Loss of relational continuity of care in schizophrenia: associations with patient satisfaction and quality of care

Background Users of mental health service are concerned about changes in clinicians providing their care, but little is known about their impact. Aims To examine associations between changes in staff,...

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Main Authors: Rahil Sanatinia, Violet Cowan, Kirsten Barnicot, Krysia Zalewska, David Shiers, Stephen J. Cooper, Mike J. Crawford
Format: Article
Language:English
Published: Cambridge University Press 2016-09-01
Series:BJPsych Open
Online Access:https://www.cambridge.org/core/product/identifier/S2056472400001782/type/journal_article
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author Rahil Sanatinia
Violet Cowan
Kirsten Barnicot
Krysia Zalewska
David Shiers
Stephen J. Cooper
Mike J. Crawford
author_facet Rahil Sanatinia
Violet Cowan
Kirsten Barnicot
Krysia Zalewska
David Shiers
Stephen J. Cooper
Mike J. Crawford
author_sort Rahil Sanatinia
collection DOAJ
description Background Users of mental health service are concerned about changes in clinicians providing their care, but little is known about their impact. Aims To examine associations between changes in staff, and patient satisfaction and quality of care. Method A national cross-sectional survey of 3379 people aged 18 or over treated in secondary care for schizophrenia or schizoaffective disorder. Results Nearly 41.9% reported at least one change in their key worker during the previous 12 months and 10.5% reported multiple changes. Those reporting multiple changes were less satisfied with their treatment and less likely to report having a care plan, knowing how to obtain help when in a crisis or to have had recommended physical health assessments. Conclusions Frequent changes in staff providing care for people with psychosis are associated with poorer quality of care. Greater efforts need to be made to protect relational continuity of care for such patients.
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spelling doaj.art-cff0fdef64284a8fad20bf08768fb9902023-03-09T12:28:40ZengCambridge University PressBJPsych Open2056-47242016-09-01231832210.1192/bjpo.bp.116.003186Loss of relational continuity of care in schizophrenia: associations with patient satisfaction and quality of careRahil Sanatinia0Violet Cowan1Kirsten Barnicot2Krysia Zalewska3David Shiers4Stephen J. Cooper5Mike J. Crawford6Centre for Mental Health, Imperial College London, London, UKCentre for Mental Health, Imperial College London, London, UKCentre for Mental Health, Imperial College London, London, UKCollege Centre for Quality Improvement, Royal College of Psychiatrists, London, UKCollege Centre for Quality Improvement, Royal College of Psychiatrists, London, UKCollege Centre for Quality Improvement, Royal College of Psychiatrists, London, UKCollege Centre for Quality Improvement, Royal College of Psychiatrists, London, UK Background Users of mental health service are concerned about changes in clinicians providing their care, but little is known about their impact. Aims To examine associations between changes in staff, and patient satisfaction and quality of care. Method A national cross-sectional survey of 3379 people aged 18 or over treated in secondary care for schizophrenia or schizoaffective disorder. Results Nearly 41.9% reported at least one change in their key worker during the previous 12 months and 10.5% reported multiple changes. Those reporting multiple changes were less satisfied with their treatment and less likely to report having a care plan, knowing how to obtain help when in a crisis or to have had recommended physical health assessments. Conclusions Frequent changes in staff providing care for people with psychosis are associated with poorer quality of care. Greater efforts need to be made to protect relational continuity of care for such patients. https://www.cambridge.org/core/product/identifier/S2056472400001782/type/journal_article
spellingShingle Rahil Sanatinia
Violet Cowan
Kirsten Barnicot
Krysia Zalewska
David Shiers
Stephen J. Cooper
Mike J. Crawford
Loss of relational continuity of care in schizophrenia: associations with patient satisfaction and quality of care
BJPsych Open
title Loss of relational continuity of care in schizophrenia: associations with patient satisfaction and quality of care
title_full Loss of relational continuity of care in schizophrenia: associations with patient satisfaction and quality of care
title_fullStr Loss of relational continuity of care in schizophrenia: associations with patient satisfaction and quality of care
title_full_unstemmed Loss of relational continuity of care in schizophrenia: associations with patient satisfaction and quality of care
title_short Loss of relational continuity of care in schizophrenia: associations with patient satisfaction and quality of care
title_sort loss of relational continuity of care in schizophrenia associations with patient satisfaction and quality of care
url https://www.cambridge.org/core/product/identifier/S2056472400001782/type/journal_article
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