Centre for Ageing and Mental Health, Faculty of Health and Sciences, Staffordshire University, Stoke-on-Trent, Staffordshire, UK.
Int Psychogeriatr. 2012 Feb;24(2):185-96. doi: 10.1017/S1041610211001876.
There are a number of models of patient and carer participation. Their usefulness and applicability to old age psychiatry is considered.
Models of participation are reviewed and related to examples of participation initiatives drawn from the author's work in the context of the National Health Service in the United Kingdom.
Models of participation which emphasize collaboration and partnership are found to be useful. Simple interventions such as copying letters to patients and/or carers can lead to change in the balance of power between staff and patients/carers. Initiatives which draw on the experiences of patients and carers can facilitate organizational learning and development. Involving patients and carers in education offers a way to influence services and the staff working in them.
Participation is better understood as a spectrum rather than a hierarchy. Old age psychiatry services would benefit from developing greater patient and carer participation at all levels.
有许多患者和照护者参与的模式。本文考虑了它们在老年精神病学中的有用性和适用性。
对参与模式进行了回顾，并与作者在英国国民保健服务背景下开展的参与举措的实例进行了关联。
发现强调协作和伙伴关系的参与模式是有用的。简单的干预措施，如将信件抄送给患者和/或照护者，可以改变员工和患者/照护者之间的权力平衡。利用患者和照护者经验的举措可以促进组织学习和发展。让患者和照护者参与教育提供了一种影响服务和其中工作人员的方式。
参与可以更好地理解为一个连续体，而不是一个层级。老年精神病学服务将受益于在各个层面上发展更多的患者和照护者参与。
