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首页> 外文期刊>The International journal of social psychiatry >Treatment goals in addiction healthcare: the perspectives of patients and clinicians.
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Treatment goals in addiction healthcare: the perspectives of patients and clinicians.

机译：成瘾医疗保健的治疗目标：患者和临床医生的观点。

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BACKGROUND: Little is known about the perspectives of either patients or clinicians regarding treatment goals in addiction healthcare. In general, treatment goals involve abstinence or at least reduction of substance use. AIM: To examine and compare the treatment goals indicated by both patients and clinicians at baseline, interim and exit measurement. METHOD: A descriptive study was performed with multiple measurements of treatment goals. Patients (n = 111) and clinicians (n = 20) were recruited from three addiction treatment centres in the Netherlands. A Shared Decision Making Intervention (SDMI) was undertaken to promote and evaluate treatment agreement. RESULTS: Patients identified treatment goals of daytime activities and abstinence or reduced alcohol consumption as most important. Clinicians indicated psychological distress, daytime activities and substance use as most important. Differences between patients and clinicians were found for the treatment goals of physical health (patient > clinician) and psychological distress (clinician > patient). The results further showed that treatment goals of both patients and clinicians become more closely aligned during the course of treatment. CONCLUSION: SDMI provides a method to explore and discuss discrepancy between patients' and clinicians' goals of treatment which leads to convergence. Such convergence is likely to be a necessary prerequisite for positive treatment outcomes.
机译：背景：关于成瘾医疗保健中的治疗目标，患者或临床医生的观点鲜为人知。通常，治疗目标包括戒酒或至少减少药物的使用。目的：检查和比较患者和临床医生在基线，中期和出院时所指示的治疗目标。方法：一项描述性研究进行了治疗目标的多次测量。患者（n = 111）和临床医生（n = 20）来自荷兰的三个成瘾治疗中心。进行了一项共享决策干预（SDMI），以促进和评估治疗协议。结果：患者确定白天活动和戒酒或减少饮酒的治疗目标最为重要。临床医生指出，心理困扰，白天活动和吸毒最为重要。发现患者和临床医生在身体健康（患者>临床医生）和心理困扰（临床医生>患者）的治疗目标上存在差异。结果进一步表明，患者和临床医生的治疗目标在治疗过程中变得更加紧密一致。结论：SDMI提供了一种方法来探讨和讨论患者和临床医生的治疗目标之间的差异，从而导致收敛。这种融合可能是积极治疗结果的必要先决条件。

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