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患者对精神和身体健康服务的满意度:全英在线调查结果

Patient satisfaction with mental and physical health services: Findings from a UK-wide online survey.

作者信息

Kirkham Elizabeth J, Fletcher-Watson Sue, Beange Iona, Chan Stella W Y, Lawrie Stephen M

机构信息

Division of Psychiatry, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.

School of Psychology and Clinical Language Sciences, University of Reading, Reading, UK.

出版信息

Wellcome Open Res. 2022 Aug 1;7:198. doi: 10.12688/wellcomeopenres.17973.1. eCollection 2022.

Abstract
  • Despite extensive debate surrounding mental health services in the UK, there is little empirical evidence regarding the views of those who use them. We therefore used data collected as part of a wider survey to examine satisfaction amongst those seeking treatment from mental and physical health services. - An online survey designed with input from people with experience of mental illness was used to measure satisfaction with NHS mental and physical health services at first contact and in the previous 12 months. - A total of 2187 people responded. During the 12 months prior to the survey, 526 respondents had sought mental health care and 1379 had sought physical health care. Participants were significantly more satisfied with their most recent contact with mental health services (48.1% very/satisfied) than with their first contact (38.2% very/satisfied). More than 1 in 10 respondents who sought mental health care (11.4%) stated that they received no treatment/support from the NHS, compared to approximately 1 in 20 respondents who sought physical health care (4.6%). Of those who received the mental health treatment they requested (n = 424), most were satisfied or very satisfied with their care (54.7%), although this was lower than the corresponding figure (77.9%) for satisfaction with physical health care received (n = 1190). -There was evidence that mental health services are satisfactory for a slim majority of users, but people were generally more satisfied with NHS physical health care. This survey was conducted in the year prior to the coronavirus disease 2019 pandemic. Future research could examine what influences satisfaction with care and whether this picture has changed following the emergence of the pandemic and consequent impact on health service delivery and daily life.
摘要
  • 尽管英国围绕心理健康服务展开了广泛辩论,但关于使用这些服务者的观点,实证证据却很少。因此,我们利用作为一项更广泛调查的一部分所收集的数据,来研究那些寻求心理健康和身体健康服务治疗者的满意度。

  • 一项在有精神疾病经历者参与下设计的在线调查,被用于衡量对国民保健服务体系(NHS)心理健康和身体健康服务首次接触时以及过去12个月中的满意度。

  • 共有2187人做出回应。在调查前的12个月里,526名受访者寻求过心理健康护理,1379人寻求过身体健康护理。与首次接触相比,参与者对最近一次与心理健康服务的接触(48.1%非常满意/满意)明显更满意(首次接触时为38.2%非常满意/满意)。寻求心理健康护理的受访者中,超过十分之一(11.4%)表示他们未从NHS获得任何治疗/支持,而寻求身体健康护理的受访者中这一比例约为二十分之一(4.6%)。在那些获得了他们所要求的心理健康治疗的人中(n = 424),大多数对其护理感到满意或非常满意(54.7%),尽管这低于对所接受的身体健康护理的满意度相应数字(77.9%,n = 1190)。

  • 有证据表明,心理健康服务仅让极少数使用者感到满意,但人们总体上对NHS的身体健康护理更满意。这项调查是在2019年冠状病毒病大流行前一年进行的。未来的研究可以考察哪些因素影响护理满意度,以及在大流行出现并对医疗服务提供和日常生活产生影响之后,这种情况是否发生了变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26e1/10480769/4f39ee2d190f/wellcomeopenres-7-19923-g0000.jpg

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