Russell V, Busby K
Ottawa General Hospital, Ontario, Canada.
Int J Partial Hosp. 1991 Dec;7(2):109-18.
Patient perceptions can contribute significantly to partial hospitalization program evaluation. A retrospective study of patients' satisfaction ratings and comments concerning a day treatment program using a discharge questionnaire yielded high degrees of satisfaction. This may reflect a priori selection biases toward patients who formed a working alliance within the program. Comparison with a group of patients admitted to the program who did not complete a discharge questionnaire failed to differentiate the two groups on the basis of demographic or clinical characteristics. Attendance by males admitted to the program who completed a questionnaire was significantly (p less than .01) more frequent than by males who did not complete the questionnaire. Consistency in individual component ratings with overall satisfaction with the program suggests nonspecific benefits, with group psychotherapy evoking polarized perceptions. The latter observation suggests the need for careful matching of patients with specific treatment modalities employed in a day treatment setting. Suggestions are made regarding the administration and construction of a patient satisfaction questionnaire as well as for the application of this measure in enhancing program efficacy.
患者的认知对部分住院治疗项目评估有显著贡献。一项使用出院调查问卷对患者关于日间治疗项目的满意度评分和评论进行的回顾性研究得出了高度的满意度。这可能反映了对在项目中形成工作联盟的患者存在先验选择偏差。将完成出院调查问卷的项目入院患者组与未完成调查问卷的患者组进行比较,未能根据人口统计学或临床特征区分这两组。完成调查问卷的项目入院男性患者的出勤率显著(p小于 .01)高于未完成调查问卷的男性患者。个体组成部分评分与对项目总体满意度的一致性表明存在非特异性益处,团体心理治疗引发了两极分化的认知。后一观察结果表明,需要仔细将患者与日间治疗环境中采用的特定治疗方式进行匹配。针对患者满意度调查问卷的管理和构建以及该措施在提高项目疗效方面的应用提出了建议。