Patient experience with healthcare services among older adults with serious mental illness compared to the general older population.
Patient experience with healthcare services among older adults with serious mental illness compared to the general older population.
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DOI：
10.1177/0091217417738936
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发表时间：
2017-07
影响因子：
2
通讯作者：
Bartels SJ
中科院分区：
文献类型：
--
作者：
Fortuna KL;Lohman MC;Batsis JA;DiNapoli EA;DiMilia PR;Bruce ML;Bartels SJ
比较患有和不患有严重精神疾病的老年患者（≥50 岁）的患者对医疗保健服务和提供者的体验。使用 2003 年至 2013 年医疗支出小组调查的二手数据，我们比较了 50 岁及以上患有精神分裂症谱系障碍 (n = 106)、情绪障碍（即重度抑郁症和双相情感障碍）(n = 419) 和无严重精神疾病 (n = 34,921) 的成年人。患有精神分裂症谱系障碍的老年人与没有严重精神疾病的老年人相比，与提供者的沟通明显较差。患有情绪障碍的老年人报告说，他们在共同决策方面面临最大的障碍，并且在获得服务方面也遇到最大的困难。我们的结果强调需要改善患有严重精神疾病的老年人的患者体验。解决这一弱势老年人群体中的提供者沟通、共同决策和获得护理的问题可能会影响临床结果和成本。未来的研究有必要检验改善患者体验在多大程度上可以改善健康结果并加强对这一高度脆弱的老年群体的治疗。
To compare patient experience with healthcare services and providers among older patients (≥50 years old) with and without serious mental illness. Using secondary data from the Medical Expenditures Panel Survey from 2003 through 2013, we compared adults aged 50 years and older with schizophrenia spectrum disorder (n =106), mood disorders (i.e., major depressive disorder and bipolar disorder) (n =419), and no serious mental illness (n =34,921). Older adults with schizophrenia spectrum disorder reported significantly worse provider communication than older adults without serious mental illness. Older adults with mood disorders reported the greatest barriers to shared decision-making and the greatest difficulty accessing services. Our results highlight the need to improve the patient experience of older adults with serious mental illness. Addressing provider communication, shared decision-making, and access to care among this vulnerable group of older adults may impact clinical outcomes and costs. Future research examining the extent to which improving the patient experience may improve health outcomes and enhance treatment for this highly vulnerable older group is warranted.
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影响因子：
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