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Health Service Utilization and Perceptions of Mental Health Care Among Mexican American Women in a U.S.-Mexico Border City: A Pilot Study

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This descriptive-exploratory study sought to determine health service utilization patterns, perceptions of mental health care, and potential utilization of mental health services among 40 Mexican American women in a U.S.-Mexico border city. Quantitative and qualitative analyses of interview data indicate high utilization rates of primary care services, affirmation of the likelihood of using mental health services if offered within a primary care setting, and satisfaction and positive ratings of quality of services received. This pilot study illustrates the applicability of Andersen's behavioral model of health services use to sociodemographics, accessibility, affordability, availability of culturally acceptable care, and perceived health needs and provides preliminary data that could lead to a larger study of potential utilization of mental health services by Mexican Americans within primary care settings.

Spanish
El propósito de este estudio descriptivo-exploratorio consistió en examinar las diversas maneras en que se utilizan los servicios de salud, las percepciones sobre la atención a la salud mental y la posible utilización de servicios de salud mental entre 40 mujeres mexico americanas en una ciudad ubicada en la frontera México-Estados Unidos. Análisis cualitativos y cuantitativos de los datos recogidos en entrevistas indican un alto índice de utilización de servicios de atención primarios, confirmación de la probabilidad de utilizar servicios de salud mental si éstos se ofrecieran en instalaciones de atención primaria, y satisfacción y opiniones positivas con respecto a la calidad de los servicios recibidos. Este estudio piloto demuestra que se puede aplicar el Modelo Conductual de Uso de Servicios de Salud de Ronald Andersen a la sociodemografía, la accesibilidad, la costeabilidad, la disponibilidad de una atención culturalmente apropiada y las percepciones sobre necesidades de salud. Arroja asimismo datos preliminares que podrían servir de base a un estudio en mayor escala acerca de la posible utilización de servicios de salud mental por parte de mexico americanos en instalaciones de atención primaria.
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Keywords: HEALTH SERVICE UTILIZATION; INTEGRATION; MENTAL HEALTH; MEXICAN AMERICAN WOMEN; PRIMARY CARE

Document Type: Research Article

Publication date: 01 June 2006

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