Qualitative analysis of US Department of veterans affairs mental health clinician perspectives on patient-centered care.
Int J Qual Health Care
; 28(3): 355-62, 2016 Jun.
Article
em En
| MEDLINE
| ID: mdl-27029591
ABSTRACT
OBJECTIVE:
Enhanced patient involvement in care has the potential to improve patient experiences and health outcomes. As such, large national and global healthcare systems and organizations, including the US Department of Veterans Affairs (VA), have made patient-centered care a primary goal. Little is known about mental health clinician perspectives on, and experiences with, providing patient-centered care. Our main objective was to better understand VA mental health clinicians' perceptions of patient-centered care, and ascertain possible facilitators and barriers to patient-centered practices in mental health settings.DESIGN:
Qualitative study of six focus groups conducted in late 2013. SETTING ANDPARTICIPANTS:
Thirty-five mental health clinicians and staff from a large VA Medical Center.OUTCOMES:
Transcripts were analyzed using an inductive and deductive thematic analysis approach.RESULTS:
Participants described patient-centered care ideally as a process of shared discovery, and expressed general enthusiasm for patient-centered care. Participants described several ongoing patient-centered care practices but conveyed concerns about the practicalities of its full implementation. Participants expressed a strong desire to change the current biomedical culture and policies of the institution that may hinder clinicians' flexibility and clinician-clinician collaboration when serving patients. In particular, clinicians worried about being held responsible for addressing all of the needs or goals that a patient may identify.CONCLUSIONS:
If patient-centered care is to be practiced fully in mental health settings, healthcare institutions need to develop multimodal strategies to enhance clinician-clinician and clinician-patient collaborations to promote and support a focus on discovery and shared accountability for outcomes.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Participação do Paciente
/
United States Department of Veterans Affairs
/
Pessoal de Saúde
/
Assistência Centrada no Paciente
/
Serviços de Saúde Mental
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Int J Qual Health Care
Assunto da revista:
SERVICOS DE SAUDE
Ano de publicação:
2016
Tipo de documento:
Article