女性退伍军人的患者激活与心理健康护理体验
Patient Activation and Mental Health Care Experiences Among Women Veterans.
作者信息
Kimerling Rachel, Pavao Joanne, Wong Ava
机构信息
National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, PTSD-324, Menlo Park, CA, 94025, USA.
Center for Innovation to Implementation, VA Palo Alto Health Care System, 795 Willow Road (152 MPD), Menlo Park, CA, 94025, USA.
出版信息
Adm Policy Ment Health. 2016 Jul;43(4):506-13. doi: 10.1007/s10488-015-0653-x.
Abstract
We utilized a nationally representative survey of women veteran primary care users to examine associations between patient activation and mental health care experiences. A dose-response relationship was observed, with odds of high quality ratings significantly greater at each successive level of patient activation. Higher activation levels were also significantly associated with preference concordant care for gender-related preferences (use of female providers, women-only settings, and women-only groups as often as desired). Results add to the growing literature documenting better health care experiences among more activated patients, and suggest that patient activation may play an important role in promoting engagement with mental health care.
摘要
我们利用一项针对女性退伍军人初级保健使用者的全国代表性调查，来研究患者激活与心理健康护理体验之间的关联。观察到一种剂量反应关系，在患者激活的每个连续水平上，高质量评分的几率显著更高。较高的激活水平还与在性别相关偏好方面的偏好一致护理显著相关（根据需要尽可能多地使用女性提供者、仅限女性的环境和仅限女性的群体）。研究结果进一步丰富了越来越多的文献，这些文献记录了激活程度更高的患者有更好的医疗保健体验，并表明患者激活可能在促进参与心理健康护理方面发挥重要作用。
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本文引用的文献
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Psychiatr Serv. 2015 Feb 1;66(2):155-62. doi: 10.1176/appi.ps.201300551. Epub 2014 Nov 17.
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Is satisfaction among orthopaedic trauma patients predicted by depression and activation levels?骨科创伤患者的满意度是否由抑郁和激活水平预测？
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How well do patient activation scores predict depression outcomes one year later?患者激活评分对一年后抑郁结局的预测效果如何？
J Affect Disord. 2014 Dec;169:1-6. doi: 10.1016/j.jad.2014.07.030. Epub 2014 Jul 30.
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Patterns of sex and racial/ethnic differences in patient health care experiences in US Veterans Affairs hospitals.美国退伍军人事务医院中患者医疗体验的性别和种族/民族差异模式。
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