Abstract

VALENCIA AGUDO, Fátima et al. Mental Health demand analysis in the Principality of Asturias (II): user expectations, preferences and information. Rev. Asoc. Esp. Neuropsiq. [online]. 2015, vol.35, n.127, pp.473-485. ISSN 2340-2733.  https://dx.doi.org/10.4321/S0211-57352015000300003.

Background: Patient expectations and preferences are fundamental aspects to take into account in Mental Health. On the one hand, the right to decide between different treatment options is included in the Law of Patient Autonomy. On the other hand, research has shown the influence of patient treatment expectations and therefore the importance of taking them into consideration. In this regard, the information provided by the professional referring the patient gains special relevance. Method: The sample is taken from the patients referred to Mental Health Services who meet the inclusion criteria and accept to participate in the study (n=121). We collect sociodemographic variables as well as variables related to the referral process and to preferences and expectations by means of a telephone survey. Results and conclusions: Regarding the referral process, we found that the professional who referred the patient provided little information about his problem and the different treatment options available. With respect to preferences, we point out the lack of knowledge about differences between the tasks of a clinical psychologist and a psychiatrist, as well as the different implications of psychotherapy and psychopharmacologic treatment. Regarding expectations, we observe again lack of information but also an important level of confidence in the intervention and a high internal locus of control. It seems important to take these aspects into further consideration in order to improve the intervention process.

Keywords : Demand analysis; Law of Patient Autonomy; Primary Health Care; Mental Health; patient preferences; patient expectations.

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