IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i5p3900-d1076695.html
   My bibliography  Save this article

Health Psychology Services for People in Disadvantaged Regions of Hungary: Experiences from the Primary Health Care Development Model Program

Author

Listed:
  • Viola Sallay

    (Institute of Psychology, University of Szeged, 6720 Szeged, Hungary)

  • Tamás Martos

    (Institute of Psychology, University of Szeged, 6720 Szeged, Hungary)

  • Lilla Lucza

    (Doctoral School of Education, University of Szeged, 6720 Szeged, Hungary)

  • Orsolya Papp-Zipernovszky

    (Institute of Psychology, University of Szeged, 6720 Szeged, Hungary)

  • Márta Csabai

    (Institute of Psychology, University of the Reformed Church, 1091 Budapest, Hungary)

Abstract

Background: The importance of community health psychology in providing complex bio-psycho-social care is well documented. We present a mixed-method outcome-monitoring study of health psychology services in the public-health-focused Primary Health Care Development Model Program (2012–2017) in four disadvantaged micro-regions in northeast Hungary. Methods: Study 1 assessed the availability of the services using a sample of 17,003 respondents. Study 2 applied a follow-up design to measure the mental health outcomes of the health psychology services on a sample of 132 clients. In Study 3, we conducted focus-group interviews to assess clients’ lived experiences. Results: More mental health issues and higher education predicted a higher probability of service use. Follow-up showed that individual and group-based psychological interventions resulted in less depression and (marginally) higher well-being. Thematic analysis of the focus-group interviews indicated that participants deemed topics such as psychoeducation, greater acceptance of psychological support, and heightened awareness of individual and community support important. Conclusions: The results of the monitoring study demonstrate the important role health psychology services can play in primary healthcare in disadvantaged regions in Hungary. Community health psychology can improve well-being, reduce inequality, raise the population’s health awareness, and address unmet social needs in disadvantaged regions.

Suggested Citation

  • Viola Sallay & Tamás Martos & Lilla Lucza & Orsolya Papp-Zipernovszky & Márta Csabai, 2023. "Health Psychology Services for People in Disadvantaged Regions of Hungary: Experiences from the Primary Health Care Development Model Program," IJERPH, MDPI, vol. 20(5), pages 1-15, February.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:3900-:d:1076695
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/5/3900/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/20/5/3900/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Fésüs, Gabriella & Östlin, Piroska & McKee, Martin & Ádány, Róza, 2012. "Policies to improve the health and well-being of Roma people: The European experience," Health Policy, Elsevier, vol. 105(1), pages 25-32.
    2. Hefford, Martin & Crampton, Peter & Foley, Jon, 2005. "Reducing health disparities through primary care reform: the New Zealand experiment," Health Policy, Elsevier, vol. 72(1), pages 9-23, April.
    3. Mehmet Eris, 2012. "Improving Health Outcomes and System in Hungary," OECD Economics Department Working Papers 961, OECD Publishing.
    4. János Sándor & Zsigmond Kósa & Klára Boruzs & Julianna Boros & Ildikó Tokaji & Martin McKee & Róza Ádány, 2017. "Erratum to: The decade of Roma Inclusion: did it make a difference to health and use of health care services?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(7), pages 817-817, September.
    5. János Sándor & Zsigmond Kósa & Klára Boruzs & Julianna Boros & Ildikó Tokaji & Martin McKee & Róza Ádány, 2017. "The decade of Roma Inclusion: did it make a difference to health and use of health care services?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(7), pages 803-815, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Escobar-Ballesta, M. & García-Ramírez, M. & De Freitas, C., 2018. "Taking stock of Roma health policies in Spain: Lessons for health governance," Health Policy, Elsevier, vol. 122(4), pages 444-451.
    2. Benjamin Lê Cook & Ana Progovac & Nathaniel Tran, 2019. "Improving the mental health of Roma through research and policies that cross multiple social sectors," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(7), pages 979-980, September.
    3. Daniela E. Miranda & Manuel Garcia-Ramirez & Fabricio E. Balcazar & Yolanda Suarez-Balcazar, 2019. "A Community-Based Participatory Action Research for Roma Health Justice in a Deprived District in Spain," IJERPH, MDPI, vol. 16(19), pages 1-22, October.
    4. János Sándor & Anita Pálinkás & Ferenc Vincze & Nóra Kovács & Valéria Sipos & László Kőrösi & Zsófia Falusi & László Pál & Gergely Fürjes & Magor Papp & Róza Ádány, 2018. "Healthcare Utilization and All-Cause Premature Mortality in Hungarian Segregated Roma Settlements: Evaluation of Specific Indicators in a Cross-Sectional Study," IJERPH, MDPI, vol. 15(9), pages 1-13, August.
    5. Róza Ádány & Péter Pikó & Szilvia Fiatal & Zsigmond Kósa & János Sándor & Éva Bíró & Karolina Kósa & György Paragh & Éva Bácsné Bába & Ilona Veres-Balajti & Klára Bíró & Orsolya Varga & Margit Balázs, 2020. "Prevalence of Insulin Resistance in the Hungarian General and Roma Populations as Defined by Using Data Generated in a Complex Health (Interview and Examination) Survey," IJERPH, MDPI, vol. 17(13), pages 1-22, July.
    6. Éva Bácsné Bába & Péter Pikó & Anetta Müller & Gergely Ráthonyi & Péter Balogh & Zsigmond Kósa & Nóra Kovács & János Sándor & Róza Ádány & Zoltán Bács, 2022. "Physical Activity Pattern Characterized by Domains and Dimensions of the Roma Population in Comparison with That of the General Population in Northeast Hungary," IJERPH, MDPI, vol. 19(6), pages 1-14, March.
    7. Mohammed Merzah & Zsigmond Kósa & János Sándor & Shewaye Natae & Péter Pikó & Róza Ádány & Szilvia Fiatal, 2021. "Roma Socioeconomic Status Has a Higher Impact on Smoking Behaviour than Genetic Susceptibility," IJERPH, MDPI, vol. 18(6), pages 1-12, March.
    8. repec:vuw:vuwscr:19064 is not listed on IDEAS
    9. Rafal Kierzenkowski, 2012. "Towards a More Inclusive Labour Market in Hungary," OECD Economics Department Working Papers 960, OECD Publishing.
    10. Thomson, Michael, 2019. "Who had access to doctors before and after new universal capitated subsidies in New Zealand?," Health Policy, Elsevier, vol. 123(8), pages 756-764.
    11. Sowa, P. Marcin & Butler, James R.G. & Connelly, Luke B., 2014. "Unmet medical needs and health care accessibility in seven countries of Eastern Europe," MPRA Paper 75619, University Library of Munich, Germany.
    12. Andrej Belak & Zuzana Dankulincova Veselska & Andrea Madarasova Geckova & Jitse P. van Dijk & Sijmen A. Reijneveld, 2017. "How Well Do Health-Mediation Programs Address the Determinants of the Poor Health Status of Roma? A Longitudinal Case Study," IJERPH, MDPI, vol. 14(12), pages 1-18, December.
    13. repec:vuw:vuwscr:18937 is not listed on IDEAS
    14. Howell, Bronwyn, 2006. "Paying for the Hospital Waiting List Cull at the GP's Surgery: The Changing Locus of Financial Risk-Bearing in New Zealand's Primary Healthcare Sector," Working Paper Series 18937, Victoria University of Wellington, The New Zealand Institute for the Study of Competition and Regulation.
    15. Howell, Bronwyn, 2007. "Contractual Pitfalls in Capitated Primary Health Care: Sharing Random Demand Risk in New Zealand's Strategy," Working Paper Series 3965, Victoria University of Wellington, The New Zealand Institute for the Study of Competition and Regulation.
    16. Howell, Bronwyn, 2006. "Paying for the Hospital Waiting List Cull at the GP's Surgery: The Changing Locus of Financial Risk-Bearing in New Zealand's Primary Healthcare Sector," Working Paper Series 3842, Victoria University of Wellington, The New Zealand Institute for the Study of Competition and Regulation.
    17. Bronwyn Howell, 2008. "Capitation and Financial Risk Allocation in New Zealand’s Primary Health Care Sector: The Perverse Consequences of Neglecting Financial Risk Allocation," Agenda - A Journal of Policy Analysis and Reform, Australian National University, College of Business and Economics, School of Economics, vol. 15(1), pages 29-48.
    18. Barnett, Pauline & Tenbensel, Tim & Cumming, Jacqueline & Clayden, Clare & Ashton, Toni & Pledger, Megan & Burnette, Mili, 2009. "Implementing new modes of governance in the New Zealand health system: An empirical study," Health Policy, Elsevier, vol. 93(2-3), pages 118-127, December.
    19. Howell, Bronwyn, 2007. "Contractual Pitfalls in Capitated Primary Health Care: Sharing Random Demand Risk in New Zealand's Strategy," Working Paper Series 19064, Victoria University of Wellington, The New Zealand Institute for the Study of Competition and Regulation.
    20. L. Gulácsi & M. Péntek, 2014. "HTA in Central and Eastern European countries; the 2001: A Space Odyssey and efficiency gain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(7), pages 675-680, September.
    21. Tenbensel, Tim & Cumming, Jacqueline & Ashton, Toni & Barnett, Pauline, 2008. "Where there's a will, is there a way?: Is New Zealand's publicly funded health sector able to steer towards population health?," Social Science & Medicine, Elsevier, vol. 67(7), pages 1143-1152, October.
    22. János Sándor & Zsigmond Kósa & Klára Boruzs & Julianna Boros & Ildikó Tokaji & Martin McKee & Róza Ádány, 2017. "The decade of Roma Inclusion: did it make a difference to health and use of health care services?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(7), pages 803-815, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:3900-:d:1076695. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.