unmet need and the frequency of health care use

Arch Psychiatr Nurs. 2014 Feb;28(1):43-9. doi: 10.1016/j.apnu.2013.10.007. Epub 2013 Oct 28.

Abstract

Objectives: We scrutinize the health care use of divorcees, in order to explain why users of mental health care have a higher risk of perceiving an unmet need. We hypothesize that a perception of low helpfulness of received care heightens the risk of perceiving an unmet need and becoming a less frequent health care user.

Methods: Three subsamples from the Divorce in Flanders survey are selected: those who contacted a general practitioner (n=816), a psychiatrist (n=205), or a psychologist (n=251) because of social or emotional problems. Logistic regressions are used in order to explore the correlates of subjective unmet need and the frequency of contact with a health care provider among each subsample.

Results: show that patients who perceived that care was not helpful more often reported an unmet need and made less frequent use of health care.

Conclusions: These findings suggest that people are less inclined to seek further help when they perceive previous help as being ineffective.

MeSH terms

  • Adult
  • Affective Symptoms / nursing
  • Affective Symptoms / psychology
  • Belgium
  • Divorce / psychology*
  • Divorce / statistics & numerical data*
  • Female
  • General Practice / statistics & numerical data
  • Health Services Misuse / statistics & numerical data*
  • Health Services Needs and Demand / statistics & numerical data*
  • Helping Behavior*
  • Humans
  • Male
  • Mental Health Services / statistics & numerical data*
  • Middle Aged
  • Patient Satisfaction*
  • Psychiatry / statistics & numerical data
  • Psychology, Clinical / statistics & numerical data
  • Risk Factors
  • Social Adjustment
  • Utilization Review / statistics & numerical data