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Abstract

Objective:

To meet the demand for high-quality care, health care organizations are directing policy and care delivery toward person-centered care. Yet, knowledge of what patients value most in their encounters with the mental health care system is lacking. This scoping review aimed to synthesize the current evidence on patients’ preferences during episodes of care within the mental health care system and to identify categories and subthemes of these preferences.

Methods:

A comprehensive search of Embase, PubMed, and PsycInfo was conducted in accordance with the revised JBI methodology for scoping reviews. The literature review included studies of inpatients and outpatients (ages ≥18 years) with mental disorders. The primary concepts of interest were patients’ preferences and priorities for mental health care services.

Results:

Twenty-seven publications from the period 2000–2022 were included in the scoping review. Ten categories of patient preferences were identified: interactions with health care staff, involvement in care, diagnosis and symptom relief, interpersonal skills of health care staff, access and time, pharmacological treatment, coping and recovery, physical environment, information, and continuity of care. Interactions with health care staff, involvement in care, and diagnosis and symptom relief were most mentioned by patients as important aspects of care.

Conclusions:

The scoping review highlighted the importance to patients of their interactions with health care staff. The results can be used to inform decision making for enhancement of person-centered care. Further research should include diagnosis-specific preferences, longitudinal study designs, and a systematic framework to assess patients’ preferences.

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Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services

History

Received: 10 July 2024
Revision received: 8 November 2024
Accepted: 11 December 2024
Published online: 11 March 2025

Keywords

  1. quality of care
  2. quality improvement
  3. public health
  4. recovery
  5. research/service delivery
  6. mental health care

Authors

Details

Psychiatry, North Denmark Region, Aalborg (Kristensen, Steen, Skinnerup, Terp, Mainz); Danish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Gistrup, Denmark (Kristensen, Johnsen, Valentin, Mainz).
Louise Steen
Psychiatry, North Denmark Region, Aalborg (Kristensen, Steen, Skinnerup, Terp, Mainz); Danish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Gistrup, Denmark (Kristensen, Johnsen, Valentin, Mainz).
Luise Skinnerup, B.Sc.
Psychiatry, North Denmark Region, Aalborg (Kristensen, Steen, Skinnerup, Terp, Mainz); Danish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Gistrup, Denmark (Kristensen, Johnsen, Valentin, Mainz).
Psychiatry, North Denmark Region, Aalborg (Kristensen, Steen, Skinnerup, Terp, Mainz); Danish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Gistrup, Denmark (Kristensen, Johnsen, Valentin, Mainz).
Søren Paaske Johnsen, Ph.D. https://orcid.org/0000-0002-2787-0271
Psychiatry, North Denmark Region, Aalborg (Kristensen, Steen, Skinnerup, Terp, Mainz); Danish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Gistrup, Denmark (Kristensen, Johnsen, Valentin, Mainz).
Jan Brink Valentin, M.Sc. https://orcid.org/0000-0002-8205-7179
Psychiatry, North Denmark Region, Aalborg (Kristensen, Steen, Skinnerup, Terp, Mainz); Danish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Gistrup, Denmark (Kristensen, Johnsen, Valentin, Mainz).
Psychiatry, North Denmark Region, Aalborg (Kristensen, Steen, Skinnerup, Terp, Mainz); Danish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Gistrup, Denmark (Kristensen, Johnsen, Valentin, Mainz).

Notes

Send correspondence to Ms. Kristensen (klaudia.k@rn.dk).

Competing Interests

The authors report no financial relationships with commercial interests.

Funding Information

Financial compensation for the patient representatives was provided by Clinical Psychiatric Research funds, North Denmark Region.

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