Patients’ and family members’ experiences of psychiatric inpatient services in China: a comparison based on a dyadic design

Zhou, Wei; Xie, Guanqing; Yu, Yu; Gong, Huihui; Xiao, Shuiyuan

doi:10.1007/s00127-022-02296-w

Cited by 3 publications

(4 citation statements)

References 47 publications

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“…After covariate adjustment, "asking patient's opinions when making decisions" (Domian: Autonomy) was the only item with poorer patient assessment on mental health services than on physical health services (AOR = 0.024; 95% CI = 0.259-0.910). The problem of neglecting voices of patients with mental disorders in medical decision-making were consistently reported in previous studies in China (42)(43)(44)(45)(46)(47). One major reason is the prevailing concern on patients' insight (48).…”

Section: Discussionmentioning

confidence: 59%

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A comparison of patient-reported quality between inpatient services for mental and physical health: A tertiary-hospital-based survey in China

Zhou

Xiao²,

Xie³

et al. 2023

Front. Psychiatry

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BackgroundIt is widely acknowledged that quality of mental health services is routinely worse than physical health services across countries. However, studies separately investigating mental health services often report high-level satisfaction, even comparing with physical health services. Therefore, this study aimed to compare patient-reported quality between inpatient services for mental and physical health in China.MethodsAn inpatient survey was conducted among service users of mental and physical health services. Patient-reported quality was measured by the responsiveness performance questionnaire after patient discharge and based on patients' multiple experiences of hospitalization in the past 3 years. Chi-square tests were performed to compare the two patient groups' ratings on inpatient services for mental and physical health, and multivariate logistic regression was performed to adjust covariates in the group comparison.ResultsInpatient services for mental health were rated better than those for physical health on “treating with respect” (AOR = 3.083, 95% CI = 1.102–8.629) and “choosing a healthcare provider” (AOR = 2.441, 95% CI = 1.263–4.717). However, mental health services had poorer ratings on “asking patient's opinions” (AOR = 0.485, 95% CI = 0.259–0.910). For other responsiveness items, no significant difference was detected between the two types of inpatient services.ConclusionMental health inpatient services provided by China's tertiary hospitals could perform as well as physical health inpatient services in most aspects and even better perform regarding dignity and choice of healthcare providers. However, neglecting patients' voices is more severe in inpatient services for mental health.

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Section: Discussionmentioning

confidence: 59%

“…One major reason is the prevailing concern on patients' insight (48). As a result, family members tend to play a more important role than patients themselves in informed consent and shared decision in China' psychiatric setting (42,(44)(45)(46)(47).…”

Section: Discussionmentioning

confidence: 99%

A comparison of patient-reported quality between inpatient services for mental and physical health: A tertiary-hospital-based survey in China

Zhou

Xiao²,

Xie³

et al. 2023

Front. Psychiatry

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“…According to the National Mental Health Law of China ( 2012), when patients with severe mental disorders have behaviors or risk of self-harm or harming others, inpatient treatment should be imposed upon family members' request (H. Chen et al, 2012). The family-oriented practices in mental health services in China could facilitate mental-health-service utilization among patients with severe mental disorders (Zhou, Ouyang et al, 2022;Zhou, Xie 2022).…”

Section: Discussionmentioning

confidence: 99%

“…Chen et al, 2012). The family-oriented practices in mental health services in China could facilitate mental-health-service utilization among patients with severe mental disorders (Zhou, Ouyang et al, 2022; Zhou, Xie 2022).…”

Section: Discussionmentioning

confidence: 99%

Understanding components and predictors of delay of first treatment for mental health problems: A hospital-based study in China

Xie

Zhou

Xiao

et al. 2023

Int J Soc Psychiatry

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Background: Understanding components and predictors of delay of first treatment for mental health problems are crucial to inform interventions for earlier treatment. However, Chinese-context knowledge of this theme is still limited. Methods: We conducted an inpatient survey among 206 patients with various mental disorders in China. Delay of first utilization of mental healthcare (Delay-Total) and its two components of help-seeking delay (Delay-H) and referral delay (Delay-R) were assessed in terms of occurrence and duration. Binary logistic regression was performed to test predictors of Delay-Total, Delay-H and Delay-R, and multiple linear regression was used to test predictors of delay durations. Results: Overall, 66.0% patients experienced Delay-Total, with a duration range of 0 to 353 months; 49.5% patients had Delay-H (duration range = 0–207 months) and 29.6% with Delay-R (duration range = 0–323 months). Multivariate logistic regression analysis found that the diagnosis of severe mental disorders was a consistent predictor for a reduced chance of Delay-Total, Delay-H and Delay-R. Multiple linear regression analysis demonstrated that younger age of disorder onset and disorder onset before 2016 were significantly associated with longer delay. Conclusions: Delay of first treatment for mental health problems is still common in China. However, the development of mental health policy and services promotes shorter treatment delay. The diagnosis of common mental disorders and younger age of onset are risk factors of the occurrence and duration of delay, respectively. Thus, education of the public and non-mental-healthcare professionals are needed for better disorder recognition and more efforts should be inputted to support youngsters’ utilization of mental healthcare.

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Knowledge of mental health diagnosis among patients and their family members: an inpatient survey in China

Zhou

Ouyang

et al. 2022

Journal of Mental Health

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Patients’ and family members’ experiences of psychiatric inpatient services in China: a comparison based on a dyadic design

Cited by 3 publications

References 47 publications

A comparison of patient-reported quality between inpatient services for mental and physical health: A tertiary-hospital-based survey in China

A comparison of patient-reported quality between inpatient services for mental and physical health: A tertiary-hospital-based survey in China

Understanding components and predictors of delay of first treatment for mental health problems: A hospital-based study in China

Knowledge of mental health diagnosis among patients and their family members: an inpatient survey in China

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