Stefl M E, Prosperi D C
Community Ment Health J. 1985 Fall;21(3):167-78. doi: 10.1007/BF00754732.
This study examines the system dimensions of need, barriers to receiving services, and utilization within a single mental health service area. The gap between estimates of service need and service utilization is conceptualized as due to a set of specific barriers covering the access attributes of availability, accessibility, acceptability and affordability. Data from community telephone surveys (N = 2183) of mental health need are analyzed to determine the relationship between the system dimensions of need, barriers and utilization. Respondents were able to distinguish among different types of service barriers. Those in the service gap were potentially more influenced by barriers than the rest of the sample, as were, paradoxically, those who had utilized services within the past year. The implications of these findings for service provision and system design are discussed.
本研究考察了单一心理健康服务区域内需求的系统维度、接受服务的障碍以及服务利用情况。服务需求估计与服务利用之间的差距被概念化为是由一系列特定障碍导致的，这些障碍涵盖了可得性、可及性、可接受性和可承受性等获取属性。对社区心理健康需求电话调查（N = 2183）的数据进行分析，以确定需求、障碍和服务利用的系统维度之间的关系。受访者能够区分不同类型的服务障碍。处于服务差距中的人群可能比其他样本更容易受到障碍的影响，矛盾的是，过去一年中使用过服务的人群也是如此。讨论了这些发现对服务提供和系统设计的影响。
