Larsen Anette Enemark, Adamsen Helene Nyborg, Boots Sarah, Delkus Emma Caecilie Guttzeit, Pedersen Louise Lunde, Christensen Jeanette Reffstrup
a Department of Occupational Therapy , Institute of Physiotherapy and Occupational therapy, Metropolitan University College , Copenhagen , Denmark.
b Nursinghome Nyvang, Home for People with Dementia , Randers NØ , Denmark.
Scand J Occup Ther. 2019 Jul;26(5):356-370. doi: 10.1080/11038128.2018.1465584. Epub 2018 Apr 23.
In Denmark, the cost of healthcare services comprise 12% of the gross domestic product. A recommended method for optimizing effectiveness of and enhance client satisfaction with healthcare is client-centred practice (CCP), a central component of occupational therapy ideology. However, Danish occupational therapists' perceptions of CCP, including the facilitators and barriers that may contribute to CCP, have never been examined.
To examine Danish occupational therapists' perceptions of CCP.
A survey was conducted using an electronic questionnaire in a small, but representative sample of Danish occupational therapists from all regions and practices.
Three hundred and forty-six occupational therapists (5%) responded. Of these, 98% rated CCP as important, 97% considered their work client-centred, and 92% were satisfied with their level of CCP. Having time to conduct self-directed work, using assessments to identify clients' priorities, and CCP education, but not fixed regimes, were positively correlated with CCP.
Danish occupational therapists perceive to practice CCP and appear to have adopted the beliefs, theory and ideals of CCP, perhaps influenced by the egalitarian Danish culture. Self-directed work, means to identify and evaluate their clients' wishes, and education facilitated CCP. Possible absence of occupational therapists not compliant with CCP makes further research warranted.
在丹麦,医疗保健服务成本占国内生产总值的12%。一种优化医疗保健效果并提高客户满意度的推荐方法是以客户为中心的实践(CCP),这是职业治疗理念的核心组成部分。然而,丹麦职业治疗师对CCP的看法,包括可能有助于CCP的促进因素和障碍,从未被研究过。
研究丹麦职业治疗师对CCP的看法。
使用电子问卷对来自丹麦所有地区和医疗机构的一小部分具有代表性的职业治疗师进行了调查。
346名职业治疗师(5%)做出了回应。其中,98%认为CCP很重要,97%认为他们的工作以客户为中心,92%对自己的CCP水平感到满意。有时间进行自主工作、使用评估来确定客户的优先事项以及接受CCP教育(而非固定模式)与CCP呈正相关。
丹麦职业治疗师认为自己在实践CCP,并且似乎已经接受了CCP的信念、理论和理想,这可能受到丹麦平等主义文化的影响。自主工作、确定和评估客户愿望的方法以及教育促进了CCP。可能存在不符合CCP的职业治疗师,这使得进一步研究很有必要。