What do patients want and do we want to know? A review of patients' requests of psychiatric services

Author(s): Douglas, B. C., Newman, S. P.

Journal/Book: Acta Psychiat Scand. 1999; 100: 35 Norre Sogade, PO Box 2148, Dk-1016 Copenhagen, Denmark. Munksgaard Int Publ Ltd. 321-327.

Abstract: Objective: A systematic review was conducted of the literature concerning patients' requests of psychiatric care in order to identify the types of requests patients make, psychiatrists' perceptions of their patients' requests, and the relationship between requests and the outcome of care. Method: A total of 28 published original articles which fulfilled specific inclusion criteria were reviewed. Results: The studies showed that there are certain core requests that patients make irrespective of the type of service attended. Patients mainly request psychological approaches, and the most common requests are for 'clarification', 'psychological expertise' and 'psychodynamic insight'. There is evidence that patients normally feel inhibited about making requests, and that psychiatrists often fail to identify what their patients want. Conclusion: The majority of patients attending psychiatric services have requests which they will express when encouraged to do so, but little is known about the relationship between patients' requests and the outcome of care. Recommendations are made for future research.

Note: Review Noble LM, Univ Coll London, Unit Hlth Psychol, Dept Psychiat & Behav Sci, Wolfson Bldg, 48 Riding House St, London W1N 8AA, ENGLAND

Keyword(s): mental disorders therapy; consumer satisfaction; physician-patient relations; WALK-IN; MEASURING EXPECTATIONS; NEGOTIATED APPROACH; CLINICAL CARE; HEALTH-CARE; SATISFACTION; COMMUNITY; PERSPECTIVE; INPATIENTS; INTERVIEW

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