Multidimensional structures of comprehensive accessibility of community support for people with mental disorders in Japan: a nationwide investigation.
The purpose of this study was to define the concept of comprehensive accessibility of community support for people with mental disorders and to clarify the multidimensional structures of comprehensive accessibility. We developed a self-administered questionnaire consisting of 47 items. A complete list of the municipalities in Japan was prepared, and the questionnaire was mailed to 3310 municipalities. Principal component analyses were applied to valid data in order to analyse the index and multidimensional structures of comprehensive accessibility. As a result, 14 principal components of community support for people with mental disorders were extracted. These principal components were interpreted as the scales for the evaluation of comprehensive accessibility. The two first principal component scores were interpreted as the index indicating the level of comprehensive accessibility. The other 12 principal components were interpreted as the scales constituting the multidimensional space of comprehensive accessibility.
Morita
Takae
T
Faculty of Health Sciences, Yamaguchi University School of Medicine, Ube, Yamaguchi, Japan.
Yamazaki
Hideo
H
D001291:Attitude of Health Personnel; D003156:Community Mental Health Services / Q000458:organization & administration*; D003191:Comprehensive Health Care / Q000458:organization & administration*; D005163:Factor Analysis, Statistical; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D007564:Japan; D001523:Mental Disorders / Q000628:therapy; D015999:Multivariate Analysis; D009718:Nurse Administrators / Q000458:organization & administration / Q000523:psychology; D015403:Nursing Evaluation Research; D011568:Psychiatric Nursing / Q000458:organization & administration; D011637:Public Health Nursing / Q000458:organization & administration; D012111:Residence Characteristics; D019035:Rural Health Services / Q000458:organization & administration; D012657:Self-Help Groups; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014195:Travel; D019037:Urban Health Services / Q000458:organization & administration