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临床服务经验塑造了对心理健康数据共享的态度:全英范围调查结果

Experience of clinical services shapes attitudes to mental health data sharing: findings from a UK-wide survey.

作者信息

Kirkham E J, Lawrie S M, Crompton C J, Iveson M H, Jenkins N D, Goerdten J, Beange I, Chan S W Y, McIntosh A, Fletcher-Watson S

机构信息

Division of Psychiatry, Centre for Clinical Brain Sciences, University of Edinburgh, Kennedy Tower, Royal Edinburgh Hospital, Morningside Park, Edinburgh, EH10 5HF, UK.

Edinburgh Dementia Prevention & Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.

出版信息

BMC Public Health. 2022 Feb 19;22(1):357. doi: 10.1186/s12889-022-12694-z.

Abstract

BACKGROUND

Routinely-collected mental health data could deliver novel insights for mental health research. However, patients' willingness to share their mental health data remains largely unknown. We investigated factors influencing likelihood of sharing these data for research purposes amongst people with and without experience of mental illness.

METHODS

We collected responses from a diverse sample of UK National Health Service (NHS) users (n = 2187) of which about half (n = 1087) had lifetime experience of mental illness. Ordinal logistic regression was used to examine the influence of demographic factors, clinical service experience, and primary mental illness on willingness to share mental health data, contrasted against physical health data.

RESULTS

There was a high level of willingness to share mental (89.7%) and physical (92.8%) health data for research purposes. Higher levels of satisfaction with the NHS were associated with greater willingness to share mental health data. Furthermore, people with personal experience of mental illness were more willing than those without to share mental health data, once the variable of NHS satisfaction had been controlled for. Of the mental illnesses recorded, people with depression, obsessive-compulsive disorder (OCD), personality disorder or bipolar disorder were significantly more likely to share their mental health data than people without mental illness.

CONCLUSIONS

These findings suggest that positive experiences of health services and personal experience of mental illness are associated with greater willingness to share mental health data. NHS satisfaction is a potentially modifiable factor that could foster public support for increased use of NHS mental health data in research.

摘要

背景

常规收集的心理健康数据可为心理健康研究提供新的见解。然而,患者分享其心理健康数据的意愿在很大程度上仍不为人知。我们调查了在有和没有精神疾病经历的人群中,影响出于研究目的分享这些数据可能性的因素。

方法

我们收集了来自英国国民健康服务体系(NHS)不同用户样本(n = 2187)的回复,其中约一半(n = 1087)有过精神疾病经历。使用有序逻辑回归来检验人口统计学因素、临床服务体验和原发性精神疾病对分享心理健康数据意愿的影响,并与身体健康数据进行对比。

结果

出于研究目的,人们对分享心理健康(89.7%)和身体健康(92.8%)数据的意愿较高。对NHS的满意度较高与分享心理健康数据的意愿更强相关。此外,一旦控制了NHS满意度变量,有精神疾病个人经历的人比没有的人更愿意分享心理健康数据。在记录的精神疾病中,患有抑郁症、强迫症(OCD)、人格障碍或双相情感障碍的人比没有精神疾病的人更有可能分享他们的心理健康数据。

结论

这些发现表明,健康服务的积极体验和精神疾病的个人经历与分享心理健康数据的更强意愿相关。NHS满意度是一个潜在的可改变因素,可能会促进公众支持在研究中更多地使用NHS心理健康数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4062/8858475/7b40763bdd31/12889_2022_12694_Fig1_HTML.jpg

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