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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
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    References listed on IDEAS

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    1. 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.
    2. Mehmet Eris, 2012. "Improving Health Outcomes and System in Hungary," OECD Economics Department Working Papers 961, OECD Publishing.
    3. 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.
    4. 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.
    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.
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