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患者对军事心理健康服务提供方式的偏好。

Patient preferences for the delivery of military mental health services.

作者信息

Gould Matthew

机构信息

Ministry of Defence, Defence Clinical Psychology Service-Joint Medical Command, Department of Community Mental Health, PP6, Sunny Walk, HMNB, Portsmouth PO1 3LT, United Kingdom.

出版信息

Mil Med. 2011 Jun;176(6):608-12. doi: 10.7205/milmed-d-10-00423.

Abstract

OBJECTIVE

Knowledge of patients' preferences of military mental health care is required to inform service planning. The objective was to inform service planning by quantifying, and identifying predictors of, patient preferences for mental health care providers and location of facilities.

METHOD

Sociodemographic and service characteristics and concerns about stigma were investigated for patients presenting to 4 U.K. Armed Forces Departments of Community Mental Health over a 2-months period (n = 163).

RESULTS

5% preferred to be seen by a uniformed mental health clinician, 30% by a nonuniformed clinician, and 65% reported no preference. Gender and service were associated with care provider preference and service was associated with location preference.

CONCLUSION

The Armed Forces need to explore and identify ways of accommodating their patients' preference, especially regarding the uniformed status of their care provider, to achieve good engagement and acceptability.

摘要

目的

为了指导服务规划,需要了解患者对军事心理健康护理的偏好。目的是通过量化患者对心理健康护理提供者和设施地点的偏好并确定其预测因素,来指导服务规划。

方法

对在两个月内到英国武装部队4个社区心理健康部门就诊的患者(n = 163)进行了社会人口统计学、服务特征以及对耻辱感的担忧调查。

结果

5%的患者更倾向于由穿制服的心理健康临床医生看病;30%的患者更倾向于由不穿制服的临床医生看病;65%的患者表示没有偏好。性别和服役情况与护理提供者偏好相关,服役情况与地点偏好相关。

结论

武装部队需要探索并确定满足患者偏好的方法,尤其是在护理提供者的着装状态方面,并以此来实现良好的参与度和可接受性。

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