精神卫生服务消费者和提供者目标一致性与消费者个人目标实现之间的关系。

Relationship Between Psychiatric-Service Consumers' and Providers' Goal Concordance and Consumers' Personal Goal Attainment.

机构信息

Dr. Shadmi, Dr. Gelkopf, Dr. Garber-Epstein, Dr. Scialom, and Dr. Roe are with the University of Haifa, Haifa, Israel. Dr. Shadmi is with the Department of Nursing. He is also with the Center for Community Mental Health Research, Training, Services and Policy, where Dr. Gelkopf, Dr. Garber-Epstein, and Dr. Roe are affiliated. Dr. Gelkopf and Dr. Roe are also with the Department of Community Mental Health, and Dr. Scialom is with the School of Public Health. Dr. Garber-Epstein is also with the Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv, Israel. Dr. Baloush-Kleinman and Ms. Dudai are with the Department of Rehabilitation, Mental Health Services at the Ministry of Health, Jerusalem.

出版信息

Psychiatr Serv. 2017 Dec 1;68(12):1312-1314. doi: 10.1176/appi.ps.201600580. Epub 2017 Sep 1.

DOI:10.1176/appi.ps.201600580

PMID:28859583

Abstract

OBJECTIVE

This study tested concordance between consumers' and providers' reports of personal goal setting and its relationship to self-reported goal attainment.

METHODS

Data are from the Israeli Psychiatric Rehabilitation Patient Reported Outcome Measurement project. Consumers (N=2,885) and the providers who were most knowledgeable about their care indicated two domains from a list of ten in which consumers had set goals during the previous year. Consumers reported on goal attainment in each domain.

RESULTS

A total of 2,345 consumers (82%) reported a personal goal. Overall, consumer-provider concordance reached 54%. Concordance was greatest in the employment (76%), housing (71%), and intimate relationship (52%) domains and lowest in family relationships (23%) and finances (15%). For most domains, concordance was less than 50%. On average, 75% of consumers reported having achieved their goals. Consumer-provider concordance was associated with goal attainment (p<.001).

CONCLUSIONS

These findings emphasize the importance of agreed-upon goals and call for conceptualizing goal setting as an interpersonal process central to recovery.

摘要

目的

本研究旨在检验消费者和提供者对个人目标设定的报告的一致性及其与自我报告的目标达成之间的关系。

方法

数据来自以色列精神康复患者报告结果测量项目。消费者（n=2885）和最了解其护理情况的提供者从十个领域中选择两个领域，列出了消费者在过去一年中设定的目标。消费者报告了每个领域的目标达成情况。

结果

共有 2345 名消费者（82%）报告了个人目标。总体而言，消费者-提供者的一致性达到 54%。在就业（76%）、住房（71%）和亲密关系（52%）领域的一致性最高，而在家庭关系（23%）和财务（15%）领域的一致性最低。对于大多数领域，一致性均低于 50%。平均而言，75%的消费者报告实现了他们的目标。消费者-提供者的一致性与目标达成相关（p<.001）。