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A clients' perspective on demand-oriented and demand-driven health care
Madeleine J N Rijckmans1, Inge M B Bongers, Henk F L Garretsen
1Tilburg University, Research Program TRANZO, The Netherlands. M.J.N.Rijckmans@UvT.nl
The International Journal of Social Psychiatry
|March 6, 2007
Summary
Clients in ambulatory mental health care value demand-driven approaches, particularly being heard and involved in decision-making. The way decisions are made is more important than who makes them for a positive healthcare experience.
Area of Science:
- Healthcare policy
- Mental health services
- Client-centered care
Background:
- Increasing demand for client-centered healthcare in Western Europe.
- Focus on clients' perspectives in healthcare policy and services.
- Need to understand client views in healthcare settings.
Purpose of the Study:
- To gain insight into the clients' perspective on healthcare.
- To evaluate the appreciation of demand-oriented approaches in mental health care.
Main Methods:
- A 2004 postal survey of 865 ambulatory mental health clients in the Netherlands.
- Sample stratified by treatment history to include diverse client experiences.
- Data collected from 4250 initially surveyed clients.
Main Results:
- Key client values include needs assessment through consultation, pleasant treatment, and clear information on options.
- Significant correlations found between client satisfaction and background factors like income, education, age, sex, and treatment history.
- Clients prioritize the *process* of decision-making over the *decision-maker*.
Conclusions:
- Ambulatory mental health clients generally appreciate demand-oriented and demand-driven care models.
- Client involvement and feeling heard are crucial aspects of the decision-making process.
- While appreciation varies, client involvement is consistently valued.
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