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标题：Patient satisfaction with treatments and outcomes in residential addiction institutions
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作者：Helle Wessel Andersson ; Eli Otterholt ; Rolf W. Gråwe 等
期刊名称：Nordic Studies on Alcohol and Drugs
印刷版ISSN：1455-0725
电子版ISSN：1458-6126
出版年度：2017
卷号：34
期号：5
页码：375-384
DOI：10.1177/1455072517718456
摘要：The objective of the present study was to investigate associations between patients’ satisfaction with different domains of inpatient substance use treatment and their perceived treatment outcome. The primary purpose was to identify domains of treatment satisfaction most strongly associated with a positive treatment outcome. Data were based on a survey among 188 patients with alcohol and/or illicit substance use disorders completing a three–six-month inpatient stay at one of two public clinics in Central Norway. The survey was carried out shortly before discharge. The 15-item questionnaire covered ratings of staff and programme factors, and services received for medical and mental problems and ancillary services. The outcome score was based on items measuring perceived substance use improvements and benefit of treatment. A significant proportion of patients were dissatisfied with the support provided for housing, financial issues and employment. Confidence in staff competence was the domain of treatment satisfaction most strongly associated with the outcome score. Furthermore, patients were more likely to report a positive outcome when they were actively involved in the treatment, as indicated by satisfaction with opportunities to affect treatment plans. Our results suggest that patient-experienced improvements are connected to confidence in staff competence and user involvement. The findings may be interpreted as supporting a collaborative relationship between patients and counsellors.
关键词：patient satisfaction; residential treatment; substance use disorder; treatment outcome; user involvement