Bjertnaes Øyvind Andresen, Garratt Andrew, Helgeland Jon, Holmboe Olaf, Dahle Kari Aanjesen, Hanssen-Bauer Ketil, Røttingen John-Arne
Nasjonalt kunnskapssenter for helsetjenesten, Postboks 7004 St. Olavs plass, 0130 Oslo.
Tidsskr Nor Laegeforen. 2008 May 1;128(9):1041-5.
Parent assessment of outpatient child and adolescent mental health services (CAMHS) is now part of the Norwegian quality indicator system. This national survey included a validated questionnaire that assessed three aspects of care from a parental perspective.
Questionnaires were mailed to 17,080 parents of children and adolescents receiving care from CAMHS on an outpatient basis between 1 September and 31 December 2006. Two postal reminders were sent and telephone interviews were conducted with a sample of non-respondents. 7 906 (46%) parents returned a completed questionnaire. Three scales about treatment providers, treatment outcome and information/influence were identified (scales scored 0 to 100 where 100 represent the best experiences).
The parents were most satisfied with the treatment providers (national mean 75). The national mean for the treatment outcome was 72 and for the scale concerning information and patients' possibilities to influence decisions the mean score was 59. The clinic scores varied considerably; the score for information and influence varied most (48-68). Few scores were however significantly different from the national average.
Most parents have good experience with the CAMHS. The scale concerning information and influence has the greatest potential for improvement. Several CAMHS had higher scores for all aspects of parent experience and may have useful information to convey to other clinics.
门诊儿童及青少年心理健康服务(CAMHS)的家长评估现已成为挪威质量指标体系的一部分。这项全国性调查包含一份经过验证的问卷,该问卷从家长的角度评估了护理的三个方面。
2006年9月1日至12月31日期间,向17080名接受CAMHS门诊护理的儿童及青少年的家长邮寄了问卷。发送了两次邮寄提醒,并对部分未回复者进行了电话访谈。7906名(46%)家长返回了完整的问卷。确定了关于治疗提供者、治疗结果以及信息/影响力的三个量表(量表得分从0到100,其中100代表最佳体验)。
家长对治疗提供者最为满意(全国平均分为75)。治疗结果的全国平均分为72,关于信息以及患者影响决策可能性的量表平均分为59。各诊所的得分差异很大;信息和影响力方面的得分差异最大(48 - 68)。然而,很少有得分与全国平均分有显著差异。
大多数家长对CAMHS有良好的体验。信息和影响力方面的量表有最大的改进潜力。几家CAMHS在家长体验的所有方面得分更高,可能有有用的信息可以传达给其他诊所。