Engaging with the Beneficiaries in Reforming Health Care. A Case Study of Patient Involvement in the Reform of Psychiatric Care in the Czech Republic
<p>The involvement of patients and their families in healthcare policymaking has been a general trend in recent years. This tendency can be observed also in the process of the current reform of psychiatric care in the Czech Republic, which should gradually shift the focus of psychiatric care f...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Babes-Bolyai University, Cluj-Napoca
2021-06-01
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| Series: | Transylvanian Review of Administrative Sciences |
| Subjects: | |
| Online Access: | https://rtsa.ro/tras/index.php/tras/article/view/662 |
| _version_ | 1797262646620192768 |
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| author | Karolína Dobiášová Miriam Kotrusová Magdalena Wolfová |
| author_facet | Karolína Dobiášová Miriam Kotrusová Magdalena Wolfová |
| author_sort | Karolína Dobiášová |
| collection | DOAJ |
| description | <p>The involvement of patients and their families in healthcare policymaking has been a general trend in recent years. This tendency can be observed also in the process of the current reform of psychiatric care in the Czech Republic, which should gradually shift the focus of psychiatric care from large facilities to community care. Organizations representing patients and their families are among the key stakeholders in this reform. The present study analyses semi-structured in-depth interviews and documents with the objective to map and evaluate the process of patient involvement in the reform from its launch to its implementation in 2012-2019.</p><p>The study identifies the major barriers to patient involvement – on the part of the patients and their organizations, professionals (healthcare professionals, care providers, administration, policymakers), as well as the whole society. It becomes clear that the reform encourages patient involvement, with a palpable shift from consultation to involvement. Still, there are many obstacles to patient involvement in the Czech Republic: the mental state, social and economic situation of the patients, paternalism on the part of care providers, tokenism or stigmatization of mentally ill people.</p> |
| first_indexed | 2024-03-11T11:46:28Z |
| format | Article |
| id | doaj.art-6c81bcfa22b04b46bba2abc3f635f968 |
| institution | Directory Open Access Journal |
| issn | 1842-2845 |
| language | English |
| last_indexed | 2024-04-25T00:00:25Z |
| publishDate | 2021-06-01 |
| publisher | Babes-Bolyai University, Cluj-Napoca |
| record_format | Article |
| series | Transylvanian Review of Administrative Sciences |
| spelling | doaj.art-6c81bcfa22b04b46bba2abc3f635f9682024-03-14T07:28:38ZengBabes-Bolyai University, Cluj-NapocaTransylvanian Review of Administrative Sciences1842-28452021-06-011763304810.24193/tras.63E.2695Engaging with the Beneficiaries in Reforming Health Care. A Case Study of Patient Involvement in the Reform of Psychiatric Care in the Czech RepublicKarolína Dobiášová0Miriam Kotrusová1Magdalena Wolfová2Associate Professor, Institute of Sociological Studies, Faculty of Social Sciences, Charles University, Prague, Czech RepublicAssociate Professor, Institute of Sociological Studies, Faculty of Social Sciences, Charles University, Prague, Czech RepublicResearcher, Institute of Sociological Studies, Faculty of Social Sciences, Charles University, Prague, Czech Republic<p>The involvement of patients and their families in healthcare policymaking has been a general trend in recent years. This tendency can be observed also in the process of the current reform of psychiatric care in the Czech Republic, which should gradually shift the focus of psychiatric care from large facilities to community care. Organizations representing patients and their families are among the key stakeholders in this reform. The present study analyses semi-structured in-depth interviews and documents with the objective to map and evaluate the process of patient involvement in the reform from its launch to its implementation in 2012-2019.</p><p>The study identifies the major barriers to patient involvement – on the part of the patients and their organizations, professionals (healthcare professionals, care providers, administration, policymakers), as well as the whole society. It becomes clear that the reform encourages patient involvement, with a palpable shift from consultation to involvement. Still, there are many obstacles to patient involvement in the Czech Republic: the mental state, social and economic situation of the patients, paternalism on the part of care providers, tokenism or stigmatization of mentally ill people.</p>https://rtsa.ro/tras/index.php/tras/article/view/662mental healthcare policypatient’s involvementpatients and caregivers organizationspsychiatric care reform. |
| spellingShingle | Karolína Dobiášová Miriam Kotrusová Magdalena Wolfová Engaging with the Beneficiaries in Reforming Health Care. A Case Study of Patient Involvement in the Reform of Psychiatric Care in the Czech Republic Transylvanian Review of Administrative Sciences mental healthcare policy patient’s involvement patients and caregivers organizations psychiatric care reform. |
| title | Engaging with the Beneficiaries in Reforming Health Care. A Case Study of Patient Involvement in the Reform of Psychiatric Care in the Czech Republic |
| title_full | Engaging with the Beneficiaries in Reforming Health Care. A Case Study of Patient Involvement in the Reform of Psychiatric Care in the Czech Republic |
| title_fullStr | Engaging with the Beneficiaries in Reforming Health Care. A Case Study of Patient Involvement in the Reform of Psychiatric Care in the Czech Republic |
| title_full_unstemmed | Engaging with the Beneficiaries in Reforming Health Care. A Case Study of Patient Involvement in the Reform of Psychiatric Care in the Czech Republic |
| title_short | Engaging with the Beneficiaries in Reforming Health Care. A Case Study of Patient Involvement in the Reform of Psychiatric Care in the Czech Republic |
| title_sort | engaging with the beneficiaries in reforming health care a case study of patient involvement in the reform of psychiatric care in the czech republic |
| topic | mental healthcare policy patient’s involvement patients and caregivers organizations psychiatric care reform. |
| url | https://rtsa.ro/tras/index.php/tras/article/view/662 |
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