Dzmitry Krupchanka1,2, Hind Khalifeh3, Jibril Abdulmalik4, Sara Ardila-Gómez5, Aishatu Yusha'u Armiya'u6, Visnja Banjac7, Alexey Baranov8, Nikita Bezborodovs9, Petrana Brecic10, Zoran Čavajda11, Giovanni de Girolamo12, Maria Denisenko13, Howard Akena Dickens14, Josip Dujmovic15, Dubravka Ergovic Novotny16, Ilya Fedotov17, Marina A Fernández5, Iryna Frankova18, Marta Gasparovic19, Catalina Giurgi-Oncu20, Tanja Grahovac21, Bawo O James22, Rabaa Jomli23,24, Ivana Kekin25, Rajna Knez21, Mariangela Lanfredi26, Francesca Lassman27, Nisha Mehta28, Fethi Nacef23,24, Alexander Nawka29, Martin Nemirovsky30, Bolanle Adeyemi Ola31, Yewande O Oshodi32, Uta Ouali23,24, Tomislav Peharda33, Andrea Razic Pavicic25, Martina Rojnic Kuzman25,34, Costin Roventa35, Rinat Shamenov36, Daria Smirnova37, Davorka Smoljanic33, Anna Spikina38, Amalia Thornicroft39, Marko Tomicevic40, Domagoj Vidovic10, Paul Williams3, Yulia Yakovleva41, Olena Zhabenko42, Tatiana Zhilyaeva43, Maja Zivkovic10, Graham Thornicroft3, Norman Sartorius44. 1. Department of Social Psychiatry, National Institute of Mental Health, Topolová 748, 250 67, Klecany, Czech Republic. dmitry.krupchenko@gmail.com. 2. Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. dmitry.krupchenko@gmail.com. 3. Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. 4. Department of Psychiatry, University of Ibadan, Ibadan, Nigeria. 5. Research Institute, School of Psychology, University of Buenos Aires, Buenos Aires, Argentina. 6. Department of Psychiatry, Jos University Teaching Hospital, Jos, Nigeria. 7. Clinic of Psychiatry, University Clinical Center of the Republic of Srpska, Banjaluka, Bosnia and Herzegovina. 8. Tambov Psychiatric Hospital, Tambov, Russian Federation. 9. Children's Clinical University Hospital, Riga, Latvia. 10. University Psychiatric Hospital Vrapce, Zagreb, Croatia. 11. Department of Acute and Biological Psychiatry, Clinical Hospital Centre Osijek, Osijek, Croatia. 12. Unit of Psychiatric Epidemiology and Evaluation, Saint John of God Clinical Research Centre, Brescia, Italy. 13. Mental Health Clinic No1, Nizhny Novgorod, Russian Federation. 14. Makerere University College of Health Sciences, Kampala, Uganda. 15. KBC Zagreb, Zagreb, Croatia. 16. General Hospital "Dr. Josip Bencevic", Slavonski Brod, Croatia. 17. Ryazan State Medical University, Ryazan, Russian Federation. 18. Bogomolets National Medical University, Kyiv, Ukraine. 19. Osijek University Hospital, Osijek, Croatia. 20. ″Victor Babes" University of Medicine and Pharmacy of Timisoara, Timisoara, Romania. 21. University Hospital Center Rijeka, Rijeka, Croatia. 22. Federal Neuro-Psychiatric Hospital, Benin City, Nigeria. 23. Department of Psychiatry "A" at Razi Hospital, Manouba, Tunisia. 24. Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia. 25. University Hospital Centre Zagreb, Zagreb, Croatia. 26. Unit of Psychiatry, Saint John of God Clinical Research Centre, Brescia, Italy. 27. Great Ormond Street Hospital, London, UK. 28. NHS Tayside, Dundee, Scotland, UK. 29. Institute of Neuropsychiatric Care (INEP), Prague, Czech Republic. 30. Proyecto SUMA-Medicus, Buenos Aires, Argentina. 31. Lagos State University College of Medicine, Ikeja, Nigeria. 32. Department of Psychiatry, College of Medicine, University of Lagos, Lagos, Nigeria. 33. Psychiatric ward, General Hospital Pula, Pula, Croatia. 34. Zagreb School of Medicine, Zagreb, Croatia. 35. Neuropsychiatric Hospital, Craiova, Romania. 36. Samara Psychiatric Hospital, Samara, Russian Federation. 37. Department of Psychiatry, Samara State Medical University, Samara, Russian Federation. 38. Medical University Named After I.I. Mechnikov, Saint Petersburg, Russian Federation. 39. Occupational Therapy Department, St George's University Hospitals NHS Foundation Trust, London, UK. 40. Neuropsychiatric Hospital "Dr. Ivan Barbot", Popovaca, Croatia. 41. Saint Petersburg Bekhterev Psychoneurological Research Institute, Saint Petersburg, Russian Federation. 42. Railway Clinical Hospital #1 Station Kyiv, Kyiv, Ukraine. 43. Department of Psychiatry and Medical Psychology, Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russian Federation. 44. Association for the Improvement of Mental Health Programmes, Geneve, Switzerland.
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.
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.
Entities:
Keywords:
Inpatient care; Patients satisfaction; Psychiatry; Service evaluation
Authors: Beate Bø; Øyvind H Ottesen; Rolf Gjestad; Hugo A Jørgensen; Rune A Kroken; Else-Marie Løberg; Erik Johnsen Journal: Nord J Psychiatry Date: 2016-01-11 Impact factor: 2.202
Authors: D Krupchanka; N Kruk; J Murray; S Davey; N Bezborodovs; P Winkler; L Bukelskis; N Sartorius Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2016-02-12 Impact factor: 4.328
Authors: Stefan Priebe; Christina Katsakou; Matthias Glöckner; Algirdas Dembinskas; Andrea Fiorillo; Anastasia Karastergiou; Andrzej Kiejna; Lars Kjellin; Pìtr Nawka; George Onchev; Jiri Raboch; Matthias Schuetzwohl; Zahava Solomon; Francisco Torres-González; Duolao Wang; Thomas Kallert Journal: Br J Psychiatry Date: 2010-03 Impact factor: 9.319