Riga Stradins University, Department of Psychiatry and Narcology, Tvaika Street 2, Riga LV 1005, Latvia; Riga Centre of Psychiatry and Narcology, Outpatient Clinic with a Stationary "Veldre", Veldres Street 1a, Riga LV 1064, Latvia.
Riga Stradins University, Department of Psychiatry and Narcology, Tvaika Street 2, Riga LV 1005, Latvia.
Health Policy. 2018 Jul;122(7):765-768. doi: 10.1016/j.healthpol.2018.03.011. Epub 2018 Mar 20.
In Latvia, as in many former Soviet Union countries, there used to be little priority given to systematic assessments of the quality of psychiatric care. Furthermore, using the experiences of patients as a measure of quality was unthinkable because psychiatric patients were seen as incapable of assessing quality of psychiatric services. Over the past few years, and facilitated by Latvia's progress along the route of Western democracy and participation in international organizations (EU, OECD), as well as funding support from the EU, several policy documents have been developed with the aim of improving healthcare quality. Simultaneously, several small-scale initiatives have emerged aiming at the promotion of quality of care, such as the quality award, and the quality comparison of psychiatric hospitals. Furthermore, the Psychiatric Inpatient Patient Experience Questionnaire for on-site measurement (PIPEQ-OS) has recently been adapted for use in Latvia. The first application of PIPEQ-OS in a psychiatric hospital in Riga reveals high patient responsiveness, interest and surprise about being asked to participate in the decision-making process regarding treatment and pharmaceutical choices. More widespread use of the PIPEQ-OS has considerable potential for (1) improving information about treatment shortcomings from the patients' perspective and (2) improving the treatment process by opening doors of cooperation with patients and changing deep-rooted paradigms.
在拉脱维亚，和许多前苏联国家一样，以前对精神科护理质量的系统评估几乎没有给予优先考虑。此外，由于精神科患者被视为无法评估精神科服务质量，因此将患者的体验作为衡量质量的标准是不可想象的。在过去的几年里，拉脱维亚在沿着西方民主道路前进的过程中取得了进展，参与了国际组织（欧盟、经合组织），并得到了欧盟的资金支持，因此制定了几项旨在提高医疗保健质量的政策文件。与此同时，还出现了一些小规模的倡议，旨在促进护理质量的提高，例如质量奖和精神病院的质量比较。此外，最近还为拉脱维亚改编了现场测量的住院精神病患者体验问卷（PIPEQ-OS）。PIPEQ-OS 在里加一家精神病院的首次应用显示，患者对参与治疗和药物选择决策过程表示高度的响应、兴趣和惊讶。更广泛地使用 PIPEQ-OS 具有很大的潜力：（1）从患者的角度改善关于治疗缺陷的信息；（2）通过与患者合作和改变根深蒂固的范式来改善治疗过程。
