IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0233351.html
   My bibliography  Save this article

Mediation and moderation effects of health system structure and process on the quality of mental health services in Ghana – structural equation modelling

Author

Listed:
  • Eric Badu
  • Anthony Paul O’Brien
  • Rebecca Mitchell
  • Akwasi Osei

Abstract

Introduction: Incorporating consumers’ perspectives into the quality of mental health service measurement is a growing priority among mental health professionals’ and policymakers. Despite this, there is limited empirical evidence related to consumer perspectives of quality of mental health services. This study, therefore, aims to measure the mediation and moderation effects of health system structure and process on mental health quality in Ghana. Methods: A random sample of 510 consumers were recruited to complete the Verona Satisfaction Scale (54-items), together with the WHO Disability Assessment Instrument (36 items) using the Redcap application. Confirmatory factor analysis (CFA) and Structural Equation Modelling were used to test the hypothesised theory using STATA 15. Results: The CFA showed that the hypothesised model had a good fit to the data. The findings confirmed the hypothesis that the process constructs mediate the relationship between the health system structure and the outcome of mental health services. Specifically, the health system structure had a positive and significant causal relationship with the mediator-process (β = 0.60; p 0.05) and type of services (β = 0.025; p>0.05) had a positive moderating effect on the relationship between health system structure and outcome but were not significant. Conclusion: Improvements to mental health system structure and the process could promote the quality of services as experienced by consumers. Government stakeholders are encouraged to accordingly strengthen health systems with the aim of improving the mental health outcomes for consumers.

Suggested Citation

  • Eric Badu & Anthony Paul O’Brien & Rebecca Mitchell & Akwasi Osei, 2020. "Mediation and moderation effects of health system structure and process on the quality of mental health services in Ghana – structural equation modelling," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-19, May.
    • Handle: RePEc:plo:pone00:0233351
    DOI: 10.1371/journal.pone.0233351
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0233351
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0233351&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0233351?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Sheldon Greenfield & Antonio Nicolucci & Soeren Mattke, 2004. "Selecting Indicators for the Quality of Diabetes Care at the Health Systems Level in OECD Countries," OECD Health Technical Papers 15, OECD Publishing.
    2. Richard Hermann & Soeren Mattke, 2004. "Selecting Indicators for the Quality of Mental Health Care at the Health Systems Level in OECD Countries," OECD Health Technical Papers 17, OECD Publishing.
    3. Michel L. A. Dückers & Sigridur B. Thormar, 2015. "Post‐disaster psychosocial support and quality improvement: A conceptual framework for understanding and improving the quality of psychosocial support programs," Nursing & Health Sciences, John Wiley & Sons, vol. 17(2), pages 159-165, June.
    4. Laura Lambie & Soeren Mattke, 2004. "Selecting Indicators for the Quality of Cardiac Care at the Health Systems Level in OECD Countries," OECD Health Technical Papers 14, OECD Publishing.
    5. Taube, Maris & Berzina-Novikova, Natalija, 2018. "Improving quality of psychiatric care in Latvia by measuring patient experiences," Health Policy, Elsevier, vol. 122(7), pages 765-768.
    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. Lavoie, Josée Gabrielle & Forget, Evelyn L. & Prakash, Tara & Dahl, Matt & Martens, Patricia & O'Neil, John D., 2010. "Have investments in on-reserve health services and initiatives promoting community control improved First Nations' health in Manitoba?," Social Science & Medicine, Elsevier, vol. 71(4), pages 717-724, August.
    2. Pelone, Ferruccio & Kringos, Dionne Sofia & Valerio, Luca & Romaniello, Alessandro & Lazzari, Agnese & Ricciardi, Walter & de Belvis, Antonio Giulio, 2012. "The measurement of relative efficiency of general practice and the implications for policy makers," Health Policy, Elsevier, vol. 107(2), pages 258-268.
    3. Jonathan Stokes & Maria Panagioti & Rahul Alam & Kath Checkland & Sudeh Cheraghi-Sohi & Peter Bower, 2015. "Effectiveness of Case Management for 'At Risk' Patients in Primary Care: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-42, July.
    4. Visca, Modesta & Donatini, Andrea & Gini, Rosa & Federico, Bruno & Damiani, Gianfranco & Francesconi, Paolo & Grilli, Leonardo & Rampichini, Carla & Lapini, Gabriele & Zocchetti, Carlo & Di Stanislao,, 2013. "Group versus single handed primary care: A performance evaluation of the care delivered to chronic patients by Italian GPs," Health Policy, Elsevier, vol. 113(1), pages 188-198.
    5. Oliver Tiemann, 2008. "Variations in hospitalisation costs for acute myocardial infarction – a comparison across Europe," Health Economics, John Wiley & Sons, Ltd., vol. 17(S1), pages 33-45, January.
    6. Yair Zalmanovitch & Nissim Cohen, 2015. "The pursuit of political will: politicians' motivation and health promotion," International Journal of Health Planning and Management, Wiley Blackwell, vol. 30(1), pages 31-44, January.
    7. Michel Dückers & Wera van Hoof & Andrea Willems & Hans te Brake, 2022. "Appraising Evidence-Based Mental Health and Psychosocial Support (MHPSS) Guidelines—PART II: A Content Analysis with Implications for Disaster Risk Reduction," IJERPH, MDPI, vol. 19(13), pages 1-22, June.
    8. Juan Francisco Roldán-Merino & Manuel Tomás-Jiménez & Agneta Schröder & Lars-Olov Lundqvist & Montserrat Puig-Llobet & Antonio R. Moreno-Poyato & Marta Domínguez del Campo & Sara Sanchez-Balcells & Ma, 2023. "Quality in Psychiatric Care in the Community Mental Health Setting from the Perspective of Patients and Staff," IJERPH, MDPI, vol. 20(5), pages 1-14, February.
    9. Patrick Taffé & Patricia Halfon & William A. Ghali & Bernard Burnand, 2012. "Test Result–Based Sampling," Medical Decision Making, , vol. 32(1), pages 1-12, January.

    More about this item

    Statistics

    Access and download statistics

    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:plo:pone00:0233351. 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: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    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.