Zusammenfassung
Anliegen: Verständnis von gemeinsamer Entscheidungsfindung bei Menschen mit langandauernden
psychischen Erkrankungen.
Methode: Durchführung einer qualitativen Studie mit Fokusgruppeninterviews.
Ergebnisse: Inhaltsanalyse ergab 3 Hauptthemen: 1. Beziehung zum Behandler und Beteiligung an
Entscheidungen, 2. Kommunikationsprozess und Informationsfluss, 3. Entscheidungen
und deren Umsetzung.
Schlussfolgerungen: Entscheidungen im Verlauf einer ambulanten Langzeitbehandlung werden häufig nicht
während der Termine getroffen. Die Empfindung, als Patient am Entscheidungsprozess
beteiligt zu sein, hängt von einer guten therapeutischen Beziehung ab.
Abstract
Objective: Shared decision-making during the course of treatment is important for people with
severe mental illness. However, there is still insufficient knowledge about how people
with mental illness view decisions, what kind of decisions are made and how patients
experience and perceive the process of participation in routine care.
Methods: A qualitative study with focus groups was conducted with patients with chronic mental
illness currently receiving outpatient care (N = 23). Interviews were audio-taped,
transcribed, coded and content analysed.
Results: Three main themes were extracted from the data: 1. perception of the clinician and
participation, 2. process of communication and flow of information, 3. decisions and
transfer.
Conclusions: The perception of participation in the decision process depends on a good patient-doctor
relationship. Decisions made in the course of an outpatient long-term treatment are
complex and are often not made during one single appointment. Frequently, patients
seek the advice of people from their social network and/or other health professionals.
Schlüsselwörter
Entscheidungsfindung - Fokusgruppen - qualitative Inhaltsanalyse
Keywords
shared decision making - focus groups - qualitative content analysis
