First-onset psychotic illness: Patients' and relatives' satisfaction with services
First-onset psychotic illness: Patients' and relatives' satisfaction with services
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DOI：
10.1192/bjp.170.1.53
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发表时间：
1997-01-01
影响因子：
10.5
通讯作者：
JohnsonSabine, E
中科院分区：
文献类型：
--
作者：
Leavey, G;King, M;JohnsonSabine, E
背景：尽管对患者满意度的研究越来越多，但很少有人关注首次精神病发作的患者在就诊后不久的满意度。我们特别感兴趣的是，在这个开创性的病人护理阶段，满意度的种族差异。方法采用问卷调查法，对首次就诊12个月后的患者及其家属进行面对面访谈。亲属也被问及与善后护理有关的支持和建议问题。结果大多数患者和家属对治疗总体满意，对精神科工作人员的“人性化”素质满意；但他们对医院护理的“酒店”方面不太满意。患者，尤其是家属，最关心的是所收到的信息和建议的水平。家属对善后服务不满意。布莱克和其他病人之间没有显著差异，但他们的亲属之间存在一些差异。不论种族，在国外出生的患者明显比在英国出生的患者更满意。《精神卫生法》规定的强制拘留在确定患者，特别是其亲属满意度低方面也起着重要作用。结论为改善社区护理，患者及其家属应被视为护理的合作伙伴，而不是被动的接受者。精神科服务机构提供信息的问题需要认真关注。黑人病人和他们的亲属并不会特别不满意。
Background Despite the growth in patient satisfaction studies, scant attention has been paid to the satisfaction of patients with a first episode of psychotic illness soon after presentation to services. We were particularly interested in any ethnic differences in satisfaction at this seminal stage in patient care.Method Using a multi-item questionnaire, face-to-face interviews were conducted with patients and relatives 12 months after first contact with psychiatric services. Relatives were also questioned on support and advice issues related to after-care.Results Most patients and relatives were generally satisfied with the treatment, and with the 'humane' qualities of psychiatric staff; but were less satisfied with the 'hotel' aspects of hospital care. Patients, and particularly relatives, were most concerned about levels of information and advice received. Relatives were dissatisfied with after-care. There were no significant differences between Black and other patients, but some differences between their relatives. Patients born abroad were significantly more satisfied than those born in Britain, irrespective of ethnicity. Compulsory detention under the Mental Health Act was also significant in determining low satisfaction for patients and especially for their relatives.Conclusions For improved care in the community patients and their relatives need to be seen as partners in care rather than as passive recipients. The issue of information giving by psychiatric services demands serious attention. Black patients and their relatives were not especially likely to be dissatisfied.