Evidence map›Paper›PMID 35499765›Full record

ArticleSocial psychiatry and psychiatric epidemiology2022

Patients' and family members' experiences of psychiatric inpatient services in China: a comparison based on a dyadic design.

Wei Zhou, Guanqing Xie, Yu Yu, Huihui Gong, Shuiyuan Xiao

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Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

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4citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Wei ZhouResearch Center for Public Health and Social Security, School of Public Administration, Hunan University, Changsha, Hunan, China. weizhou86@163.com.ORCID http://orcid.org/0000-0002-1497-3095
Guanqing XieXiangya School of Public Health, Central South University, Changsha, Hunan, China.
Yu YuDivision of Prevention and Community Research and The Consultation Center, Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Huihui GongResearch Center for Public Health and Social Security, School of Public Administration, Hunan University, Changsha, Hunan, China.
Shuiyuan XiaoXiangya School of Public Health, Central South University, Changsha, Hunan, China.

Funding

national office for philosophy and social sciences 17CGL050
6 · The paper itself

Abstract

purposeDue to the family-oriented cultural and legal context in China, understanding the difference between patients' and family members' experiences of psychiatric services not only enriches perspectives of service quality assessment, but also promotes service utilization. This study aimed to compare experiences of psychiatric inpatient services between patients and their family members in China.

methodsThe study included 126 dyads of patients and family members consecutively recruited from the psychiatric inpatient department in a large hospital in China. The responsiveness performance questionnaire was used to measure the experiences of psychiatric inpatient services after patient discharge. After adjusting reporting heterogeneity based on vignettes, dyad difference was examined by intraclass correlation coefficients (ICCs) and paired Wilcoxon signed-rank tests with Bonferroni correction in multigroup testing. Subgroup analyses were conducted within strata of four selected clinical and socio-demographic factors, to test their influence on difference pattern of experiences.

resultsPoor consistency was found for all responsiveness items and the total scores among the 126 dyads and in most subgroup analyses (ICC < 0.6). Paired Wilcoxon signed-rank tests found that patients rated lower than their family members on the item of "asking user's opinions" in 126-dyad comparison (P < 0.05) and 3 subgroups related to severe mental disorders and income inequality after Bonferroni correction.

conclusionResults reveal inconsistent experiences of psychiatric inpatient services within families in China. Moreover, when making medical decisions, family members' opinions, rather than patients', are more frequently taken into consideration, especially on conditions where imbalanced decision-making power exists between patients and their family members. In the future, user experience improvement should pay equal attention to patients and family members, and the benefits of family involvement and patients' rights of shared decision-making should be carefully balanced.

Indexed as

InpatientsMental DisordersChinaFamilyHumansSurveys and QuestionnairesChinaComparisonFamily members’ experiencesPatient experiencesPsychiatric inpatient services

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.