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Relationships Between Quality of Care, Empowerment, and Outcomes in Psychiatric Inpatients
BEHAVIOUR CHANGE ( IF 1.355 ) Pub Date : 2018-02-15 , DOI: 10.1017/bec.2018.2
Lillian L.Y. Seow , Andrew C. Page , Geoffrey R. Hooke , Jason Y.S. Leong

Background: Consumer perceptions of care are a key measure of service quality. The Consumer Perceptions of Care (CPoC) survey is often used to assess patients’ evaluations of the quality of services received. Aims: The study explored the factor structure of the CPoC, the relationships between perceived quality of care, empowerment, perceived treatment outcomes, and symptom change, as well as the effect of allowing patients to self-identify during the CPoC survey on their ratings of perceptions of care. Methods: In the first phase of the current study, 2,125 psychiatric inpatients were surveyed about their perceptions of care, and their symptoms were also measured at both admission and discharge. The second phase examined 720 inpatients who had given consent so that perceptions of care could be compared with outcome data. Results: Increased levels of empowerment were associated with favourable ratings of perceived treatment outcomes. Although perceived treatment outcomes and empowerment were correlated with actual symptom change, these correlations were small. Furthermore, the influence of self-identification on ratings of perceptions of care was found to be small. Conclusions: Examining patients’ perceived and actual treatment outcomes may provide mental health service providers with a more nuanced perspective of the hospital experiences of their patients.

中文翻译:

精神科住院患者的护理质量、赋权和结果之间的关系

背景:消费者对护理的看法是衡量服务质量的关键指标。消费者对护理的看法 (CPoC) 调查通常用于评估患者对所接受服务质量的评价。目标:该研究探讨了 CPoC 的因素结构、感知的护理质量、授权、感知的治疗结果和症状变化之间的关系,以及在 CPoC 调查期间允许患者自我识别对他们的感知评级的影响。关心。方法:在当前研究的第一阶段,对 2,125 名精神病住院患者进行了关于他们对护理的看法的调查,并且还在入院和出院时测量了他们的症状。第二阶段检查了 720 名同意的住院患者,以便将护理感知与结果数据进行比较。结果:授权水平的提高与感知治疗结果的良好评级相关。尽管感知的治疗结果和授权与实际症状变化相关,但这些相关性很小。此外,发现自我认同对护理感知评级的影响很小。结论:检查患者的感知和实际治疗结果可以为心理健康服务提供者提供更细致入微的患者住院体验视角。
更新日期:2018-02-15
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