Satisfaction with psychiatric in-patient care as rated by patients at discharge from hospitals in 11 countries.

Journal: Social psychiatry and psychiatric epidemiology

Volume: 52

Issue: 8

Year of Publication: 2018

Affiliated Institutions:  Department of Social Psychiatry, National Institute of Mental Health, Topolová , , Klecany, Czech Republic. dmitry.krupchenko@gmail.com. Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. Department of Psychiatry, University of Ibadan, Ibadan, Nigeria. Research Institute, School of Psychology, University of Buenos Aires, Buenos Aires, Argentina. Department of Psychiatry, Jos University Teaching Hospital, Jos, Nigeria. Clinic of Psychiatry, University Clinical Center of the Republic of Srpska, Banjaluka, Bosnia and Herzegovina. Tambov Psychiatric Hospital, Tambov, Russian Federation. Children's Clinical University Hospital, Riga, Latvia. University Psychiatric Hospital Vrapce, Zagreb, Croatia. Department of Acute and Biological Psychiatry, Clinical Hospital Centre Osijek, Osijek, Croatia. Unit of Psychiatric Epidemiology and Evaluation, Saint John of God Clinical Research Centre, Brescia, Italy. Mental Health Clinic No, Nizhny Novgorod, Russian Federation. Makerere University College of Health Sciences, Kampala, Uganda. KBC Zagreb, Zagreb, Croatia. General Hospital "Dr. Josip Bencevic", Slavonski Brod, Croatia. Ryazan State Medical University, Ryazan, Russian Federation. Bogomolets National Medical University, Kyiv, Ukraine. Osijek University Hospital, Osijek, Croatia. ″Victor Babes" University of Medicine and Pharmacy of Timisoara, Timisoara, Romania. University Hospital Center Rijeka, Rijeka, Croatia. Federal Neuro-Psychiatric Hospital, Benin City, Nigeria. Department of Psychiatry "A" at Razi Hospital, Manouba, Tunisia. University Hospital Centre Zagreb, Zagreb, Croatia. Unit of Psychiatry, Saint John of God Clinical Research Centre, Brescia, Italy. Great Ormond Street Hospital, London, UK. NHS Tayside, Dundee, Scotland, UK. Institute of Neuropsychiatric Care (INEP), Prague, Czech Republic. Proyecto SUMA-Medicus, Buenos Aires, Argentina. Lagos State University College of Medicine, Ikeja, Nigeria. Department of Psychiatry, College of Medicine, University of Lagos, Lagos, Nigeria. Psychiatric ward, General Hospital Pula, Pula, Croatia. Neuropsychiatric Hospital, Craiova, Romania. Samara Psychiatric Hospital, Samara, Russian Federation. Department of Psychiatry, Samara State Medical University, Samara, Russian Federation. Medical University Named After I.I. Mechnikov, Saint Petersburg, Russian Federation. Occupational Therapy Department, St George's University Hospitals NHS Foundation Trust, London, UK. Neuropsychiatric Hospital "Dr. Ivan Barbot", Popovaca, Croatia. Saint Petersburg Bekhterev Psychoneurological Research Institute, Saint Petersburg, Russian Federation. Railway Clinical Hospital # Station Kyiv, Kyiv, Ukraine. Department of Psychiatry and Medical Psychology, Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russian Federation. Association for the Improvement of Mental Health Programmes, Geneve, Switzerland.

Abstract summary 

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.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.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.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.

Authors & Co-authors:  Krupchanka Dzmitry D Khalifeh Hind H Abdulmalik Jibril J Ardila-Gómez Sara S Armiya'u Aishatu Yusha'u AY Banjac Visnja V Baranov Alexey A Bezborodovs Nikita N Brecic Petrana P Čavajda Zoran Z de Girolamo Giovanni G Denisenko Maria M Dickens Howard Akena HA Dujmovic Josip J Ergovic Novotny Dubravka D Fedotov Ilya I Fernández Marina A MA Frankova Iryna I Gasparovic Marta M Giurgi-Oncu Catalina C Grahovac Tanja T James Bawo O BO Jomli Rabaa R Kekin Ivana I Knez Rajna R Lanfredi Mariangela M Lassman Francesca F Mehta Nisha N Nacef Fethi F Nawka Alexander A Nemirovsky Martin M Ola Bolanle Adeyemi BA Oshodi Yewande O YO Ouali Uta U Peharda Tomislav T Razic Pavicic Andrea A Rojnic Kuzman Martina M Roventa Costin C Shamenov Rinat R Smirnova Daria D Smoljanic Davorka D Spikina Anna A Thornicroft Amalia A Tomicevic Marko M Vidovic Domagoj D Williams Paul P Yakovleva Yulia Y Zhabenko Olena O Zhilyaeva Tatiana T Zivkovic Maja M Thornicroft Graham G Sartorius Norman N

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Compr Psychiatry. 2013 Jan;54(1):53-60
Authors :  52
Identifiers
Doi : 10.1007/s00127-017-1366-0
SSN : 1433-9285
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Inpatient care;Patients satisfaction;Psychiatry;Service evaluation
Study Design
Study Approach
Country of Study
Publication Country
Germany