Browsing by Author "Hedrick, Heidi M."

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    Why are you here again? Concordance between consumers and providers about the primary concern in recurring psychiatric visits
    (Elsevier, 2014-12) Bonfils, Kelsey A.; Fukui, Sadaaki; Adams, Erin L.; Hedrick, Heidi M.; Salyers, Michelle P.; Department of Psychology, IU School of Science
    Patient-centered care has become increasingly important over the last decade, both in physical and mental health care. In support of patient-centered care, providers need to understand consumers׳ primary concerns during treatment visits. The current study explored what primary concerns were brought to recurring psychiatric visits for a sample of adults with severe mental illness (N=164), whether these concerns were concordant with those recognized by providers, and which factors predicted concordance. We identified 17 types of primary concerns, most commonly medications and symptoms, with only 50% of visits showing evidence of at least partial agreement between consumers and providers. Contrary to expectations, consumer demographics, activation, trust, and perceptions of patient-centeredness were not predictive, while greater preferences for autonomy predicted poorer agreement. Our findings highlight the need for interventions to promote a shared understanding of primary concerns in recurring psychiatric visits. Further attention is needed to ensure the provision of patient-centered care such that consumer concerns are acknowledged and addressed within recurring psychiatric visits.