[The patient, an (un-)known being--the subjective view of users].
After a long time medicine has rediscovered the patient and his subjective view. The changing doctor-patient-relationship, the growing influence of user groups and consumer associations, the new model of patients as responsible partners and last not least the increasing financial pressure have resulted in patients being more often and more intensively involved in treatment decisions. This development has influenced psychiatry in general and psychiatric research. Concepts like quality of life and consumer satisfaction were taken up in Germany as well and have stimulated a lot of empirical studies. In addition to traditionally used outcome criteria like severity of disease and symptomatology so called subjective outcome criteria are more and more often applied. Using seven simple questions - why, what for, who, what, in what way, where, when - some general aspects concerning surveys of patient surveys are discussed. Some relevant results are outlined and the actual situation is evaluated. In general the described results of patient surveys refer to patients in hospitals. This can be explained by the structure of our health care system and by the fact that substantial research resources are generally linked to the inpatient sector. Results of inpatient surveys cannot be generalized to outpatients and users of complementary services. In the next years social psychiatric research should bring stronger focus to the subjective perspectives of these patients.
Hoffmann
Karin-Maria
KM
Berliner Institut für Sozialpsychiatrie (Platane 19 e. V.). kmh@platane19.de
D003256:Community Participation / Q000706:statistics & numerical data*; D003258:Consumer Behavior / Q000706:statistics & numerical data*; D005544:Forecasting; D005858:Germany; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy; D010343:Patient Admission / Q000706:statistics & numerical data*; D010358:Patient Participation / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations; D011785:Quality Assurance, Health Care / Q000639:trends; D011788:Quality of Life; D016896:Treatment Outcome