Joseph C Blader1. 1. Department of Psychiatry and Behavioral Science, School of Medicine, Stony Brook State University of New York, Stony Brook, NY 11794-8790, USA. Joseph.Blader@StonyBrook.edu
Abstract
OBJECTIVE: To examine trends over time in parents' satisfaction with their children's prior psychiatric hospitalization and whether such trends are related to postdischarge outcomes. STUDY DESIGN/DATA COLLECTION: Parents of 107 child inpatients completed a satisfaction survey at discharge. Satisfaction with the same inpatient stay was re-assessed 3, 6, and 12 months after discharge. Parents also provided ratings of behavioral symptoms at admission, discharge, and at postdischarge follow-ups. PRINCIPAL FINDINGS: Random regression analyses indicated significant decline in satisfaction from discharge to follow-up. The proportion of parents reporting that they were not satisfied doubled between discharge and 3-month follow-up. Parents whose satisfaction appraisals shifted from satisfied at discharge to not satisfied at follow-up also provided mean ratings of their child's disruptive behavioral problems at follow-up that were higher than those of parents who reported satisfaction with inpatient care at both times. CONCLUSIONS: Findings suggest that appraisals of inpatient care are subject to change, and may become more negative when clinical improvement associated with hospitalization dissipates in the months following discharge.
OBJECTIVE: To examine trends over time in parents' satisfaction with their children's prior psychiatric hospitalization and whether such trends are related to postdischarge outcomes. STUDY DESIGN/DATA COLLECTION: Parents of 107 child inpatients completed a satisfaction survey at discharge. Satisfaction with the same inpatient stay was re-assessed 3, 6, and 12 months after discharge. Parents also provided ratings of behavioral symptoms at admission, discharge, and at postdischarge follow-ups. PRINCIPAL FINDINGS: Random regression analyses indicated significant decline in satisfaction from discharge to follow-up. The proportion of parents reporting that they were not satisfied doubled between discharge and 3-month follow-up. Parents whose satisfaction appraisals shifted from satisfied at discharge to not satisfied at follow-up also provided mean ratings of their child's disruptive behavioral problems at follow-up that were higher than those of parents who reported satisfaction with inpatient care at both times. CONCLUSIONS: Findings suggest that appraisals of inpatient care are subject to change, and may become more negative when clinical improvement associated with hospitalization dissipates in the months following discharge.
Authors: Mark J Edlund; Alexander S Young; Fuan Yue Kung; Cathy D Sherbourne; Kenneth B Wells Journal: Health Serv Res Date: 2003-04 Impact factor: 3.402
Authors: Andrew M Garratt; Oyvind A Bjertnaes; Olaf Holmboe; Ketil Hanssen-Bauer Journal: Child Adolesc Psychiatry Ment Health Date: 2011-05-21 Impact factor: 3.033