■了解消费者服务偏好对于以康复为导向的护理很重要。
■为了测试感知的服务需求对酒精治疗重视的影响,药物,心理健康,和身体健康问题,并确定服务需求和偏好对服务使用的影响。
■以前无家可归的双重诊断的退伍军人在支持住房中进行了为期一年的三波调查,以待遇利益衡量,健康问题,社会支持,临床医生评估的房屋损失风险,和社会人口统计学。多元回归分析用于确定对各波偏好的独立影响。在行政记录中区分了VA的不同卫生服务,并通过多元回归分析确定了整个项目中使用的服务的基线预测因子。
■自我评估的问题严重程度与酒精治疗的重要性有关,药物,心理健康,和身体健康问题。社会支持也与酗酒的治疗兴趣有关,项目结束时的基线临床医生风险评级也是如此。偏好,但没有感知到问题的严重性,预测了相应卫生服务的使用情况。
■支持服务利益的健康信念模型,但是,可能需要更多集成的服务交付模型来加强健康需求与服务使用的关联。
UNASSIGNED: Understanding consumer service preferences is important for recovery-oriented care.
UNASSIGNED: To test the influence of perceived service needs on importance attached to treatment for alcohol, drug, mental health, and physical health problems and identify the influence of service needs and preferences on service use.
UNASSIGNED: Formerly homeless dually diagnosed Veterans in supported housing were surveyed in three waves for 1 year, with measures of treatment interests, health problems, social support, clinician-assessed risk of housing loss, and sociodemographics. Multiple regression analysis was used to identify independent influences on preferences in each wave. Different health services at the VA were distinguished in administrative records and baseline predictors for services used throughout the project were identified with multiple regression analysis.
UNASSIGNED: Self-assessed problem severity was associated with the importance of treatment for alcohol, drug, mental health, and physical health problems. Social support also had some association with treatment interest for alcohol abuse, as did baseline clinician risk rating at the project\'s end. Preferences, but not perceived problem severity, predicted the use of the corresponding health services.
UNASSIGNED: The health beliefs model of service interests was supported, but more integrated service delivery models may be needed to strengthen the association of health needs with service use.