TY - JOUR
T1 - Service users' views of eating disorder services
T2 - An international comparison
AU - Escobar-Koch, Tatiana
AU - Banker, Judith D.
AU - Crow, Scott
AU - Cullis, Jan
AU - Ringwood, Susan
AU - Smith, Gráinne
AU - Van Furth, Eric
AU - Westin, Kitty
AU - Schmidt, Ulrike
PY - 2010/9
Y1 - 2010/9
N2 - Objective: To perform a United States-United Kingdom cross-national comparison of service users' perspectives on eating disorder (ED) treatments and services. Method: Qualitative, exploratory study. One hundred forty-four US and 150 UK ED service users completed a questionnaire developed by the Academy for Eating Disorders. Data were analyzed using conventional content analysis. Results: Both samples identified the following as essential aspects of care: good therapeutic relationship, holistic approach, individual psychotherapy/ counseling, specialized treatment, client-centered care, and support. In the US sample, the main concerns involved lack of financial accessibility to services and problems with insurance coverage. In the UK sample, lack of and inequity of availability of services were highlighted and three main barriers to accessing care were identified. Discussion: US and UK service users' views suggest that neither country provides early intervention and comprehensive care for EDs at present, although due to dissimilar health care systems the barriers to care differ.
AB - Objective: To perform a United States-United Kingdom cross-national comparison of service users' perspectives on eating disorder (ED) treatments and services. Method: Qualitative, exploratory study. One hundred forty-four US and 150 UK ED service users completed a questionnaire developed by the Academy for Eating Disorders. Data were analyzed using conventional content analysis. Results: Both samples identified the following as essential aspects of care: good therapeutic relationship, holistic approach, individual psychotherapy/ counseling, specialized treatment, client-centered care, and support. In the US sample, the main concerns involved lack of financial accessibility to services and problems with insurance coverage. In the UK sample, lack of and inequity of availability of services were highlighted and three main barriers to accessing care were identified. Discussion: US and UK service users' views suggest that neither country provides early intervention and comprehensive care for EDs at present, although due to dissimilar health care systems the barriers to care differ.
KW - Eating disorders
KW - International comparison
KW - Service users' views
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U2 - 10.1002/eat.20741
DO - 10.1002/eat.20741
M3 - Article
C2 - 19718664
AN - SCOPUS:77956562352
SN - 0276-3478
VL - 43
SP - 549
EP - 559
JO - International Journal of Eating Disorders
JF - International Journal of Eating Disorders
IS - 6
ER -