Rise Marit B, Steinsbekk Aslak
Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway.
Health Expect. 2015 Oct;18(5):809-25. doi: 10.1111/hex.12105. Epub 2013 Jul 9.
Governments in several countries attempt to strengthen user participation through instructing health-care organizations to implement user participation initiatives. There is, however, little knowledge on the effect on patients' experience from comprehensive plans for enhancing user participation in whole health service organizations.
To investigate whether implementing a development plan intending to enhance user participation in a mental hospital had any effect on the patients' experience of user participation.
DESIGN, SETTING AND PARTICIPANTS: A non-randomized controlled study including patients in three mental hospitals in Central Norway, one intervention hospital and two control hospitals.
A development plan intended to enhance user participation was implemented in the intervention hospital as a part of a larger reorganizational process. The plan included establishment of a patient education centre and a user office, purchase of user expertise, appointment of contact professionals for next of kin and improvement of the centre's information and the professional culture.
Perceptions of Care, Inpatient Treatment Alliance Scale and questions made for this study.
A total of 1651 patients participated. Implementing a development plan in a mental hospital intending to enhance user participation had no significant effect on the patients' experience of user participation.
The lack of effect can be due to inappropriate initiatives or challenges in implementation processes. Further research should ensure that initiatives and implementation processes are appropriate to impact the patients' experience.
几个国家的政府试图通过指示医疗保健组织实施用户参与倡议来加强用户参与。然而，对于全面计划在整个医疗服务组织中增强用户参与对患者体验的影响，了解甚少。
调查在一家精神病医院实施旨在增强用户参与的发展计划是否对患者的用户参与体验有任何影响。
设计、地点和参与者：一项非随机对照研究，包括挪威中部三家精神病医院的患者，一家干预医院和两家对照医院。
作为更大规模重组过程的一部分，在干预医院实施了一项旨在增强用户参与的发展计划。该计划包括建立患者教育中心和用户办公室、购买用户专业知识、为近亲指定联络专业人员以及改善中心的信息和专业文化。
护理感知、住院治疗联盟量表以及为本研究提出的问题。
共有1651名患者参与。在精神病医院实施旨在增强用户参与的发展计划对患者的用户参与体验没有显著影响。
缺乏效果可能是由于举措不当或实施过程中存在挑战。进一步的研究应确保举措和实施过程适合影响患者体验。
