Children say they are not involved enough in their treatment
http://www.100md.com
《英国医生杂志》
BMJ
Children and teenagers are unhappy with the lack of communication they get when they are treated in the NHS and think that they are not sufficiently involved with the decision making process, a new report says.
The report, which was published by the Commission for Health Improvement last week, says that many children and teenagers felt they had the right to participate in decisions about their treatment rather than being passive recipients of care.
It was compiled from 59 separate reports from voluntary bodies and statutory organisations and is the largest ever compilation of feedback from children and teenagers about health care. All the information, comprising 700 individual pieces of feedback, is being put on a database, to which health professionals will have access.
The report gives many examples of how young people viewed their treatment. They gave descriptions such as "Nobody explained anything about going home" and "The GP did not ask— just sent a referral."
Some of the young people's comments on their level of involvement were: " not enough time to have things properly explained," " only explained it to my dad," "I know more than my mum, I know nearly everything," and " did not really understand, nobody explained what is going to happen to you to make you better."
The responses also showed that they felt that the hospital environment could be better, with comments such as, "Better decoration would make it feel more like home."
The responses, which were from children and teenagers up to the age of 19, were collected in different ways appropriate for each age group, including questionnaires, oral interviews, and interactive group sessions. However, to qualify for entry into the database responses had to come directly from the children, not from parents or other carers.
Children in hospital complained that doctors explained things only to their parents
Credit: SAMUEL ASHFIELD/SPL
The Commission for Health Improvement thought that it was important that young people's voices were heard. Liz Fradd, director of nursing at the commission, who was responsible for the report, said: "Responding to what children say they want in health care is more than pester power—it's good patient care. Children clearly want to be involved, informed, and consulted when they have to use healthcare services."(Chibuzo Odigwe)
Children and teenagers are unhappy with the lack of communication they get when they are treated in the NHS and think that they are not sufficiently involved with the decision making process, a new report says.
The report, which was published by the Commission for Health Improvement last week, says that many children and teenagers felt they had the right to participate in decisions about their treatment rather than being passive recipients of care.
It was compiled from 59 separate reports from voluntary bodies and statutory organisations and is the largest ever compilation of feedback from children and teenagers about health care. All the information, comprising 700 individual pieces of feedback, is being put on a database, to which health professionals will have access.
The report gives many examples of how young people viewed their treatment. They gave descriptions such as "Nobody explained anything about going home" and "The GP did not ask— just sent a referral."
Some of the young people's comments on their level of involvement were: " not enough time to have things properly explained," " only explained it to my dad," "I know more than my mum, I know nearly everything," and " did not really understand, nobody explained what is going to happen to you to make you better."
The responses also showed that they felt that the hospital environment could be better, with comments such as, "Better decoration would make it feel more like home."
The responses, which were from children and teenagers up to the age of 19, were collected in different ways appropriate for each age group, including questionnaires, oral interviews, and interactive group sessions. However, to qualify for entry into the database responses had to come directly from the children, not from parents or other carers.
Children in hospital complained that doctors explained things only to their parents
Credit: SAMUEL ASHFIELD/SPL
The Commission for Health Improvement thought that it was important that young people's voices were heard. Liz Fradd, director of nursing at the commission, who was responsible for the report, said: "Responding to what children say they want in health care is more than pester power—it's good patient care. Children clearly want to be involved, informed, and consulted when they have to use healthcare services."(Chibuzo Odigwe)