A survey on client-centered practice among danish occupational therapists

Scand J Occup Ther. 2019 Jul;26(5):356-370. doi: 10.1080/11038128.2018.1465584. Epub 2018 Apr 23.

Abstract

Background: In Denmark, the cost of healthcare services comprise 12% of the gross domestic product. A recommended method for optimizing effectiveness of and enhance client satisfaction with healthcare is client-centred practice (CCP), a central component of occupational therapy ideology. However, Danish occupational therapists' perceptions of CCP, including the facilitators and barriers that may contribute to CCP, have never been examined.

Aim: To examine Danish occupational therapists' perceptions of CCP.

Methods: A survey was conducted using an electronic questionnaire in a small, but representative sample of Danish occupational therapists from all regions and practices.

Results: Three hundred and forty-six occupational therapists (5%) responded. Of these, 98% rated CCP as important, 97% considered their work client-centred, and 92% were satisfied with their level of CCP. Having time to conduct self-directed work, using assessments to identify clients' priorities, and CCP education, but not fixed regimes, were positively correlated with CCP.

Conclusion: Danish occupational therapists perceive to practice CCP and appear to have adopted the beliefs, theory and ideals of CCP, perhaps influenced by the egalitarian Danish culture. Self-directed work, means to identify and evaluate their clients' wishes, and education facilitated CCP. Possible absence of occupational therapists not compliant with CCP makes further research warranted.

Keywords: COPM; equality; healthcare; partnership; power; rehabilitation.

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Denmark
  • Female
  • Humans
  • Male
  • Middle Aged
  • Occupational Therapists / psychology*
  • Occupational Therapy / methods*
  • Person-Centered Psychotherapy / methods*
  • Surveys and Questionnaires