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A SURVEY ABOUT QUALITY OF CARE AND USER’S RIGHTS IN CHILEAN PSYCHIATRIC SERVICES

Respeto de los derechos de las personas que se atienden en servicios de psiquiatría ambulatoria en Chile

dc.contributoren-US
dc.contributorUniversidad de Chile y FONISes-ES
dc.creatorMinoletti, Alberto; Escuela de Salud Publica, Universidad de Chile
dc.creatorToro, Olga; Hospital Santiago Oriente Dr. Luis Tisne
dc.creatorAlvarado, Rubén; Escuela de Salud Publica, Universidad de Chile
dc.creatorCarniglia, Claudia; Servicio de Salud Metropolitano Sur
dc.creatorGuajardo, Alejandro; Universidad Andrés Bello
dc.creatorRayo, Ximena; Escuela de Salud Publica, Universidad de Chile
dc.date2015-11-19
dc.date.accessioned2019-11-11T18:28:19Z
dc.date.available2019-11-11T18:28:19Z
dc.identifierhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/4090
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/111541
dc.descriptionBackground: Quality of care and respect for the rights of users are critical to achieve positive health outcomes and respond appropriately to the expectations of people, particularly if they have mental illnesses. Aim: To carry out a baseline diagnosis of quality of care and respect for rights in public outpatient psychiatric services. Material and methods: Quality of care and respect for patients’ rights was assessed by a mental health professional and a trained psychiatric service user in 15 ambulatory psychiatric services. The WHO QualityRights instrument was used, reviewing documentation and making observations in each facility, as well as interviewing 146 patients, 148 health care workers and 64 relatives of patients. Results: A high level of achievement was accomplished in terms of discrimination-free health care, availability of psychotropic medications, lack of abuse or neglect and use of informed consents. A low level of achievement was found in terms of user support to cope with community living, access to education or work and participation in community activities, respect for user treatment preferences and preventive measures to avoid maltreatment and cruelty. Conclusions: Chile could improve the performance of psychiatry services having laws based on the “Convention of Rights of Persons with Disabilities” and standards of the World Health Organization, having national policies about quality of care and rights of users, reinforcing the community work of mental health care teams, reinforcing and informing users about their rights and promoting research on interventions to improve the respect of their rights.en-US
dc.descriptionBackground: Quality of care and respect for the rights of users are critical to achieve positive health outcomes and respond appropriately to the expectations of people, particularly if they have mental illnesses. Aim: To carry out a baseline diagnosis of quality of care and respect for rights in public outpatient psychiatric services. Material and methods: Quality of care and respect for patients’ rights was assessed by a mental health professional and a trained psychiatric service user in 15 ambulatory psychiatric services. The WHO QualityRights instrument was used, reviewing documentation and making observations in each facility, as well as interviewing 146 patients, 148 health care workers and 64 relatives of patients. Results: A high level of achievement was accomplished in terms of discrimination-free health care, availability of psychotropic medications, lack of abuse or neglect and use of informed consents. A low level of achievement was found in terms of user support to cope with community living, access to education or work and participation in community activities, respect for user treatment preferences and preventive measures to avoid maltreatment and cruelty. Conclusions: Chile could improve the performance of psychiatry services having laws based on the “Convention of Rights of Persons with Disabilities” and standards of the World Health Organization, having national policies about quality of care and rights of users, reinforcing the community work of mental health care teams, reinforcing and informing users about their rights and promoting research on interventions to improve the respect of their rights.es-ES
dc.formatapplication/pdf
dc.languagespa
dc.publisherRevista Médica de Chilees-ES
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/4090/1681
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/4090/17451
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/4090/17452
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dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/4090/17764
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/4090/17834
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/4090/17835
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/4090/17836
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/4090/17837
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/4090/17838
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/4090/17839
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/4090/20330
dc.sourceRevista Médica de Chile; Vol. 143, núm. 12 (2015): DICIEMBRE 2015es-ES
dc.source0034-9887
dc.subjectAmbulatory care; Health Services for persons with disabilities; Human rightsen-US
dc.subjectAmbulatory care; Health Services for persons with disabilities; Human rightses-ES
dc.titleA SURVEY ABOUT QUALITY OF CARE AND USER’S RIGHTS IN CHILEAN PSYCHIATRIC SERVICESen-US
dc.titleRespeto de los derechos de las personas que se atienden en servicios de psiquiatría ambulatoria en Chilees-ES
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typees-ES


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