Viertiö Satu, Therman Sebastian, Kuussaari Kristiina, Suvisaari Jaana
Mental Health, Health Care and Social Welfare, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Alcohol, Drugs and Tobacco, Health Care and Social Welfare, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Int J Methods Psychiatr Res. 2025 Mar;34(1):e70010. doi: 10.1002/mpr.70010.
We implemented the first national patient experience survey, with novel patient-reported experience measures (PREMs), in out- and inpatient mental health and substance use services in Finland.
The Outpatient Experience Scale (OPES) and the Inpatient Experience Scale (IPES) were co-designed with experts by experience and professionals. The survey was carried out in 2021 in 435 treatment facilities. We applied bi-factor analysis of ordinal indicators to prespecified and exploratory models.
We received 8794 outpatient and 1112 inpatient responses. Both the OPES and the IPES were essentially unidimensional, with high internal consistency (omega 0.98 in both) and strong factor loadings. The Net Promoter Score item was a fairly poor indicator of overall satisfaction. The most positive experiences were related to respect and acceptance, while statements related to receiving information and inclusion of significant others in the treatment process received more critical feedback. The best experience was in integrated mental health and substance use services. Involuntarily admitted patients had the most negative patient experiences.
The new PREMs proved to work well in measuring patient experience. Service users generally reported positive experiences. The primary service development need is sharing information with patients.
我们在芬兰的门诊和住院精神卫生及物质使用服务中开展了首次全国患者体验调查，采用了全新的患者报告体验指标（PREMs）。
门诊体验量表（OPES）和住院体验量表（IPES）是由有体验的专家和专业人员共同设计的。该调查于2021年在435个治疗机构中进行。我们对预定模型和探索性模型应用了有序指标的双因素分析。
我们收到了8794份门诊患者和1112份住院患者的回复。OPES和IPES本质上都是单维的，具有较高的内部一致性（两者的ω均为0.98）和较强的因子载荷。净推荐值项目对总体满意度的指示作用相当差。最积极的体验与尊重和接纳有关，而与接收信息以及让重要他人参与治疗过程相关的陈述则收到了更多批评性反馈。综合精神卫生和物质使用服务的体验最佳。非自愿入院患者的患者体验最负面。
新的PREMs在测量患者体验方面效果良好。服务使用者总体上报告了积极的体验。服务发展的主要需求是与患者分享信息。
