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Comparing quality of forensic psychiatric care in Denmark and Sweden
Örebro University, School of Law, Psychology and Social Work.ORCID iD: 0000-0002-6703-7575
2017 (English)Conference paper, Published paper (Other academic)
Abstract [en]

Background: Most industrialized countries measure, report, and improve the quality of medical care. Despite this, there is limited internationally comparable data available on quality of forensic psychiatric care. Collaboration between countries to produce internationally comparable data permits benchmarking and allows policymakers and clinicians to identify specific areas where individual countries could improve.

Aim: The aim of the study is to compare the quality of forensic in-patient psychiatric care perceived by patients and staff in Denmark and Sweden.

Method: A total of 1037 individuals in forensic psychiatry, 268 patients and 769 staff, in Denmark and Sweden completed the Quality of In-patient Forensic Care (QPC-FIP) and the Quality of In-patient Forensic Care (QPC-FIPS) instruments. The QPC-FIP and QPC-FIPS measures quality of care using 34 items across seven dimensions: Encounter, Participation, Discharge, Support, Secluded environment, Secure environment, and a Forensic-specific dimension. Confirmatory factor analyses show that the factor structure of the Danish versions of QPC-FIP and QPC-FIPS are equivalent with the original Swedish versions.

Results: Staff in Denmark and Sweden generally perceived the quality of care higher than the patients except in Encounter and Secluded environment. In Encounter there were no differences in ratings between the Danish and Swedish participants. In Secluded environment the Danish patients rated the quality higher than the staff whereas in Sweden the staff rated the quality higher than the patients. There were few differences in perceived quality among patients. Danish patient’s rated Support and Secure environment higher than Swedish patients. Among staff, Danish staff rated the quality of care higher in all dimensions except in Secluded environment which was rated higher by the Swedish staff.

Staff was generally more positive to the quality of care provided whereas the patients were less positive to the care they received. Staff and patients were however quite similar in their perceptions of the low quality of participation. Interestingly, the staff rated the quality of Secure environment lower than the patients, regardless of country.

Conclusions: Although Denmark and Sweden are similar countries, there were large discrepancies between patients and staff perception of perceived quality of care. The present study thus reveals the importance of assessing both patients and staff perception of quality of care and it demonstrates the potential of using QPC for international benchmarking in forensic psychiatry.

Place, publisher, year, edition, pages
2017.
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:oru:diva-63374OAI: oai:DiVA.org:oru-63374DiVA, id: diva2:1165905
Conference
International Association of Forensic Mental Health Services (IAFMHS 2017), Split, Croatia, June 13-15, 2017
Available from: 2017-12-14 Created: 2017-12-14 Last updated: 2017-12-14Bibliographically approved

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Lundqvist, Lars-Olov

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CiteExportLink to record
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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
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  • Other locale
More languages
Output format
  • html
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  • asciidoc
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