Klaudia Kristensen, Louise Steen, Luise Skinnerup, Malene Terp, Søren Paaske Johnsen, Jan Brink Valentin, Jan Mainz
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引用次数: 0
Abstract
Objective: To meet the demand for high-quality care, health care organizations are directing policy and care delivery toward person-centered care. Yet, knowledge of what patients value most in their encounters with the mental health care system is lacking. This scoping review aimed to synthesize the current evidence on patients' preferences during episodes of care within the mental health care system and to identify categories and subthemes of these preferences.
Methods: A comprehensive search of Embase, PubMed, and PsycInfo was conducted in accordance with the revised JBI methodology for scoping reviews. The literature review included studies of inpatients and outpatients (ages ≥18 years) with mental disorders. The primary concepts of interest were patients' preferences and priorities for mental health care services.
Results: Twenty-seven publications from the period 2000-2022 were included in the scoping review. Ten categories of patient preferences were identified: interactions with health care staff, involvement in care, diagnosis and symptom relief, interpersonal skills of health care staff, access and time, pharmacological treatment, coping and recovery, physical environment, information, and continuity of care. Interactions with health care staff, involvement in care, and diagnosis and symptom relief were most mentioned by patients as important aspects of care.
Conclusions: The scoping review highlighted the importance to patients of their interactions with health care staff. The results can be used to inform decision making for enhancement of person-centered care. Further research should include diagnosis-specific preferences, longitudinal study designs, and a systematic framework to assess patients' preferences.
期刊介绍：
Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.
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