School of Global Health Management & Informatics, University of Central Florida, 525 W Livingston Street, Suite 401, Orlando, FL, 32801, USA.
Department of Internal Medicine, University of Central Florida, Orlando, FL, USA.
Subst Abuse Treat Prev Policy. 2023 Jul 17;18(1):45. doi: 10.1186/s13011-023-00554-x.
While person-centered care (PCC) includes multiple domains, residential substance use disorder (SUD) treatment clients may value certain domains over others. We sought to identify the PCC domains most valued by former residential SUD treatment clients. We also sought to explore conceptual distinctions between potential theoretical PCC subdomains.
We distributed an online survey via social media to a national convenience sample of former residential SUD treatment clients. Respondents were presented with ten PCC domains in an online survey: (a) access to evidence-based care; (b) integration of care; (c) diversity/respect for other cultures; (d) individualization of care; (e) emotional support; (f) family involvement in treatment; (g) transitional services; (h) aftercare; (i) physical comfort; and (j) information provision. Respondents were asked to select up to two domains they deemed most important to their residential SUD treatment experience. We used descriptive statistics to identify response frequencies and logistic regression to predict relationships between selected domains and respondents' race, gender, relationship status, parenting status, and housing stability.
Our final sample included 435 former residential SUD treatment clients. Diversity and respect for different cultures was the most frequently selected domain (29%), followed by integration of care (26%), emotional support (26%), and individualization of care (26%). Provision of information was the least frequently chosen domain (3%). Race and ethnicity were not predictive of selecting respect for diversity. Also, parental status, relationship status and gender were not predictive of selecting family integration. Employment and housing status were not predictive of selecting transitional services.
While residential SUD treatment facilities should seek to implement PCC across all domains, our results suggest facilities should prioritize (a) operationalizing diversity, (b) integration of care, and (c) emotional support. Significant heterogeneity exists regarding PCC domains deemed most important to clients. PCC domains valued by clients cannot be easily predicted based on client demographics.
虽然以患者为中心的护理（PCC）包括多个领域，但居住在物质使用障碍（SUD）治疗机构的患者可能对某些领域的重视程度超过其他领域。我们试图确定以前居住在 SUD 治疗机构的患者最重视的 PCC 领域。我们还试图探索潜在的理论 PCC 子领域之间的概念区别。
我们通过社交媒体向全国性的居住 SUD 治疗机构的前客户分发了在线调查。在在线调查中，受访者被呈现了十个 PCC 领域：（a）获得基于证据的护理；（b）护理的整合；（c）对其他文化的多样性/尊重；（d）护理的个体化；（e）情感支持；（f）家庭参与治疗；（g）过渡服务；（h）康复后护理；（i）身体舒适；（j）信息提供。受访者被要求选择他们认为对其居住 SUD 治疗体验最重要的最多两个领域。我们使用描述性统计数据来确定反应频率，并使用逻辑回归来预测所选领域与受访者的种族、性别、关系状况、育儿状况和住房稳定性之间的关系。
我们的最终样本包括 435 名前居住 SUD 治疗机构的患者。对不同文化的多样性和尊重是最常被选择的领域（29%），其次是护理的整合（26%）、情感支持（26%）和护理的个体化（26%）。信息提供是选择最少的领域（3%）。种族和民族不是选择尊重多样性的预测因素。此外，父母身份、关系状况和性别不是选择家庭整合的预测因素。就业和住房状况不是选择过渡服务的预测因素。
虽然居住 SUD 治疗机构应该寻求在所有领域实施 PCC，但我们的结果表明，机构应优先考虑（a）实现多样性，（b）整合护理，以及（c）情感支持。客户认为最重要的 PCC 领域存在显著的异质性。客户重视的 PCC 领域不能根据客户的人口统计学特征轻松预测。
