信任和感知到的心理健康接入:探索感知到的接入障碍和退伍军人报告的信任之间的关系
Jeffrey M Pyne1, P Adam Kelly2, Ellen P Fischer1
1Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System.
Psychological services
|December 21, 2023
概括
识别医疗保健获取障碍是改善患者信任的关键. 这项研究发现,特定的进入障碍,而不是人口统计数据,预测了对心理健康提供者和VA系统的信任.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
- 患者信任患者的信任
背景情况:
- 患者的信任在医疗保健中至关重要,但很难影响.
- 影响信任的可采取行动的医疗保健准入障碍尚未得到充分理解.
研究的目的:
- 确定与患者不信任相关且预测可采取行动的访问障碍.
- 探索感知到的进入障碍与对心理健康提供者和医疗保健系统的信任之间的关系.
主要方法:
- 分析了来自353名退伍军人的横截面数据,这些退伍军人对心理健康状况呈阳性查.
- 利用感知访问清单 (PAI) 来评估VA精神卫生服务的障碍.
- 采用斯皮尔曼相关性和线性回归来检查访问障碍,信任和人口统计之间的关系.
主要成果:
- 两变相关性显示年龄,抑郁和焦虑症状,以及与信任相关的PAI项目.
- 多变量回归仅揭示了PAI访问障碍,显著预测了供应商和系统信任.
- 特定的PAI项目成为信任水平的关键预测指标.
结论:
- 通过PAI识别的可操作的访问障碍是患者信任的重要预测因素.
- 针对这些特定进入障碍的干预措施可以提高对心理健康提供者和VA系统的信任.
- 解决接入障碍是提高患者对医疗保健的信任的直接途径.
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