Does satisfaction reflect the technical quality of mental health care?
Does satisfaction reflect the technical quality of mental health care?
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DOI：
10.1111/1475-6773.00137
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发表时间：
2003-04-01
影响因子：
3.4
通讯作者：
Wells, KB
中科院分区：
文献类型：
--
作者：
Edlund, MJ;Young, AS;Wells, KB
客观的。分析常见精神障碍的满意度与护理技术质量之间的关系。数据来源。 1997-1998 年对 9,585 人进行的全国代表性电话调查。研究设计。使用多项逻辑回归技术，我们研究了对针对个人或情绪问题的心理保健的满意度的五级测量与两个质量指标之间的关联。第一项措施，适当的技术质量，被定义为在前一年中针对可能的抑郁症或焦虑症使用适当的咨询或精神药物。第二，积极治疗；表明受访者在过去一年中是否接受过精神疾病治疗。协变量包括身心健康指标和社会生活学指标。主要发现。适当的护理技术质量与较高的满意度显着相关。协会强度中等。结论。满意度与护理技术质量相关。然而，满意度分析护理质量可能需要大量样本和案例组合调整，这对于计划或提供者团体来说可能比测量技术指标更难以实施。更重要的是，满意度与技术质量不同，我们的结果表明，目前无法使它们彼此接近到足以消除其中任何一个。
Objective. To analyze the relationship between satisfaction and technical quality of care for common mental disorders.Data Source. A nationally representative telephone survey of 9,585 individuals conducted in 1997-1998.Study Design. Using multinomial logistic regression techniques we investigated the association between a five-level measure of satisfaction with the mental health care available for personal or emotional problems and two quality indicators. The first measure, appropriate technical quality, was defined as use of either appropriate counseling or psychotropic medications during the prior year for a probable depressive or anxiety disorder. The second, active treatment; indicated whether the respondent had received treatment for a psychiatric disorder in the past year. Covariates included measures of physical and mental health and sociodeinographic indicators.Principal Findings. Appropriate technical quality of care was significantly associated with higher levels of satisfaction. The strength of the association was moderate.Conclusions. Satisfaction is associated with technical quality of care. However, profiling quality of care with satisfaction will likely require large samples and case-mix adjustment, which may be more difficult for plans or provider groups to implement than measuring technical indicators. More importantly, satisfaction is not the same as technical quality, and our results suggest that at this time they cannot be made to approach each other closely enough to eliminate either.