Perceptions of behavioral health care among veterans with substance use disorders: Results from a national evaluation of mental health services in the Veterans Health Administration

Revisão sistemática qualitativa sobre avaliações de serviços em saúde mental na perspectiva dos usuários

“…Todos os artigos por nós enquadrados no modelo A1 partiram de metodologias exclusivamente quantitativas e com análises correspondentes através de programas de mensuração dos dados (26)(27)(28) . O que variou foram: as formas de coleta de dados: entrevistas de múltipla escolha ou aplicação de instrumentos com escalas tipo Likert (22,(29)(30)(31)(32) ; o tamanho da mostra e os participantes (com mais de 300 respondentes, entre trabalhadores, usuários e familiares) (27,(33)(34)(35) ; a técnica de coleta de dados como: entrevistas feitas por telefone, instrumentos autoaplicáveis encaminhadas por cartas, correios eletrônicos ou dispostas na recepção dos serviços (22,26,30,36) .…”

Inpatients’ assessment of outcome at psychiatric institutions: an analysis of predictors following a national cross-sectional survey in Norway

“…This calls for research on predictors of patient satisfaction, especially related to the factors that mental healthcare can influence through quality improvement. Several studies have assessed predictors of patient satisfaction in a mental health setting, including for patients suffering from depression and schizophrenia,10 substance use disorder,11 first-episode psychosis12 13 and major depressive disorders 14. Studies vary widely on most methodological aspects, but common findings include the lack of importance of sociodemographic variables and the importance of disease severity.…”

“…For instance, very few studies included data on coercion, which is an important variable affecting patient experiences and satisfaction,15–17 and only two included patient-centred healthcare processes 11 17. Patient-centred healthcare processes have been measured as staff recovery orientation including involvement of patients and families,11 and strength of therapeutic alliance between patient and clinician 17. Furthermore, most studies on predictors were small, had poorly documented instrument validity and included only one or two specific patient groups.…”

“…Potential predictors include the scales and items on structure and facilities and patient-centred interaction, several variables on sociodemographics and patient-reported health and other healthcare factors related to coerced/voluntary admission and treatment and offensive or incorrect treatment. The patient-centred interaction scale includes aspects related to how the clinician/personnel inform and involve patients, the content being quite similar to previous research on the effects of healthcare processes 11 17…”

“…Based on the current literature, we expected sociodemographic variables to have a small effect on patient-assessed outcome 10–13. We expected self-perceived mental health to be an important predictor for patient-assessed outcome 11. Furthermore, based on two studies that included patient-centred processes,11 17 we expected patient-centred interaction to be one of the most important predictors of patient-assessed outcome.…”