Mental health service satisfaction among adults with mental illness attending a psychiatric outpatient clinic: a cross-sectional study.

Journal: Frontiers in public health

Volume: 13

Issue: 

Year of Publication: 2025

Affiliated Institutions:  Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University Adelaide, Adelaide, SA, Australia. Research Centre for Public Health, Equity, and Human Flourishing, Torrens University Australia, Adelaide, SA, Australia. School of Psychology, The University of Adelaide, Adelaide, SA, Australia. Institute of Public Health, College of Medicine, and Health Sciences, University of Gondar, Gondar, Ethiopia.

Abstract summary 

Patient satisfaction with services is both a direct and indirect indicator of healthcare quality. It influences healthcare outcomes, patient retention, and the likelihood of medical malpractice claims. However, there is limited evidence on patient satisfaction with mental health services in Africa. Therefore, we aimed to assess mental health service satisfaction and its determinants in adult patients with mental illness in an outpatient clinic in Northwest Ethiopia.A hospital-based cross-sectional study was conducted from October to March 2023. Participants were selected using systematic random sampling with a sample interval of three, resulting in a total sample size of 638 invited to participate. Service satisfaction was measured using the interviewer-administered Client Satisfaction Questionnaire-8 (CSQ-8). Data entry, coding, and analysis were performed using SPSS-28. To examine the association of sociodemographic, clinical, social support, and substance use factors, bivariate and multivariate logistic regression analyses were applied. Statistical significance was declared at a -value of <0.05 and 95% CI.The rate of low mental health service satisfaction among people with mental illness in this study was 24.7%. According to our multivariate logistic regression analysis, people with urban residence 1.77 (1.15, 2.72), poor self-reported health 3.62(1.97, 6.67), having episodic illness ≥2/yr. 0.48 (0.32, 0.74), having relapse 1.75 (1.12, 2.73), and poor drug adherence 2.28 (1.20, 4.35) were more likely to have low mental health service satisfaction than their counterparts.One-quarter of patients with mental illness in the outpatient clinic reported low satisfaction with mental health services. Factors associated with lower satisfaction included urban residency, episodic illness, relapse, poor self-reported health, and poor drug adherence. To enhance patient satisfaction, the clinic should prioritize targeted support for patients facing these challenges.

Authors & Co-authors:  Alemu Wondale Getinet WG Mwanri Lillian L Due Clemence C Azale Telake T Ziersch Anna A

Study Outcome 

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Statistics
Citations :  Blenkiron P, Hammill C. What determines patients’ satisfaction with their mental health care and quality of life? Postgrad Med J. (2003) 79:337–40. doi: 10.1136/pmj.79.932.337, PMID:
Authors :  5
Identifiers
Doi : 1471297
SSN : 2296-2565
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Ethiopia;factors;mental health service satisfaction;outpatient;service satisfaction
Study Design
Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Ethiopia
Publication Country
Switzerland