Centre for Crisis Psychology, University of Bergen, Bergen, Norway.
Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
Health Expect. 2020 Dec;23(6):1477-1484. doi: 10.1111/hex.13132. Epub 2020 Sep 16.
The patient's right to be involved in treatment decisions is anchored in guidelines and legislation in many countries. Previous research suggests challenges in the implementation of user involvement across different areas of health care, including mental health. However, little is known about psychiatric outpatients' experiences of being involved in their treatment.
To investigate how psychiatric outpatients after treatment rate the degree to which they were included in the treatment and explore the associations between perceived user involvement, demographic characteristics of the sample and patient satisfaction.
Cross-sectional.
The sample consisted of 188 psychiatric outpatients (67% female, mean age 42.2 years) who were discharged in the two years prior to data collection.
Perceived user involvement in psychiatric outpatient treatment and patient satisfaction as measured by the Psychiatric Out-Patient Experiences Questionnaire.
About half of the participants rated the overall degree of involvement in their treatment as high or very high. The lowest percentage of participants reporting high or very high involvement was found for sufficient information to contribute to treatment decisions (36%). Female gender, higher education and, to a small degree, younger age were associated with more involvement. Perceived user involvement was strongly associated with treatment satisfaction.
The findings suggest that user involvement in psychiatric outpatient treatment can be improved. Patient information that facilitates user involvement should be given more attention.
The hospital's user panel was involved in the development of items assessing user involvement.
在许多国家，患者参与治疗决策的权利都有相关指导原则和立法作为依据。先前的研究表明，在包括精神卫生在内的不同医疗保健领域，用户参与的实施都存在挑战。然而，人们对精神科门诊患者参与治疗的体验知之甚少。
调查治疗后的精神科门诊患者对自身参与治疗程度的评价，并探讨感知到的用户参与度与样本人口统计学特征和患者满意度之间的关系。
横断面研究。
该样本由 188 名精神科门诊患者（67%为女性，平均年龄 42.2 岁）组成，他们在数据收集前的两年内出院。
精神科门诊患者治疗中的感知用户参与度和患者满意度，分别由精神科门诊患者体验问卷进行测量。
约一半的参与者对其治疗总体参与程度评价较高或非常高。报告高度或非常高度参与度的患者比例最低的是有足够的信息来帮助做出治疗决策（36%）。女性、较高的教育程度，以及在一定程度上较年轻的年龄与更高的参与度相关。感知到的用户参与度与治疗满意度密切相关。
研究结果表明，精神科门诊患者的参与度可以进一步提高。应更加关注有助于患者参与的患者信息。
医院的用户小组参与了评估用户参与度的项目的制定。
