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首页> 外文期刊>The British journal of psychiatry : >Structured patient-clinician communication and 1-year outcome in community mental healthcare: cluster randomised controlled trial.
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Structured patient-clinician communication and 1-year outcome in community mental healthcare: cluster randomised controlled trial.

机译：结构化的患者-临床医生交流和社区精神卫生保健的1年结果：整群随机对照试验。

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BACKGROUND: Patient-clinician communication is central to mental healthcare but neglected in research. AIMS: To test a new computer-mediated intervention structuring patient-clinician dialogue (DIALOG) focusing on patients' quality of life and needs for care. METHOD: In a cluster randomised controlled trial, 134 keyworkers in six countries were allocated to DIALOG or treatment as usual; 507 people with schizophrenia or related disorders were included. Every 2 months for 1 year, clinicians asked patients to rate satisfaction with quality of life and treatment, and request additional or different support. Responses were fed back immediately in screen displays, compared with previous ratings and discussed. Primary outcome was subjective quality of life, and secondary outcomes were unmet needs and treatment satisfaction. RESULTS: Of 507 patients, 56 were lost to follow-up and 451 were included in intention-to-treat analyses. Patients receiving the DIALOG intervention had better subjective quality of life, fewer unmet needs and higher treatment satisfaction after 12 months. CONCLUSIONS: Structuring patient-clinician dialogue to focus on patients' views positively influenced quality of life, needs for care and treatment satisfaction.
机译：背景：患者与临床医生之间的交流对于心理保健至关重要，但在研究中却被忽略。目的：测试一种新的以计算机为媒介的干预措施，以关注患者的生活质量和护理需求为基础构建患者与临床医生的对话（DIALOG）。方法：在一项整群随机对照试验中，将六个国家的134名主要工作人员分配到DIALOG或照常治疗;包括精神分裂症或相关疾病的507人。为期1年的每2个月，临床医生要求患者对生活质量和治疗的满意度进行评估，并要求其他或不同的支持。屏幕显示中立即反馈了反馈，并与以前的评分进行了讨论。主要结果是主观生活质量，次要结果是未满足的需求和治疗满意度。结果：在507例患者中，有56例失去了随访，其中451例被纳入了意向性治疗分析。接受DIALOG干预的患者在12个月后具有更好的主观生活质量，更少的未满足需求和更高的治疗满意度。结论：构建患者与临床医生之间的对话以关注患者的观点对生活质量，护理需求和治疗满意度产生了积极影响。

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