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The patient's view of quality in psychiatric outpatient care.

Lundqvist, L-O; Ahlström, Gerd LU ; Wilde-Larsson, B and Schröder, A (2012) In Journal of Psychiatric and Mental Health Nursing 19(7). p.629-637
Abstract
ACCESSIBLE SUMMARY: • This paper describes Swedish outpatients' perception of the quality of psychiatric care they received. A large number of patients (1340) from 15 outpatient clinics participated in the study. • A newly developed and tested questionnaire, the Quality in Psychiatric Care - Out-Patient, was used. • The patients' highest ratings were for Encounter (staff-patient interaction), the lowest were for Discharge. Most notably, quality of care was rated higher by women, older people, those with a partner, those with a lower educational level and those who were gainfully employed. In relation to the visit to the clinic, higher quality of care was associated with shorter waiting time, better information and meeting with fewer... (More)
ACCESSIBLE SUMMARY: • This paper describes Swedish outpatients' perception of the quality of psychiatric care they received. A large number of patients (1340) from 15 outpatient clinics participated in the study. • A newly developed and tested questionnaire, the Quality in Psychiatric Care - Out-Patient, was used. • The patients' highest ratings were for Encounter (staff-patient interaction), the lowest were for Discharge. Most notably, quality of care was rated higher by women, older people, those with a partner, those with a lower educational level and those who were gainfully employed. In relation to the visit to the clinic, higher quality of care was associated with shorter waiting time, better information and meeting with fewer professions. Older people and those gainfully employed reported better mental health. The longer the waiting time and the greater the number of professions met, the poorer mental health was reported. • The conclusion was that although a majority of the patients rated the quality of outpatient care as high, aspects of it remain unsatisfactory. The Quality in Psychiatric Care - Out-Patient offers an easy way to assess patients' perception of the quality of care they receive as an outpatient and has a useful role to play in quality-assurance evaluations. ABSTRACT: The influence of demographic characteristics on patients' ratings of the quality of psychiatric outpatient care has been given little attention in research. The aim of the present study is to elucidate the quality of psychiatric care among outpatients and investigate demographic and clinical factors associated with the way in which this quality is perceived. A sample of 1340 outpatients from 15 general adult psychiatric clinics in Sweden completed the Quality in Psychiatric Care - Out-Patient (QPC-OP), with a response rate of 71%. The patients' highest ratings were for Encounter; the lowest were for Discharge. Most notably, quality of care was rated higher by women, older people, those with a partner, those with a lower educational level and those who were gainfully employed. In regard to visits to the clinic, higher quality of care was associated with shorter waiting time, better information and fewer professions encounters. Older people and those gainfully employed reported better mental health. Thus the QPC-OP was associated with both demographic and clinical factors. In particular, 'wanting to come back to the clinic' was the single strongest predictor of quality. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Psychiatric and Mental Health Nursing
volume
19
issue
7
pages
629 - 637
publisher
John Wiley & Sons
external identifiers
  • WOS:000306856600008
  • PMID:22385022
  • Scopus:84864291518
ISSN
1351-0126
DOI
10.1111/j.1365-2850.2012.01899.x
language
English
LU publication?
yes
id
e9ca0fc2-ee1b-4b5b-879a-8f7bf94e18b2 (old id 2432293)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22385022?dopt=Abstract
date added to LUP
2012-04-03 08:35:46
date last changed
2016-10-13 04:28:28
@misc{e9ca0fc2-ee1b-4b5b-879a-8f7bf94e18b2,
  abstract     = {ACCESSIBLE SUMMARY: • This paper describes Swedish outpatients' perception of the quality of psychiatric care they received. A large number of patients (1340) from 15 outpatient clinics participated in the study. • A newly developed and tested questionnaire, the Quality in Psychiatric Care - Out-Patient, was used. • The patients' highest ratings were for Encounter (staff-patient interaction), the lowest were for Discharge. Most notably, quality of care was rated higher by women, older people, those with a partner, those with a lower educational level and those who were gainfully employed. In relation to the visit to the clinic, higher quality of care was associated with shorter waiting time, better information and meeting with fewer professions. Older people and those gainfully employed reported better mental health. The longer the waiting time and the greater the number of professions met, the poorer mental health was reported. • The conclusion was that although a majority of the patients rated the quality of outpatient care as high, aspects of it remain unsatisfactory. The Quality in Psychiatric Care - Out-Patient offers an easy way to assess patients' perception of the quality of care they receive as an outpatient and has a useful role to play in quality-assurance evaluations. ABSTRACT: The influence of demographic characteristics on patients' ratings of the quality of psychiatric outpatient care has been given little attention in research. The aim of the present study is to elucidate the quality of psychiatric care among outpatients and investigate demographic and clinical factors associated with the way in which this quality is perceived. A sample of 1340 outpatients from 15 general adult psychiatric clinics in Sweden completed the Quality in Psychiatric Care - Out-Patient (QPC-OP), with a response rate of 71%. The patients' highest ratings were for Encounter; the lowest were for Discharge. Most notably, quality of care was rated higher by women, older people, those with a partner, those with a lower educational level and those who were gainfully employed. In regard to visits to the clinic, higher quality of care was associated with shorter waiting time, better information and fewer professions encounters. Older people and those gainfully employed reported better mental health. Thus the QPC-OP was associated with both demographic and clinical factors. In particular, 'wanting to come back to the clinic' was the single strongest predictor of quality.},
  author       = {Lundqvist, L-O and Ahlström, Gerd and Wilde-Larsson, B and Schröder, A},
  issn         = {1351-0126},
  language     = {eng},
  number       = {7},
  pages        = {629--637},
  publisher    = {ARRAY(0xa7f9690)},
  series       = {Journal of Psychiatric and Mental Health Nursing},
  title        = {The patient's view of quality in psychiatric outpatient care.},
  url          = {http://dx.doi.org/10.1111/j.1365-2850.2012.01899.x},
  volume       = {19},
  year         = {2012},
}