{
  "$type": "site.standard.document",
  "bskyPostRef": {
    "cid": "bafyreiabfgpfghveo75wkx6dr7hebsfd4mifhnlfbfb5wjic35jpvrgmby",
    "uri": "at://did:plc:pmmp7irwts7faw56jdxk3idc/app.bsky.feed.post/3ml4vb7bycqe2"
  },
  "coverImage": {
    "$type": "blob",
    "ref": {
      "$link": "bafkreiaa3ramz67yehavicykqpf6p3rsowfaiad3fa2qcsyx2u74jyhdxu"
    },
    "mimeType": "image/jpeg",
    "size": 1748714
  },
  "path": "/news/2026-05-poor-mental-health-quality-confidence.html",
  "publishedAt": "2026-05-05T14:00:03.000Z",
  "site": "https://medicalxpress.com",
  "textContent": "People with self-reported poorer mental health also report worse quality of care and lower confidence in health care systems, according to a study published May 5 in the open-access journal PLOS Medicine by Margaret E. Kruk from Washington University in St. Louis, U.S., and colleagues.",
  "title": "Poor mental health may shape care quality, confidence and unmet needs across 18 countries"
}