Loss of relational continuity of care in schizophrenia: associations with patient satisfaction and quality of care.
Loss of relational continuity of care in schizophrenia: associations with patient satisfaction and quality of care.
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DOI：
10.1192/bjpo.bp.116.003186
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发表时间：
2016-09
期刊：
影响因子：
5.4
通讯作者：
Crawford MJ
中科院分区：
文献类型：
--
作者：
Sanatinia R;Cowan V;Barnicot K;Zalewska K;Shiers D;Cooper SJ;Crawford MJ
心理健康服务的用户担心提供护理的临床医生的变化，但对其影响知之甚少。研究人员变化与患者满意度和护理质量之间的关联。一项对3379名18岁或以上精神分裂症或情感性精神障碍二级治疗者的全国横断面调查。近41.9%的受访者表示，在过去12个月中，他们的关键员工至少发生过一次变化，10.5%的受访者表示发生过多次变化。那些报告多次变化的人对他们的治疗不太满意，也不太可能报告有护理计划，知道如何在危机中获得帮助，或者建议进行身体健康评估。为精神病患者提供护理的工作人员经常更换与护理质量较差有关。需要作出更大的努力，以保护这些病人的护理关系的连续性。MJC曾担任NICE成人心理健康服务用户体验质量标准专家咨询小组联合主席。SJC曾任卫生和社会保健委员会北方爱尔兰处方集委员会成员。D.S. 2011年收到了Janssen Cilag的演讲费。他是儿童和青少年精神病和精神分裂症NICE指南的主题专家，也是国家精神健康合作中心的董事会成员。© 2016年皇家精神病学院。这是一篇开放获取的文章，根据知识共享非商业性，无衍生品（CC BY-NC-ND）许可证的条款分发。
Users of mental health service are concerned about changes in clinicians providing their care, but little is known about their impact. To examine associations between changes in staff, and patient satisfaction and quality of care. A national cross-sectional survey of 3379 people aged 18 or over treated in secondary care for schizophrenia or schizoaffective disorder. Nearly 41.9% reported at least one change in their key worker during the previous 12 months and 10.5% reported multiple changes. Those reporting multiple changes were less satisfied with their treatment and less likely to report having a care plan, knowing how to obtain help when in a crisis or to have had recommended physical health assessments. Frequent changes in staff providing care for people with psychosis are associated with poorer quality of care. Greater efforts need to be made to protect relational continuity of care for such patients. M.J.C. was co-chair of the expert advisory group on the NICE quality standard on Service User Experience in Adult Mental Health. S.J.C. has previously been a member of the Health and Social Care Board Northern Ireland Formulary Committee. D.S. received a speaker’s fee from Janssen Cilag in 2011. He is a topic expert on NICE guideline for psychosis and schizophrenia in children and young people and a board member of National Collaborating Centre for Mental Health. © The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.