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Outline
To understand the demand for and preferences of mental health services among residents in Shanghai communities, providing a basis for service design and policy-making.
Using discrete choice experiments, we surveyed 647 permanent residents aged 16 and above in Shanghai regarding their preferences for seven attributes of mental health services under varying degrees of psychological distress: distance from the service provider to home, type of service provider, composition of service providers, service medium, service content, service stability, and the cost per service.
The cost of service (mild psychological distress β=0.398, severe psychological distress β=0.320), type of service provider (mild β=0.224, severe β=0.210), service stability (mild β=0.112, severe β=0.132), composition of service providers (mild β=0.101, severe β=0.120), and distance to the service provider (mild β=0.109, severe β=0.124) were identified as key attributes influencing residents’ choices of mental health services. Willingness-to-pay analysis showed that residents were more willing to pay for services within 15 km (mild WTP=328.837, severe WTP=464.453), services provided by public mental health institutions (mild WTP=676.65, severe WTP=788.226), services delivered by psychotherapists (mild WTP=303.584, severe WTP=449.14), face-to-face plus online services, basic supportive services (mild WTP=31.056, severe WTP=86.389), and stable services (mild WTP=339.593, severe WTP=494.968).
Accessibility and stability of services are key attributes influencing service choice. The selection of service providers is characterized by a preference for public institutions as the mainstay, supplemented by non-profit organizations. Residents have a higher willingness to pay for supportive “psychotherapy” compared to medical intervention and rehabilitation services. It is recommended to strengthen the construction of grassroots service networks, enhance accessibility and stability, optimize processes, and establish coordinated mechanisms to improve satisfaction and utilization of mental health services.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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