Who experiences unmet need for mental health services and what other barriers to accessing health care do they face? Findings from Australia and Canada

Corscadden, Lisa, Callander, Emily J., and Topp, Stephanie M. (2019) Who experiences unmet need for mental health services and what other barriers to accessing health care do they face? Findings from Australia and Canada. International Journal of Health Planning and Management, 34 (2). pp. 761-772.

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View at Publisher Website: https://doi.org/10.1002/hpm.2733
 
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Abstract

Purpose:

To examine factors associated with unmet need for mental health services and links with barriers to access to care more broadly.

Methodology:

The Commonwealth Fund International Health Policy Surveys from 2013 and 2016 were used to explore factors associated with unmet need for adults who experienced emotional distress for 1320 respondents in Australia and 2284 in Canada.

Findings:

Over one in five adults in Australia (21%) and in Canada (25%) experienced emotional distress, just over half said they received professional help (51% in Australia, 59% in Canada). The majority of those who did not get help indicated did not want to see a professional (37% in Australia, 30% in Canada). For those who did seek help, the factors associated with not receiving care included lower income, higher out‐of‐pocket health care costs, and poorer health. When compared with people with met needs, those with unmet needs for mental health services were more likely to also experience affordability, medication, and trust‐related access barriers (AOR range 2.41 to 7.49 for the two countries, P < 0.01).

Conclusion:

Including unmet needs for mental health services as part of regular reporting on access to care may bring attention to access barriers for people with mental health conditions.

Item ID: 57686
Item Type: Article (Research - C1)
ISSN: 1099-1751
Keywords: accessibility of healthcare services; mental health; healthcare disparities; unmet need
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Copyright Information: Copyright © 2019 John Wiley & Sons, Ltd.
Additional Information:

A version of this publication was included as Chapter 3 of the following PhD thesis: Corscadden, Lisa (2020) Disparities in experiences of access to care for Australians with mental health conditions. PhD thesis, James Cook University, which is available Open Access in ResearchOnline@JCU. Please see the Related URLs for access.

Funders: Australian Institute of Tropical Health and Medicine (AITHM), Bureau of Health Information
Date Deposited: 27 Mar 2019 04:24
FoR Codes: 42 HEALTH SCIENCES > 4203 Health services and systems > 420313 Mental health services @ 50%
44 HUMAN SOCIETY > 4407 Policy and administration > 440706 Health policy @ 25%
38 ECONOMICS > 3801 Applied economics > 380108 Health economics @ 25%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health @ 50%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified @ 50%
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