We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Patient-clinician Communication and Needs Identification for Outpatients with Schizophrenia in Hong Kong: Role of the 2-COM Instrument.
- Authors
Hui, C. L. M.; Wong, G. H. Y.; Lam, C. Y. K.; Chow, P. P. L.; Chen, E. Y. H.
- Abstract
Objectives: To assess perceived needs of schizophrenic outpatients in Hong Kong, and the effectiveness of clinicians in identifying those needs; and to explore the use of a self-rated instrument to enhance needs identification. Participants and Methods: The two-way communication checklist was completed by 70 outpatients before consultation. Their clinicians were either given the checklist during the consultation (2-COM group, n=36), or were unaware of the patient's answers and independently completed the checklist (needs awareness group, n = 34). As standard care group (n = 35) was included for comparison. Consultation time and patient satisfaction were also recorded. Results: The major concern of patients was information about their illness and treatment (59%). In the needs awareness group, under-recognition of patients' needs by clinicians was observed in various domains. Consultation time (mean, 5.6 minutes) correlated with the number of needs identified by clinicians. The 2-COM group showed a trend towards higher satisfaction compared to the standard care group, although this did not reach statistical significance. Conclusions: Clinicians may under-identify problems perceived by patients due to time constraints and other factors. The use of a structured questionnaire may facilitate effective needs identification in a busy outpatient clinic.
- Subjects
HONG Kong (China); CHINA; ECHOLALIA; SCHIZOTYPAL personality disorder; SCHIZOPHRENIA; DEPERSONALIZATION; SCHIZOPHASIA; PARANOID schizophrenia; PERSONALITY disorders
- Publication
Hong Kong Journal of Psychiatry, 2008, Vol 18, Issue 2, p69
- ISSN
1026-2121
- Publication type
Article