TY - JOUR
T1 - Satisfaction with psychiatric in-patient care as rated by patients at discharge from hospitals in 11 countries
AU - Krupchanka, Dzmitry
AU - Khalifeh, Hind
AU - Abdulmalik, Jibril
AU - Ardila-Gómez, Sara
AU - Armiya’u, Aishatu Yusha’u
AU - Banjac, Visnja
AU - Baranov, Alexey
AU - Bezborodovs, Nikita
AU - Brecic, Petrana
AU - Čavajda, Zoran
AU - de Girolamo, Giovanni
AU - Denisenko, Maria
AU - Dickens, Howard Akena
AU - Dujmovic, Josip
AU - Ergovic Novotny, Dubravka
AU - Fedotov, Ilya
AU - Fernández, Marina A.
AU - Frankova, Iryna
AU - Gasparovic, Marta
AU - Giurgi-Oncu, Catalina
AU - Grahovac, Tanja
AU - James, Bawo O.
AU - Jomli, Rabaa
AU - Kekin, Ivana
AU - Knez, Rajna
AU - Lanfredi, Mariangela
AU - Lassman, Francesca
AU - Mehta, Nisha
AU - Nacef, Fethi
AU - Nawka, Alexander
AU - Nemirovsky, Martin
AU - Ola, Bolanle Adeyemi
AU - Oshodi, Yewande O.
AU - Ouali, Uta
AU - Peharda, Tomislav
AU - Razic Pavicic, Andrea
AU - Rojnic Kuzman, Martina
AU - Roventa, Costin
AU - Shamenov, Rinat
AU - Smirnova, Daria
AU - Smoljanic, Davorka
AU - Spikina, Anna
AU - Thornicroft, Amalia
AU - Tomicevic, Marko
AU - Vidovic, Domagoj
AU - Williams, Paul
AU - Yakovleva, Yulia
AU - Zhabenko, Olena
AU - Zhilyaeva, Tatiana
AU - Zivkovic, Maja
AU - Thornicroft, Graham
AU - Sartorius, Norman
N1 - Funding Information:
The study was supported by the Association for the Improvement of Mental Health Programmes (Geneva, Switzerland), and coordinated at Institute of Psychiatry, Psychology and Neuroscience, King?s College London, and National Institute of Mental Health (NIMH), Klecany, Czech Republic. DK was supported by the NIMH funded by the project Nr. LO1611 with a financial support from the Ministry of Education Youth and Sport (MEYS) under the National Programme of Sustainability I (NPUI). GT is supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South London. The views expressed are those of the authors and not necessarily those of the NIMH, National Health Service (NHS), the NIHR or the Department of Health. GT acknowledges financial support from the Department of Health via the NIHR Biomedical Research Centre and Dementia Unit awarded to South London and Maudsley NHS Foundation Trust in partnership with King?s College London and King?s College Hospital NHS Foundation Trust. GT is also supported by the European Union Seventh Framework Programme (FP7/2007?2013) Emerald project. We would also like to acknowledge our gratitude to the following colleagues for their contribution to this study: Mikhail Sheifer, Petr Morozov, Pavel Bomov, Dmitryi Zhdanok, Natalia Plotnikova, Svetlana Chetverikova, Olga Izmailova, Takhmina Nazaralieva, Evgenii Ershov, Andrey Ikko, Roman Ostrikov, Pavel Kulagin, Dmitry Vinogradov, Andrey Podovinnikov, Ksenia Manyakova, Julia Katernaya, Oleg Chaban, Luana Roata, Maria Magdalena Dumitru, Joanna Murray, Diana Rose and Heidi Lempp.
Publisher Copyright:
© 2017, Springer-Verlag Berlin Heidelberg.
PY - 2017/8/1
Y1 - 2017/8/1
N2 - 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.
AB - 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.
KW - Inpatient care
KW - Patients satisfaction
KW - Psychiatry
KW - Service evaluation
UR - http://www.scopus.com/inward/record.url?scp=85014967691&partnerID=8YFLogxK
U2 - 10.1007/s00127-017-1366-0
DO - 10.1007/s00127-017-1366-0
M3 - Article
C2 - 28285452
AN - SCOPUS:85014967691
SN - 0933-7954
VL - 52
SP - 989
EP - 1003
JO - Social Psychiatry and Psychiatric Epidemiology
JF - Social Psychiatry and Psychiatric Epidemiology
IS - 8
ER -