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首页> 外文期刊>Journal of substance abuse treatment >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
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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

机译：具有物质使用障碍的退伍军人之间的行为医疗保健的看法：在退伍军人卫生管理局中的心理健康服务的国家评估结果

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摘要

Understanding patients' perceptions of care is essential for health care systems. We examined predictors of perceptions of behavioral health care (satisfaction with care, helpfulness of care, and perceived improvement) among veterans with substance use disorders (SUD; n= 1,581) who participated in a phone survey as part of a national evaluation of mental health services in the U.S. Veterans Health Administration. In multivariate analyses, SUD specialty care utilization and higher mental health functioning were associated positively with all perceptions of care, and comorbid schizophrenia, bipolar, and PTSD were associated positively with multiple perceptions of care. Perceived helpfulness of care was associated with receipt of SUD specialty care in the prior 12. months (adjusted OR. = 1.77, p<. .001). Controlling for patient characteristics, satisfaction with care exhibited strong associations with perceptions of staff as supportive and empathic, whereas perceived improvement was strongly linked to the perception that staff helped patients develop goals beyond symptom management. Survey responses that account for variation in SUD patients' perceptions of care could inform and guide quality improvement efforts with this population.
机译：了解患者对护理的看法对于医疗保健系统至关重要。我们研究了对具有物质使用障碍（SUD; N = 1,581）的退伍军人（SUD; N = 1,581）的人行为医疗保健（为护理，乐于助人和感知）的认识的预测因子，作为国家精神健康评估的一部分美国退伍军人健康管理局的服务。在多变量分析中，苏打专业护理利用率和更高的心理健康功能与护理和共同性精神分裂症，双极和PTSD的所有看法呈正相关，并具有肯定的关注。感知乐于护理有关的乐观与事先12.个月（调整或。= 1.77，P <.001）有关。控制患者特征，与护理的满意度表现出强烈的协会，与员工视为支持性和异常的看法，而感知的改善与工作人员帮助患者能够超出症状管理的目标相关联。调查答案涉及抑制患者的护理看法的变化可以为这些人口提供信息和指导质量改进努力。

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