Social Psychiatry and Psychiatric Epidemiology, 2017, Vol.52(8), pp.989-1003
To access, purchase, authenticate, or subscribe to the full-text of this article, please visit this link: http://dx.doi.org/10.1007/s00127-017-1366-0 Byline: Dzmitry Krupchanka (1,2), Hind Khalifeh (2), Jibril Abdulmalik (3), Sara Ardila-Gomez (4), Aishatu Yusha'u Armiya'u (5), Visnja Banjac (6), Alexey Baranov (7), Nikita Bezborodovs (8), Petrana Brecic (9), Zoran Cavajda (10), Giovanni Girolamo (11), Maria Denisenko (12), Howard Akena Dickens (13), Josip Dujmovic (14), Dubravka Ergovic Novotny (15), Ilya Fedotov (16), Marina A. Fernandez (4), Iryna Frankova (17), Marta Gasparovic (18), Catalina Giurgi-Oncu (19), Tanja Grahovac (20), Bawo O. James (21), Rabaa Jomli (22,23), Ivana Kekin (24), Rajna Knez (20), Mariangela Lanfredi (26), Francesca Lassman (28), Nisha Mehta (29), Fethi Nacef (22,23), Alexander Nawka (30), Martin Nemirovsky (31), Bolanle Adeyemi Ola (32), Yewande O. Oshodi (33), Uta Ouali (22,23), Tomislav Peharda (34), Andrea Razic Pavicic (24), Martina Rojnic Kuzman (24,25), Costin Roventa (27), Rinat Shamenov (35), Daria Smirnova (36), Davorka Smoljanic (34), Anna Spikina (37), Amalia Thornicroft (38), Marko Tomicevic (39), Domagoj Vidovic (9), Paul Williams (2), Yulia Yakovleva (40), Olena Zhabenko (41), Tatiana Zhilyaeva (42), Maja Zivkovic (9), Graham Thornicroft (2), Norman Sartorius (43) Keywords: Patients satisfaction; Service evaluation; Inpatient care; Psychiatry Abstract: Purpose There is disregard in the scientific literature for the evaluation of psychiatric in-patient care as rated directly by patients. In this context, we aimed to explore satisfaction of people treated in mental health in-patient facilities. The project was a part of the Young Psychiatrist Program by the Association for the Improvement of Mental Health Programmes. Methods This is an international multicentre cross-sectional study conducted in 25 hospitals across 11 countries. The research team at each study site approached a consecutive target sample of 30 discharged patients to measure their satisfaction using the five-item study-specific questionnaire. Individual and institution level correlates of 'low satisfaction' were examined by comparisons of binary and multivariate associations in multilevel regression models. Results A final study sample consisted of 673 participants. Total satisfaction scores were highly skewed towards the upper end of the scale, with a median total score of 44 (interquartile range 38--48) out of 50. After taking clustering into account, the only independent correlates of low satisfaction were schizophrenia diagnosis and low psychiatrist to patient ratio. Conclusion Further studies on patients' satisfaction should additionally pay attention to treatment expectations formed by the previous experience of treatment, service-related knowledge, stigma and patients' disempowerment, and power imbalance. Author Affiliation: (1) Department of Social Psychiatry, National Institute of Mental Health, Topolova 748, 250 67, Klecany, Czech Republic (2) Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK (3) Department of Psychiatry, University of Ibadan, Ibadan, Nigeria (4) Research Institute, School of Psychology, University of Buenos Aires, Buenos Aires, Argentina (5) Department of Psychiatry, Jos University Teaching Hospital, Jos, Nigeria (6) Clinic of Psychiatry, University Clinical Center of the Republic of Srpska, Banjaluka, Bosnia and Herzegovina (7) Tambov Psychiatric Hospital, Tambov, Russian Federation (8) Children's Clinical University Hospital, Riga, Latvia (9) University Psychiatric Hospital Vrapce, Zagreb, Croatia (10) Department of Acute and Biological Psychiatry, Clinical Hospital Centre Osijek, Osijek, Croatia (11) Unit of Psychiatric Epidemiology and Evaluation, Saint John of God Clinical Research Centre, Brescia, Italy (12) Mental Health Clinic No1, Nizhny Novgorod, Russian Federation (13) Makerere University College of Health Sciences, Kampala, Uganda (14) KBC Zagreb, Zagreb, Croatia (15) General Hospital "Dr. Josip Bencevic", Slavonski Brod, Croatia (16) Ryazan State Medical University, Ryazan, Russian Federation (17) Bogomolets National Medical University, Kyiv, Ukraine (18) Osijek University Hospital, Osijek, Croatia (19) a[sup.3]Victor Babes" University of Medicine and Pharmacy of Timisoara, Timisoara, Romania (20) University Hospital Center Rijeka, Rijeka, Croatia (21) Federal Neuro-Psychiatric Hospital, Benin City, Nigeria (22) Department of Psychiatry "A" at Razi Hospital, Manouba, Tunisia (23) Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia (24) University Hospital Centre Zagreb, Zagreb, Croatia (25) Zagreb School of Medicine, Zagreb, Croatia (26) Unit of Psychiatry, Saint John of God Clinical Research Centre, Brescia, Italy (27) Neuropsychiatric Hospital, Craiova, Romania (28) Great Ormond Street Hospital, London, UK (29) NHS Tayside, Dundee, Scotland, UK (30) Institute of Neuropsychiatric Care (INEP), Prague, Czech Republic (31) Proyecto SUMA-Medicus, Buenos Aires, Argentina (32) Lagos State University College of Medicine, Ikeja, Nigeria (33) Department of Psychiatry, College of Medicine, University of Lagos, Lagos, Nigeria (34) Psychiatric ward, General Hospital Pula, Pula, Croatia (35) Samara Psychiatric Hospital, Samara, Russian Federation (36) Department of Psychiatry, Samara State Medical University, Samara, Russian Federation (37) Medical University Named After I.I. Mechnikov, Saint Petersburg, Russian Federation (38) Occupational Therapy Department, St George's University Hospitals NHS Foundation Trust, London, UK (39) Neuropsychiatric Hospital "Dr. Ivan Barbot", Popovaca, Croatia (40) Saint Petersburg Bekhterev Psychoneurological Research Institute, Saint Petersburg, Russian Federation (41) Railway Clinical Hospital 1 Station Kyiv, Kyiv, Ukraine (42) Department of Psychiatry and Medical Psychology, Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russian Federation (43) Association for the Improvement of Mental Health Programmes, Geneve, Switzerland Article History: Registration Date: 18/02/2017 Received Date: 26/09/2016 Accepted Date: 16/02/2017 Online Date: 11/03/2017 Article note: Electronic supplementary material The online version of this article (doi: 10.1007/s00127-017-1366-0) contains supplementary material, which is available to authorized users.
Patients satisfaction ; Service evaluation ; Inpatient care ; Psychiatry
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