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Статті в журналах з теми "Patient satisfaction, psychiatry, COFI study"
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Miglietta, E., A. Lasalvia, P. Sara, G. Zanatta, S. Zoppei, G. Dimitri, C. Comacchio, et al. "Admission to In-patient Psychiatric Care in the Veneto Region (Italy), Specialisation vs. Personal Continuity of Care Approach. Preliminary Findings from the COFI Study-Italian Sites." European Psychiatry 41, S1 (April 2017): S619. http://dx.doi.org/10.1016/j.eurpsy.2017.01.992.
Повний текст джерелаАнотація:
IntroductionIn Italy, considerable variations exist in the organisation of out- and in-patient mental health care. One main issue is whether to prioritise specialisation (distinct clinicians for inpatient and outpatient care) or personal continuity of care (same primary clinician for a given patient within the two settings).AimsTo study the use of psychiatric in-patient units in the Veneto region (Italy) and to evaluate differences between personal continuity of care and specialization systems.MethodsStudy conducted in the context of the COFI, multisite naturalistic EU-funded research aiming to compare the two care approaches in 5 European countries. In Italy, baseline data collection was carried out in 14 in-patient units. Data on hospitalisation, diagnosis, severity of the illness (Clinical Global Impression Scale- CGI) and patients’ appraisal of inpatient care (Client Assessment of Treatment Scale- CAT) were collected.ResultsOverall, 1118 patients were assessed. Most frequent diagnostic categories were mood (41.6%) and psychotic (38.3%) disorders, while anxiety disorders were less represented (11.9%). The majority of patients were at least at their second admission (69.4%) and had been voluntary admitted (91.5%). Length of stay and CGI scores were significantly higher for patients with mood and psychotic disorders. No difference in CGI score between the two systems was found. Patients in the continuity of care systems reported higher level of satisfaction with initial treatment and longer hospital stay (P < .001).ConclusionsThese preliminary findings suggest higher service satisfaction for personal continuity system, possibly reflecting a more individualised and comprehensive focus on the patient's needs, rather than on symptoms reduction only.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Werkkala, Camilla M., Heli M. Bäckmand, Lauri M. Kuosmanen, Marjut H. Vastamäki, Tuula H. Rajala, Pekka R. Lindqvist, and Pekka J. Jylhä. "Efficacy of a real-time patient feedback system: patient satisfaction study in psychiatry." Nordic Journal of Psychiatry 74, no. 2 (November 5, 2019): 155–62. http://dx.doi.org/10.1080/08039488.2019.1684989.
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Mann, Joshua R., Scott McKay, Damon Daniels, C. Scott Lamar, Patricia W. Witherspoon, Michele K. Stanek, and Walter L. Larimore. "Physician Offered Prayer and Patient Satisfaction." International Journal of Psychiatry in Medicine 35, no. 2 (June 2005): 161–70. http://dx.doi.org/10.2190/2b0q-2gw0-80l9-n3tk.
Повний текст джерелаАнотація:
Objective: While there is ongoing debate about the role of physician-offered prayer during the physician-patient encounter, many physicians feel inclined to include prayer in their practices. This randomized-controlled trial evaluated patients' acceptance of physician-offered prayer in a family practice setting, and the impact of physician-offered prayer on patient satisfaction with the physician-patient encounter. Method: Subjects were 137 patients in an urban, largely African American, Southeastern family medicine practice who were randomized to receive usual care plus an offer of physician-led prayer or usual care alone. Satisfaction surveys were administered following the clinical encounter. The outcomes of interest were the rate of acceptance of physician-offered prayer and the impact of the prayer offer on patient satisfaction. Personal characteristics and satisfaction scores for patients accepting prayer were compared to those for patients declining prayer. Results: Over 90% of patients accepted the offer of prayer. The offer of prayer had no significant impact on patient satisfaction scores. The number of patients declining prayer was too low to permit comparison of prayer decliners with acceptors. Conclusions: This small pilot trial demonstrated that patient responses to spiritual interventions by physicians can be evaluated using randomized study designs. A large majority of patients accepted an offer of physician-led prayer, but no significant short-term impact on patient satisfaction was detected. Future research with larger sample sizes and more diverse patient populations should evaluate the effects of physician-offered prayer on the physician-patient relationship. Difficulties in conducting such research are discussed.
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Duggins, Richard, and Ian Shaw. "Examining the concept of patient satisfaction in patients with a diagnosis of schizophrenia: a qualitative study." Psychiatric Bulletin 30, no. 4 (April 2006): 142–45. http://dx.doi.org/10.1192/pb.30.4.142.
Повний текст джерелаАнотація:
Aims and MethodTen people with a diagnosis of schizophrenia were interviewed. The interviews were analysed qualitatively with the aim of examining the concept of patient satisfaction in the context of a recent in-patient admission.ResultsThe analysis identified two themes that influenced the expression of patient satisfaction: external factors and internal factors. The theme of external factors contained four categories: fear of violence, communication with staff, lack of autonomy and ward routines. The theme of internal factors comprised participants' conceptions and expectations.Clinical ImplicationsThis small study suggests the complexity of the concept of patient satisfaction should be respected in assessing experiences of people with a diagnosis of schizophrenia.
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Lazzari, C., and I. Masiello. "How Satisfied are Patients with Interprofessional Teams? Meta-analysis of a Pilot Study." European Psychiatry 41, S1 (April 2017): S298—S299. http://dx.doi.org/10.1016/j.eurpsy.2017.02.181.
Повний текст джерелаАнотація:
IntroductionA doctor–patient encounter is a dyadic interaction between two people, one needing help and the other providing it. However, the encounter between an interprofessional team and a patient is changing this picture.ObjectivesTo measure how patient satisfaction changes when patients are treated by an interprofessional team.AimsEcological momentary assessment (EMA) directly evaluates patient satisfaction when patients interact with interprofessional teams. This research is a before-and-after study of undergraduate health care students undergoing interprofessional education. Answers to questions on a 5-point Likert scale (from “Totally satisfied” to “Totally unsatisfied”) were uploaded online on a survey platform linked to a dedicated app.MethodsTwenty-nine undergraduate students before, and eight after, interprofessional training reported their evaluation of patient satisfaction with interprofessional teams. Meta-analysis used Tau2, Cochrane's Q and I2.ResultsMeta-analysis showed a homogeneity in the answers before and after IPE training (P = 0.4) and variability of only I2 = 39%, with t2 = .006, and Q (4 df) = 4.0. To a certain degree, the study showed a drop before and after in students who report their patients being “moderately satisfied” (from 20.7% to 0%), with C.I. 95% = 4.702 (0.238–92.713) (Fig. 1).ConclusionsThis study requires further inquiry on why a moderate level of patient satisfaction declines when patients are treated by an interprofessional team.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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James, Bethan, Roger Mills, Jean Vonsy, Dawn Langdon, Hikari Ando, and Carolyn Young. "157 Natalizumab treatment satisfaction in the TONiC-MS study: study design." Journal of Neurology, Neurosurgery & Psychiatry 93, no. 9 (August 12, 2022): e2.115. http://dx.doi.org/10.1136/jnnp-2022-abn2.201.
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BackgroundThe Trajectories of Outcome in Neurological Conditions-MS (TONiC-MS) is an ongoing observational study of people with MS in the UK, collecting patient reported outcome measures. In 2021, natalizumab became available in s.c. formulation in addition to the i.v. formulation first licensed in UK in 2006. There are currently no data on patient preference between the two formulations.MethodsThis is a prospective, observational, open-label questionnaire study nested in the TONiC-MS study. Following informed consent, participants on natalizumab-i.v. in TONiC-MS receive a baseline question- naire pack covering: treatment duration, frequency of administration, cannulation experience; adverse events; Neurological Fatigue Index-MS; Hospital Anxiety and Depression Scale; Stigma Scale for Chronic Illness; WHOQol-BREF; MSIS 29 Psychological; Warwick-Edinburgh Mental Well-being Scale. If the subject switches to natalizumab-s.c., one and three months later they will complete a follow-on pack repeating the above alongside the Patient Preference Questionnaire.ResultsEnrolment of participants on natalizumab-i.v. started in August 2021. Study design and interim data will be presented.DiscussionThis study will provide real-world data on experience with natalizumab-i.v. and natalizumab-s.c. in the UK. The data collected will allow examination of quality of life, MS psychological impact, well-being and adverse events on the different formulations of natalizumab.
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Labib, Peter Lawrence Zaki, and Lisa Brownell. "Factors affecting patient satisfaction with the psychiatric ward round: retrospective cross-sectional study." Psychiatric Bulletin 33, no. 8 (August 2009): 295–98. http://dx.doi.org/10.1192/pb.bp.108.020529.
Повний текст джерелаАнотація:
Aims and MethodA questionnaire was distributed to patients in a psychiatric hospital in Birmingham, UK, to identify the factors that affect their satisfaction with the ward round.ResultsThe questionnaire was completed by 42 patients (53% response rate). Waiting time was the only variable to be significantly correlated with total score of patient satisfaction. Regression analysis also identified diagnosis and patients meeting their consultant before the first ward round as significant predictors of patient satisfaction.Clinical ImplicationsReducing waiting time and ensuring that the consultant meets the patient before the first ward round would make a significant improvement to the in-patient experience, without causing much disruption to standard clinical practice.
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Krupchanka, D., H. Khalifeh, G. Thornicroft, and N. Sartorius. "Satisfaction with psychiatric in-patient care across 11 countries: Final report of the IDEA-study (inpatient discharge: experiences and analysis)." European Psychiatry 41, S1 (April 2017): S338. http://dx.doi.org/10.1016/j.eurpsy.2017.02.294.
Повний текст джерелаАнотація:
IntroductionSatisfaction of patients with in-patient care is a relatively rare focus of research in mental health.ObjectivesThe IDEA-study (inpatient discharge: experiences and analysis) was initiated to shed the light on the issue internationally.AimThe IDEA project aimed to:– develop a collaborative network of young psychiatrists;– use this network to explore satisfaction of people treated in psychiatric in-patient facilities in a range of high-, middle- and low-income countries.MethodsStudy was conducted in 25 hospitals across 11 countries. We measured satisfaction with in-patient care using the 5-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.ResultsA final study sample consisted of 673 participants. Total satisfaction scores were highly skewed towards positive responses. After taking clustering into account, the only independent correlates of low satisfaction were schizophrenia diagnosis and low psychiatrist to patient ratio.ConclusionWe could successfully establish a collaborative network of early career psychiatrists from different parts of the world and collect data in regards to the study aims. The positive skew of satisfaction scores need to be carefully considered in the context of literature and study limitations. In particularly, we suggest further studies on patients’ satisfaction to pay more attention to treatment expectations formed by the previous experience of treatment, service-related knowledge, stigma and patients’ disempowerment, power imbalance.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Nordon, C., B. Falissard, S. Gerard, J. Angst, J. M. Azorin, A. Luquiens, C. Reed, M. Lukasiewicz, and I. Gasquet. "Patient satisfaction with psychotropic drugs: Validation of the PAtient SAtisfaction with Psychotropic (PASAP) scale in patients with bipolar disorder." European Psychiatry 29, no. 3 (March 2014): 183–90. http://dx.doi.org/10.1016/j.eurpsy.2013.03.001.
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AbstractPurpose:The PAtient SAtisfaction with Psychotropic (PASAP) scale is a self-completed questionnaire measuring satisfaction with psychotropic medication. The aim of the study was to describe its development in French and its psychometric properties.Materials and methods:Scale construction was based on an extensive search of the literature. The item reduction process required semi-structured interviews of psychiatric outpatients (n = 30). The final version of the PASAP is a 9-item, 5-point Likert-type scale, covering the scope of effectiveness and adherence. To assess the psychometric properties of the scale, French patients with an acute manic episode (n = 314) from a large European observational cohort completed the PASAP scale 3 months after psychotropic treatment initiation/change. Internal validity and reliability were assessed using principal component analysis (PCA). Concurrent validity was assessed using comparisons to physician-rated satisfaction with life, illness severity, mood relapse, compliance and side effects.Results:Participation rate was 68.4%. PCA was in favour of uni-dimensionality. Cronbach's α coefficient was 0.85 (95%CI 0.83–0.88). All five concurrent measures were significantly associated with the PASAP score.Conclusion:The PASAP scale showed good psychometric properties in a large bipolar population and thus seems adequate for evaluating treatment satisfaction. Its short length and good acceptability makes it suitable for clinical research.
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Jena, Shivananda, and Manushree Gupta. "A survey of patient satisfaction of patients attending a psychiatry outpatient clinic at a tertiary care centre." International Journal Of Community Medicine And Public Health 5, no. 5 (April 24, 2018): 2026. http://dx.doi.org/10.18203/2394-6040.ijcmph20181717.
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Background: The concept of patient satisfaction in mental health services has eluded understanding in spite of large research body on this subject. Poor patient satisfaction leads to worse outcomes on psychiatric disorders. This study looked for social, demographic and clinical variables associated with patient satisfaction.Methods: 1100 eligible subjects were screened and then 519 alternate sample subjects were recruited for the survey based on the selection criteria. Social, demographic and clinical variables were assessed and PSQ-18 (Patient Satisfaction Questionnaire) was administered to all subjects.Results: 453 (87.28%) patients reported satisfaction and 66 (12.72%) of patients reported being unsatisfied with the service provided. Four sub-scales [“General satisfaction” (p<0.001), “Technical quality” (p<0.001), “Interpersonal manner” and “Communication” were found to be associated with patient satisfaction while other 3 sub-scales (“Financial aspects”, “Time spent with the doctor” and “Accessibility and convenience”) were not significantly associated with patient satisfaction.Conclusions: Both the technical and the interpersonal and communication skills of the doctor were important in determining patient satisfaction whereas the often believed variables like financial aspect and the time spent with the doctor did not affect patient satisfaction significantly.
Дисертації з теми "Patient satisfaction, psychiatry, COFI study"
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Miglietta, Elisabetta. "Patient's appraisal of mental health care in five European countries: findings from the COFI study." Doctoral thesis, 2018. http://hdl.handle.net/11562/988527.
Повний текст джерелаАнотація:
Patient satisfaction with mental health care has gained considerable attention as a construct to assess in research and in routine practice as evidence suggests it has a relationship with factors such as treatment adherence and engagement with services, as well as being an indicator of quality of care. However, lack of clarity exists about methodological aspects of measuring satisfaction and on understanding factors associated with higher or lower satisfaction level. Aims 1) To update the state of the art about measures and concepts of patient satisfaction with mental health care and individuate established scales to assess it 2) To assess which patient factors are associated with satisfaction with inpatient mental health care and whether there are differences in patient satisfaction across five European countries 3) To assess which service configuration and patient factors are predictors of patient satisfaction with community mental health care after 1 year from a psychiatric hospital admission and whether there are differences across five European countries
Частини книг з теми "Patient satisfaction, psychiatry, COFI study"
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Weinman, John, and Keith J. Petrie. "Health psychology." In New Oxford Textbook of Psychiatry, 1135–43. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199696758.003.0147.
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Health psychology is concerned with understanding human behaviour in the context of health, illness, and health care. It is the study of the psychological factors, which determine how people stay healthy, why they become ill, and how they respond to illness and health care. Health psychology has emerged as a separate discipline in the past 30 years and there are many reasons for its rapid development. An important background factor is the major change in the nature of health problems in industrialized societies during the twentieth century. Chronic illnesses such as heart disease and cancer have become the leading causes of death, and behavioural factors such as smoking, diet, and stress are now recognized as playing a major role in the aetiology and progression of these diseases. The provision of health care has grown enormously and there is an increased awareness of good communication as a central ingredient of medical care and of the importance of such factors as patient satisfaction and quality of life as key outcomes in evaluating the efficacy of medical interventions. Although health psychology has developed over a similar time period to general hospital/liaison psychiatry and shares some common areas of interest, there are some clear differences between these two fields. Liaison psychiatry has a primary focus on hospital patients, particularly those experiencing psychological difficulties in the face of a physical health problem. In contrast, health psychology has a much broader focus on both healthy and ill populations and on the psychological processes that influence their level of health or their degree of adaptation to disease. Whereas health psychology has been mainly concerned with developing explanations based on theory, for health-related and illness-related behaviour, liaison psychiatry has concentrated on the diagnosis and treatment of either unexplained symptoms or psychiatric disorders occurring in people with medical conditions (see the other chapters in Part 5 of this volume). In this chapter we provide an overview of the main themes and areas in health psychology. Four broad areas of behaviour will be reviewed, namely behavioural factors influencing health, symptom and illness behaviour, health care behaviour, and treatment behaviour. Inevitably such an overview is selective and the interested reader should seek out a more comprehensive introductory text or more in-depth accounts of specific areas.