Patients' perception of user involvement in psychiatric outpatient treatment: Associations with patient characteristics and satisfaction.
mental health
outpatient treatment
patient satisfaction
psychiatry
shared decision making
user involvement
Journal
Health expectations : an international journal of public participation in health care and health policy
ISSN: 1369-7625
Titre abrégé: Health Expect
Pays: England
ID NLM: 9815926
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
23
03
2020
revised:
24
08
2020
accepted:
25
08
2020
pubmed:
17
9
2020
medline:
10
8
2021
entrez:
16
9
2020
Statut:
ppublish
Résumé
The patient's right to be involved in treatment decisions is anchored in guidelines and legislation in many countries. Previous research suggests challenges in the implementation of user involvement across different areas of health care, including mental health. However, little is known about psychiatric outpatients' experiences of being involved in their treatment. To investigate how psychiatric outpatients after treatment rate the degree to which they were included in the treatment and explore the associations between perceived user involvement, demographic characteristics of the sample and patient satisfaction. Cross-sectional. The sample consisted of 188 psychiatric outpatients (67% female, mean age 42.2 years) who were discharged in the two years prior to data collection. Perceived user involvement in psychiatric outpatient treatment and patient satisfaction as measured by the Psychiatric Out-Patient Experiences Questionnaire. About half of the participants rated the overall degree of involvement in their treatment as high or very high. The lowest percentage of participants reporting high or very high involvement was found for sufficient information to contribute to treatment decisions (36%). Female gender, higher education and, to a small degree, younger age were associated with more involvement. Perceived user involvement was strongly associated with treatment satisfaction. The findings suggest that user involvement in psychiatric outpatient treatment can be improved. Patient information that facilitates user involvement should be given more attention. The hospital's user panel was involved in the development of items assessing user involvement.
Sections du résumé
BACKGROUND
The patient's right to be involved in treatment decisions is anchored in guidelines and legislation in many countries. Previous research suggests challenges in the implementation of user involvement across different areas of health care, including mental health. However, little is known about psychiatric outpatients' experiences of being involved in their treatment.
OBJECTIVE
To investigate how psychiatric outpatients after treatment rate the degree to which they were included in the treatment and explore the associations between perceived user involvement, demographic characteristics of the sample and patient satisfaction.
DESIGN
Cross-sectional.
SETTING AND PARTICIPANTS
The sample consisted of 188 psychiatric outpatients (67% female, mean age 42.2 years) who were discharged in the two years prior to data collection.
MAIN VARIABLES STUDIED
Perceived user involvement in psychiatric outpatient treatment and patient satisfaction as measured by the Psychiatric Out-Patient Experiences Questionnaire.
RESULTS
About half of the participants rated the overall degree of involvement in their treatment as high or very high. The lowest percentage of participants reporting high or very high involvement was found for sufficient information to contribute to treatment decisions (36%). Female gender, higher education and, to a small degree, younger age were associated with more involvement. Perceived user involvement was strongly associated with treatment satisfaction.
DISCUSSION AND CONCLUSION
The findings suggest that user involvement in psychiatric outpatient treatment can be improved. Patient information that facilitates user involvement should be given more attention.
PATIENT OR PUBLIC CONTRIBUTION
The hospital's user panel was involved in the development of items assessing user involvement.
Identifiants
pubmed: 32935451
doi: 10.1111/hex.13132
pmc: PMC7752195
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1477-1484Subventions
Organisme : Helgeland Hospital Trust
Informations de copyright
© 2020 The Authors Health Expectations published by John Wiley & Sons Ltd.
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