Department of Veterans Affairs, Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, CA, USA.
Center for Health Policy/Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford, CA, USA.
Adm Policy Ment Health. 2021 Jan;48(1):61-69. doi: 10.1007/s10488-020-01046-x.
Improving patient experience is one strategy that may increase the quality of mental health care if better experience is linked to the likelihood of a potentially therapeutic dose (PTD) of treatment. This study sought to examine: (1) the proportion of women veterans who obtained a PTD of mental health treatment; and (2) the association between women's experiences with Veterans Health Administration (VHA) mental health services and obtaining a PTD of mental health treatment. We assessed patient experience via a survey that measured experiences with gender-sensitive care, ease of getting care, perceived quality of care, and extent to which care met needs. We used VHA administrative data to determine mental health utilization across a national sample of 2109 women veterans with episodes of mental health care that included psychotherapy or pharmacotherapy. Results indicated that 71% of women received a PTD. Positive ratings regarding perceived quality of care and whether care met needs were associated with higher odds of receiving a PTD of treatment. Findings provide supporting evidence for the continued necessity of offering patient-centered mental health care to women veterans. Careful consideration of women veterans' mental health care experiences may be crucial in promoting high value mental health care for this population in VHA.
提高患者体验是一种可能提高精神卫生保健质量的策略，如果更好的体验与接受潜在治疗剂量（PTD）治疗的可能性相关联。本研究旨在探讨：（1）获得精神卫生治疗 PTD 的女性退伍军人的比例；（2）女性对退伍军人健康管理局（VHA）精神卫生服务的体验与获得精神卫生治疗 PTD 之间的关联。我们通过一项调查评估了患者体验，该调查衡量了性别敏感护理、获得护理的便利性、感知护理质量以及护理满足需求的程度。我们使用 VHA 管理数据确定了全国 2109 名有心理治疗或药物治疗经历的女性退伍军人的心理健康利用情况。结果表明，71%的女性接受了 PTD。对护理质量的积极评价以及护理是否满足需求与接受 PTD 治疗的可能性呈正相关。研究结果为继续为女性退伍军人提供以患者为中心的精神卫生保健提供了支持性证据。仔细考虑女性退伍军人的精神卫生保健体验，对于促进 VHA 中该人群的高价值精神卫生保健可能至关重要。
