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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.
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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.
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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.
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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.
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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.
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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.
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Mucic, D. "Transcultural telepsychiatry and its impact on patient satisfaction." European Psychiatry 26, S2 (March 2011): 2227. http://dx.doi.org/10.1016/s0924-9338(11)73929-3.
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IntroductionNational and International telepsychiatry service was established between Denmark and Sweden in order to increase access to cross-cultural expertise. Patient acceptability study was conducted to assess the patients’ attitudes toward the quality, advantages and disadvantages of telepsychiatry service.MethodsOver a period January 2005-December 2007, 61 patients were treated via telepsychiatry by clinicians that speak patientsrespective mother tongues. Video-conferencing equipment connected the Little Prince Psychiatric Centre in Copenhagen with two hospitals, one asylum seekers’ centre and one social institution in Denmark. These stations were also connected to the Swedish department of the Centre. Number of languages spoken was 9 while the number of nationalities treated was 11. No interpreter assistance has been used.After the end of the telepsychiatry contact all patients were asked to complete a satisfaction questionnaire.ResultsPatients reported a high level of acceptance and satisfaction with telepsychiatry. They expressed a wish to use telepsychiatry via their mother tongue, rather than interpreter-assisted mental health care in the future.DiscussionThe restricted physical contact and non-verbal communication of telepsychiatry was compensated by the fact that the doctor and patient spoke the same language and had similar cultural and/or national references. The results of the survey may contribute to further development of, primarily, European Telepsychiatry Network. However, this model may be used for conducting of larger international telepsychiatry service capable to provide mental health care toward diversity of patient populations underserved on their mother tongue worldwide.
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Razki, K., Y. Zgueb, A. Aissa, U. Ouali, and R. Jomli. "the impact of shared medical decision making on patient satisfaction in psychiatry." European Psychiatry 65, S1 (June 2022): S599. http://dx.doi.org/10.1192/j.eurpsy.2022.1534.
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Introduction The era of the paternalisation of the patient is over, gradually giving way to new models, in particular that of “shared medical decision making”, with the aim of responding to the growing desires of the patient and giving priority to his autonomy. Objectives to establish the influence of the new active position of the patient in the therapeutic process on the satisfaction of the psychiatric patient. Methods This is a descriptive cross-sectional study that took place over a period of 5 months from April 2019 to August 2019 in two university hospital psychiatry departments of Razi Hospital in Tunisia . The questionnaire was administered outside any period of hospitalisation, in order to increase the reliability of responses. We used a pre-established form including socio-demographic data, clinical data concerning the patient’s mental disorder followed by a patient satisfaction questionnaire regarding the quality of care received in a psychiatric setting. Results The patients interviewed in our study reported a good level of satisfaction (67.5%) with their involvement in the therapeutic process. However, 45.5% of the patients expressed dissatisfaction with the information provided to them by their doctor about their mental health status. The majority of the subjects surveyed expressed satisfaction with the quality of the interviews conducted during hospitalisation (71%) and with the time spent with the doctor (67%). Conclusions Despite the fact that providing information to patients with mental health problems is a key element of patient satisfaction, not enough doctors actually include it in their daily practice. Disclosure No significant relationships.
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Joshi, S., T. Thakur, and R. Shakya. "Patient-reported Satisfaction Among Psychiatry Admission In A Tertiary-Care Teaching Hospital In Nepal: A Descriptive Cross-Sectional Study." Journal of Psychiatrists' Association of Nepal 9, no. 2 (December 31, 2020): 18–22. http://dx.doi.org/10.3126/jpan.v9i2.36280.
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Introduction: Satisfaction among the patients reflects the quality of care provided. Patient demographics, diagnosis, and chronicity of illness, institutional, and/or medical factors have been found as contributing factors in different studies. This study aims to evaluate the satisfaction among psychiatric inpatients in a tertiary care center.
Material and Method: This was a descriptive cross-sectional study on the inpatients at the Department of Psychiatry of a tertiary care` teaching hospital in Nepal during a one-year study period from May 2015 to June 2016. We interviewed the inpatients at the time of discharge and collected data on the demographic and clinical characteristics, the satisfaction of treatment received, and sought any suggestions to improve the services. We summarized the numerical variables with the median and inter-quartile range (IQR) and the categorical variables as proportion.
Results: Of the 286 patients admitted during the study period, 122 patients responded (42.6%). The median age was 32 years (IQR 22-43) and the majority were male (73, 59.8%), married (78, 63.9%), skilled labor or student (26, 21.3%) by occupation, and had secondary level education (31, 25.4%). Most of the patients reported satisfaction (115, 94.2%) with the care received. Among the different domains of satisfaction, most positive responses were seen in the treatment (116, 95.08%) and the least in the treatment cost (57, 46.7%). Suggestions on the improvement of infrastructure of the ward and subsidy in the treatment cost were received.
Conclusion: Most of the inpatients reported satisfaction with the care they received. Further exploration into different domains of satisfaction is needed.
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Administrator, Administrator, Elizabeth Murniaty, C. Sri Hartati, and Gurendro Putro. "ANALISIS KEPUASAN PASIEN DI KLINIK HJ. TARPIANIE SIDOARJO." Jurnal Manajerial Bisnis 2, no. 01 (March 19, 2019): 14–29. http://dx.doi.org/10.37504/jmb.v2i01.119.
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The purpose of this study is to determine the quality of service, patient satisfaction, obstacles faced byClinic Hj. Tarpianie Sidoarjo in realizing patient satisfaction. This research is a qualitative research toanalyze patient satisfaction in Clinic Hj. Tarpianie Sidoarjo. Primary data were obtained from in-depthinterviews of patients, doctors, nurses, administrators, and owners Clinic Hj. Tarpianie Sidoarjo. Basedon the results of the research can be known that first, the overall service quality is good enough thisassessment is based on the five indicators of service quality is only one indicator that gets poor penalaian,while the rest get good penilain, good enough, and very good. Second, patient satisfaction in receivinghealth services at Clinic Hj.Tarpiane also considered satisfactory. This conclusion is based on 3indicators of patient satisfaction. The three obstacles that are possessed by the Clinic are as follows: (1)The management is unable to fulfill the patient's wishes, (2) The services provided are not in accordancewith the competence specification (3) the human resources are still incomplete, (4) which does not matchthe patient's expectations. (5) Long and long queues that are not in line with patient expectations.Keywords: patient satisfaction, service quality
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Goben, Kebebew Wogi, Endalamaw Salelew Abegaz, and Samuel Tolesa Abdi. "Patient satisfaction and associated factors among psychiatry outpatients of St Paulo’s Hospital, Ethiopia." General Psychiatry 33, no. 1 (January 2020): e100120. http://dx.doi.org/10.1136/gpsych-2019-100120.
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BackgroundPatient satisfaction with mental healthcare service is recognised as an important integral part of measuring the outcomes and performance of clinical service delivery. It is not well studied in Ethiopia. Therefore, it is essential to improve service in the future.AimsTo assess patient satisfaction and associated factors among psychiatry outpatients at St. Paulo’s Hospital Millennium Medical College, Addis Ababa, Ethiopia.MethodsAn institutional-based cross-sectional study was conducted with consecutive sampling technique from May to June 2018. Data were collected using a Client Satisfaction Questionnaire (CSQ-8). Both bivariate and multivariate ordinal logistic regression analyses were used. Variables with p value <0.05 at multivariate analysis were considered statistically significant.ResultsA total of 589 participants were enrolled with a response rate of 98.2%. In regard to the magnitude of patient satisfaction, 50.3% (95% CI 46.0 to 54.2) were highly satisfied, 31.0% (95% CI 27.2 to 34.8) were satisfied, and 18.7% (95% CI 15.4 to 22.1) were dissatisfied. Male sex (adjusted OR (AOR) 2.30, 95% CI 1.57 to 3.36), inability to read and write (AOR 2.23, 95% CI 1.10 to 4.66), being unemployed (AOR 1.69, 95% CI 1.15 to 2.47), obtaining services for free (AOR 1.57, 95% CI 1.11 to 2.22), and availability of medication (AOR 1.62, 95% CI 1.13 to 2.23) were significantly associated with patient satisfaction.ConclusionsThe study showed that further improvements in patient satisfaction are required. Male sex, inability to read and write, being unemployed, obtaining services free of charge, and availability of medication were significantly associated with patient satisfaction. More than half of the participants were dissatisfied with the waiting time to receive services. The provision of services within a reasonable timeframe and meeting patient expectations are helpful for good health outcomes.
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van der Feltz-Cornelis, Christina M., Dirk Wijkel, Peter F. M. Verhaak, Dorine H. Collijn, Frits J. Huyse, and Richard Van Dyck. "Psychiatric Consultation for Somatizing Patients in the Family Practice Setting: A Feasibility Study." International Journal of Psychiatry in Medicine 26, no. 2 (June 1996): 223–39. http://dx.doi.org/10.2190/ddth-6buh-w5ay-r4ka.
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Objective: The purpose of the study was to assess the feasibility of a psychiatric consultation intervention for somatizing patients in the family practice setting in terms of 1) patient compliance, 2) patient satisfaction, and 3) compliance and satisfaction of general practitioners (GPs). Method: In a period of nine months, forty-six patients were selected for psychiatric consultation in six solo family practices in a semi-urban area in the Netherlands. The consultation included an interview with the consulting psychiatrist, the patient, and the GP. A written summary of the consultation was provided to the GP and the patient. A booster session with a GP and psychiatrist was included to evaluate and reinforce the recommendations. Results: The majority of the selected patients agreed to participate after informed consent. An intervention was implemented containing interpersonal techniques, reattribution, clarification, and structuring. GP compliance with recommendations was 100 percent, patient compliance 75 percent. Conclusion: A standardized psychiatric consultation for somatizing patients in a family practice setting can be implemented. Several levels of implementation can be distinguished.
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Lazzari, C., and I. Masiello. "How Satisfied are Undergraduate Students with Interprofessional Training? Meta-analysis of a Pilot Study." European Psychiatry 41, S1 (April 2017): S299. http://dx.doi.org/10.1016/j.eurpsy.2017.02.182.
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IntroductionLearning to work in an interprofessional team entails satisfaction in working with others.ObjectiveContextual assessment of the degree of satisfaction of undergraduate healthcare students (doctors, nurses, occupational therapists and physiotherapists) during interprofessional education (IPE).AimsMeta-analysis of degree of satisfaction contextually assessed during major interprofessional learning moments.MethodsThirty-six undergraduate health care students (medical students, nursing students, occupational therapy students) answered questions on a 5-point Likert scale (from “Very satisfied” to “Very dissatisfied”). A meta-analysis with Tau2 (t2), Cochrane's Q, and I2 analyzed IPE activities: self-reflection after daily training, interactions with teachers, discussion of clinical cases during ward rounds and patient care as a team.ResultsMeta-analysis reported significant heterogeneity in the degrees of satisfaction (Fig. 1): 47.2% being “satisfied” with reflection after IPE, {t2 = .011; Q (5df) = 30.03; I2 = 83%, P < .0001}; 45% being “satisfied” during interactions with their teachers {t2 = .01; Q (5df) = 25.74; I2 = 80%, P < .001}; 31.4% being “satisfied” about the discussion of a clinical case during ward rounds {t2 = .009; Q (5df) = 22.61; I2 = 77.89%, P < .001}; and 44.4% being “satisfied” about patient care with the interprofessional team {t2 = .009; Q (5df) = 22.99; I2 = 78.25%, P < .001}.ConclusionsUndergraduate students show satisfaction with IPE activities. This helps improve the quality of care and teamwork in the busiest wards.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Bird, Victoria, Elisabetta Miglietta, Domenico Giacco, Michael Bauer, Lauren Greenberg, Vincent Lorant, Jacek Moskalewicz, et al. "Factors associated with satisfaction of inpatient psychiatric care: a cross country comparison." Psychological Medicine 50, no. 2 (January 30, 2019): 284–92. http://dx.doi.org/10.1017/s0033291719000011.
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AbstractBackgroundPatient satisfaction is a key indicator of inpatient care quality and is associated with clinical outcomes following admission. Different patient characteristics have been inconsistently linked with satisfaction. This study aims to overcome previous limitations by assessing which patient characteristics are associated with satisfaction within a large study of psychiatric inpatients conducted across five European countries.MethodsAll patients with a diagnosis of psychotic (F2), affective (F3) or anxiety/somataform (F4) disorder admitted to 57 psychiatric inpatient units in Belgium, Germany, Italy, Poland and the UK were included. Data were collected from medical records and face-to-face interviews, with patients approached within 2 days of admission. Satisfaction with inpatient care was measured on the Client Assessment of Treatment Scale.ResultsHigher satisfaction scores were associated with being older, employed, living with others, having a close friend, less severe illness and a first admission. In contrast, higher education levels, comorbid personality disorder and involuntary admission were associated with lower levels of satisfaction. Although the same patient characteristics predicted satisfaction within the five countries, there were significant differences in overall satisfaction scores across countries. Compared to other countries, patients in the UK were significantly less satisfied with their inpatient care.ConclusionsHaving a better understanding of patient satisfaction may enable services to improve the quality of care provided as well as clinical outcomes for all patients. Across countries, the same patient characteristics predict satisfaction, suggesting that similar analytical frameworks can and should be used when assessing satisfaction both nationally and internationally.
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Price, John S., and Rachel Asch. "Writing to the patient." Psychiatric Bulletin 14, no. 8 (August 1990): 467–69. http://dx.doi.org/10.1192/pb.14.8.467.
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In a recent study we compared writing to the patient with writing to the general practitioner after an initial psychiatric out-patient consultation. One of us (R.A.) interviewed the patients at home about two weeks after the consultation, and compared the two groups on satisfaction with the consultation, comprehension of information given by the psychiatrist, and compliance with advice. We felt that the comments of the patients might be of interest, particularly to those who might have considered (or done) something similar.
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Gross, Revital, Shuli Brammli-Greenberg, Hava Tabenkin, and Jochanan Benbassat. "Primary Care Physicians' Discussion of Emotional Distress and Patient Satisfaction." International Journal of Psychiatry in Medicine 37, no. 3 (September 2007): 331–45. http://dx.doi.org/10.2190/pm.37.3.i.
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Objectives: To assess: a) the prevalence and determinants of self-reported emotional distress in the Israeli population; b) the rate of self-reported discussion of emotional distress with family physicians; and c) the association between such discussions and patient satisfaction with care. Method: Design: Retrospective, cross-sectional survey that was conducted through structured telephone interviews in Hebrew, Arabic, and Russian. This study was part of a larger study assessing patients' perceptions of the quality of health services. Participants: A representative sample of 1,849 Israeli citizens aged 22 to 93 (response rate: 84%). Independent variables: Gender, age, ethnicity (spoken language), education, income, self-reported chronic disease, self-reported episode(s) of emotional distress during the last year, and having discussed emotional distress with the family physician. Outcome measure: satisfaction with care. Results: 28.4% reported emotional distress and 12.5% reported discussion of emotional distress with a primary care physician in the past year. Logistic regression identified female gender, Arab ethnicity, low income, and chronic illness as independent correlates of emotional distress. These as well as Russian speakers and having experienced emotional distress during the past year were identified as independent correlates of discussion of emotional distress with the family physician. Patients who reported discussion of emotional distress with their family physician were significantly more satisfied with care. Conclusions: Encouraging physicians to detect and discuss emotional distress with their patients may increase patient satisfaction with care, and possibly also improve patients' well-being and reduce health care costs.
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Fortin, Marilyn, Jean-Marie Bamvita, and Marie-Josée Fleury. "Patient satisfaction with mental health services based on Andersen’s Behavioral Model." Canadian Journal of Psychiatry 63, no. 2 (October 23, 2017): 103–14. http://dx.doi.org/10.1177/0706743717737030.
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Objective: The purpose of this article was to assess the satisfaction of adult patients who received mental health services (MHS) in healthcare networks staffed by multidisciplinary professionals and offering a range of MHS, and to identify variables associated with patient satisfaction. Methods: This cross-sectional study included 325 patients with mental disorders (MDs) among 4 Quebec health service networks. Data were collected using 9 standardized instruments and participant medical records. A 3-factor conceptual framework (predisposing, enabling, and needs-related factors) based on Andersen’s Behavioral Model was used, integrating sociodemographic, clinical, needs-related, service utilization, social support, and quality-of-life (QOL) variables. An adjusted multiple linear regression model was performed. Results: The global mean score for patient satisfaction was 4.11 (minimum: 2.0; maximum: 5.0). Among the enabling factors, continuity of care, having a case manager, and help received from services were positively associated with patient satisfaction, whereas being hospitalized was negatively associated. Among the needs-related factors, the number of needs was negatively associated with satisfaction. Conclusions: Findings demonstrated higher levels of satisfaction among patients who received good continuity of care and well-managed, frequent services in relation to their needs. Dissatisfaction was higher for patients with serious unmet needs or those hospitalized, which underlines the importance of taking these particular variables into account in the interest of improving MHS delivery and patient recovery.
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kassaw, Chalachew, Alem Eskeziya, and Tamrat Anbesaw. "Magnitude of patient satisfaction and its associated factors at the outpatient psychiatry service of Dilla university referral hospital, Southern Ethiopia, Dilla, 2020." PLOS ONE 17, no. 8 (August 3, 2022): e0272485. http://dx.doi.org/10.1371/journal.pone.0272485.
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Background Patient satisfaction is a subjective attitudinal response of a client to a health institution’s services and a pillar of quality assurance. Patients who are happy with their treatment are much more likely to stick with it, improve quickly, and function normally. Satisfied patients are more compliant, improve faster, and are more functional. However, there haven’t been enough studies conducted across the country, and none have been conducted in this study area. As a result, the purpose of the study was to estimate the size of patient satisfaction and associated determinants at Dilla University Referral Hospital’s psychiatry unit in Dilla, 2020. Methods This was a hospital-based cross-sectional study design utilized using a simple random sampling technique. To assess patient satisfaction, we used the 24-item Mental Health Service Satisfaction Scale which was a validated tool in Ethiopia. The link between the outcome and the independent variable was determined using linear regression analysis (P< 0.05). Result This study enrolled 409 respondents with a response rate of 97%. The overall mean percentage score of patient satisfaction was 55.4% (95% CI (48.4%– 59.2%). Having bipolar disorder diagnosis [β = -2.93, 95% CI (-4.33, -1.96), p = .000], distance from the hospital [β = -2.34), 95% CI (-3.765, -1.735), P = .001], waiting time [β = -2.19, 95% CI (-3.49, -1.10), p = .000], monthly income (2.95, 95% CI (1.65, 5.23) and Urban residence (β = 1.43, 95% CI (1.03–3.43), p = 0.01) were variables significantly associated with perceived patient satisfaction. Conclusions and recommendations In this study, more than half of the respondents scored above the mean percentage score of patient satisfaction. The amount of time spent in the waiting area and the distance traveled to the hospital were identified as variables that could be improved by working with different stakeholders.
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Lloyd-Evans, B., S. Johnson, N. Morant, H. Gilburt, D. P. J. Osborn, D. Jagielska, R. Skinner, M. Leese, G. Shepherd, and M. Slade. "Alternatives to standard acute in-patient care in England: differences in content of care and staff–patient contact." British Journal of Psychiatry 197, S53 (August 2010): s46—s51. http://dx.doi.org/10.1192/bjp.bp.110.081117.
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BackgroundDifferences in the content of care provided by acute in-patient mental health wards and residential crisis services such as crisis houses have not been researched.AimsTo compare planned and actual care provided at alternative and standard acute wards and to investigate the relationship between care received and patient satisfaction.MethodPerspectives of stakeholders, including local service managers, clinicians and commissioners, were obtained from 23 qualitative interviews. Quantitative investigation of the care provided at four alternative and four standard services was undertaken using three instruments developed for this study. The relationship of care received to patient satisfaction was explored.ResultsNo significant difference was found in intensity of staff– patient contact between alternative and standard services. Alternative services provided more psychological and less physical and pharmacological care than standard wards. Care provision may be more collaborative and informal in alternative services. All measured types of care were positively associated with patient satisfaction. Measured differences in the care provided did not explain the greater acceptability of community alternatives.ConclusionsSimilarities in care may be more marked than differences at alternative and standard services. Staff–patient contact is an important determinant of patient satisfaction, so increasing it should be a priority for all acute in-patient services.
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Mouchabac, S., P. Lemoine, and F. J. Baylé. "1836 – Functional remission in depression and patient satisfaction index: results of the diapason study." European Psychiatry 28 (January 2013): 1. http://dx.doi.org/10.1016/s0924-9338(13)76800-7.
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Kassaw, Chalachew, Elias Tesfaye, Shimelis Girma, and Liyew Agenagnew. "Perceived Patient Satisfaction and Associated Factors among Psychiatric Patients Who Attend Their Treatment at Outpatient Psychiatry Clinic, Jimma University Medical Center, Southwest Ethiopia, Jimma, 2019." Psychiatry Journal 2020 (March 5, 2020): 1–10. http://dx.doi.org/10.1155/2020/6153234.
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Background. In health care, patient satisfaction is an attitudinal response and a pillar for quality assurance, but there is reluctance to measure it among mentally ill patients. Satisfied patients become more compliant. However, no study was done in this study area before. Therefore, this study was conducted to determine the magnitude of perceived patient satisfaction and associated factor at Jimma University Medical Center, outpatient psychiatry clinic. Methods. Cross-sectional study design was conducted, and systematic random sampling technique was used to get study participants. The 24-item Mental Health Service Satisfaction Scale (a validated tool in Ethiopia) was used to assess patient satisfaction. Data was entered using Epi-data 3.1 and exported to the Statistical Package for the Social Sciences 22.0 for analysis. Linear regression analysis (P<0.05) was used to identify the association between the outcome and independent variable. Result. 414 respondents participated in the study with response rate of 98%. The overall percentage of patient satisfaction was 50.3% (95% CI 48.4%–51.2%). Being male (β=−0.651, 95% CI (-0.969, -0.332)), having secondary and above educational status (β=−1.250, 95% CI (-1.765, -0.735)), living in a rural area (β=−1.358, 95% CI (-1.687, -1.030)), having a diagnosis of major depressive disorder (β=1.719, 95% CI (1.332, 2.106)) and bipolar disorder (β=1.203, 95% CI (0.890, 1.516)), far in distance from the hospital (β=−3.250, 95% CI (-4.662, -2.450)), having a history of current substance use (β=−1.719, 95% CI (-2.015, -1.423)), longer in waiting time (β=−3.853, 95% CI (-4.701, -2.205)), and strong social support (β=0.456, 95% CI (0.231, 0.654)) were variables significantly associated with patient satisfaction. Conclusion and Recommendation. This study found that half of the study participants are satisfied with the service. Distance from the hospital, current substance use, waiting time, and having good social support were identified as modifiable factors that can be improved through working with stakeholders to increase patient satisfaction.
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Biering, Páll, and Valgerdur H. Jensen. "The concept of patient satisfaction in adolescent psychiatric care: A qualitative study." Journal of Child and Adolescent Psychiatric Nursing 30, no. 4 (November 2017): 162–69. http://dx.doi.org/10.1111/jcap.12189.
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Biering, Páll, and Valgerdur H. Jensen. "The Concept of Patient Satisfaction in Adolescent Psychiatric Care: A Qualitative Study." Journal of Child and Adolescent Psychiatric Nursing 23, no. 3 (August 12, 2010): 143–50. http://dx.doi.org/10.1111/j.1744-6171.2010.00236.x.
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Biering, Páll, and Valgerõur H. Jensen. "The Concept of Patient Satisfaction in Adolescent Psychiatric Care: A Qualitative Study." Journal of Child and Adolescent Psychiatric Nursing 24, no. 1 (January 28, 2011): 3–10. http://dx.doi.org/10.1111/j.1744-6171.2010.00261.x.
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Boardman, Anthony P., Richard E. Hodgson, Martyn Lewis, and Keith Allen. "North Staffordshire Community Beds Study: Longitudinal evaluation of psychiatric in-patient units attached to community mental health centres." British Journal of Psychiatry 175, no. 1 (July 1999): 70–78. http://dx.doi.org/10.1192/bjp.175.1.70.
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BackgroundThis study evaluates two in-patient units attached to community mental health centres (CMHCs) that were designed to supplement acute in-patient care and to integrate with community-based after-care services.AimTo examine the comparative outcome of patients with severe mental illness (SMI) admitted to the two units.MethodAll patients with SMI admitted to the acute psychiatric wards serving the two CMHCs, those transferred to the community in-patient units and those admitted directly to these units (n=110) were compared with patients (n=67) admitted to acute wards serving two similar catchment areas without associated community beds. Baseline clinical and social measures were made and repeated at six and 12 months. Satisfaction with services was assessed at 12 months.ResultsThe experimental group showed significantly better outcomes, significant reduction in unmet need and better satisfaction with services.ConclusionsThe use of the community beds appears to have significant benefits for patients with SMI.
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Wening Palupi Dewi, Yuly Peristiowati, Nurwijayanti, Ratna Wardani, and Indasah. "Determinants of Satisfaction of Inpatients in Hospitals." Journal for Quality in Public Health 5, no. 2 (May 31, 2022): 444–52. http://dx.doi.org/10.30994/jqph.v5i2.332.
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Patient satisfaction can have an impact on the development of the health system, increasing the fulfillment of service needs, continuity of service, and will ultimately provide better health outcomes. Patient satisfaction investigation is a method of assessing the quality of care from the patient's perspective. This study aims to determine the determinants of patient satisfaction in hospital.This research is a literature review research. The research subjects were hospitalized patients. The databases used are: Google scholar, PubMed, and ScienceDirect. The keywords used included: age OR gender OR education OR profession OR residence OR insurance OR “type hospital” OR “quality of care” OR “length of stay” OR “facilities hospital” OR “hospital environment” AND “patient satisfaction” OR “inpatient satisfaction” AND “observational design”. The research used is from 2016 to 2021. Data analysis uses PRISMA flow diagrams. Results: The number of articles is 10 journals, the journals reached are national and international journals. The international journals covered are China (2 journals), Kazakhstan, Ethiopia (2 journals), and America, while the locations of journals conducted in Indonesia include Surakarta (2 journals), Papua, and Yogyakarta. There are 22 variables examined with 14 variables related positively and significantly. These variables are age, gender, education, occupation, quality of health services, doctor's work period, insurance ownership, urban location, length of stay, hospital accreditation status, perception of facilities, number of annual operations, nurse/bed ratio.determinants of inpatient satisfaction in hospitals, namely age, gender, education, occupation, quality of health services, doctor's work period, insurance ownership, urban location, length of stay, hospital accreditation status, perception of facilities, number of annual operations, nurse ratio /bed.
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John, Paula, Husnara Khanom, Michela Cameli, Rose McCabe, and Stefan Priebe. "How to value patients with psychosis: An inductive study of psychiatrists’ behaviour in routine consultations." Communication and Medicine 12, no. 1 (June 7, 2016): 55–69. http://dx.doi.org/10.1558/cam.v12i1.26363.
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Valuing patients underlies good communication in psychiatry and mediates positive outcomes. The aim of this study was to (1) identify and reliably assess valuing and devaluing communicative behaviour of psychiatrists in routine consultations, and (2) explore whether valuing behaviour is associated with patient satisfaction. In an inductive study, psychiatrists’ valuing and devaluing behaviours were operationalized and identified in 100 video-recorded consultations with patients with psychosis. Inter-rater reliability of identifying these behaviours was assessed. Associations with patients’ satisfaction were explored using a mixed linear regression model. We identified 18 different valuing behaviours – e.g. seeking patient’s views and supportive statements – and four devaluing behaviours – e.g. talking over the patient and poor responding to concerns – that could be assessed with good reliability. The inter-rater reliability was high (ICC=.89). More valuing behaviour was linked to higher patient satisfaction with the communication (?=.45, CI .14 to.77, p
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Spruill, Timothy Eugene. "Vexing visits: Variables correlating with physician perceptions of patients as “difficult” and overall enjoyment of their delivery of primary ambulatory care." International Journal of Psychiatry in Medicine 56, no. 5 (August 1, 2021): 354–63. http://dx.doi.org/10.1177/00912174211032037.
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All physicians experience some patients described as “difficult.” Their prevalence negatively impacts work satisfaction. Prior research identified factors present when physicians perceive patients as difficult. Numerous variables are unrelated to vexing patient visits. Three additive patient characteristics predict difficult encounters: 1) depressive or anxiety comorbidity, 2) polysymptomatic patients, and 3) high symptom severity. The sole physician variable was their score on the Physician Belief Scale (PBS) which quantifies negative attitudes towards psychosocial problems. When all three patient predictors exist, high PBS scorers judge twice as many patients as difficult. Five clinic milieu variables correlated weakly with clinic satisfaction among primary care residents. They are: 1) minimal role conflict, 2) autonomy, 3) collegiality, 4) encouragement of professional growth, and 5) work group loyalty. “Positive affect” was among the strongest physician variables but the author labeled it a confounding variable. Finally, a small “n” QI study conducted in this author’s residency explored the role of physician affectivity and identified additional physician characteristics and clinic milieu factors correlating with overall enjoyment of ambulatory clinic practice. Surprisingly, none of the five previously identified clinic milieu variables correlated directly with resident clinic satisfaction. “Supportive staff cohesion” was one milieu variable that correlated significantly with clinic satisfaction. Resident affective characteristics that significantly reduced clinic satisfaction were “hostility” and “negative affectivity.” “Joviality” was positively related to clinic satisfaction. While patient variables are uncontrollable, it is plausible that by physicians changing their beliefs and affectivity the percentage of vexing visits could be cut in half improving work satisfaction.
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Harnic, D., A. Cardella, M. Mazza, V. Catalano, A. Bruschi, L. Janiri, C. Romano, and A. Callea. "Burn-out indexes in mental health services employees and satisfaction in patients with a diagnosis of bipolar disorder." European Psychiatry 26, S2 (March 2011): 214. http://dx.doi.org/10.1016/s0924-9338(11)71924-1.
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ObjectivesThe aim of our study is the investigation of burn-out indexes in public mental health services employees (psychiatrists, psychologists, nursing staff, care providers) working with patients affected by Bipolar Disorder in order to correlate them with patients’ indexes of satisfaction about received treatment and care.MethodsA sample of 20 employees of mental health services (psychiatrists, psychologists, nurses) and one consisting of 22 patients with a diagnosis of Bipolar Disorder have been recruited at the Bipolar Disorders Unit of the Day Hospital of Psychiatry of the A. Gemelli Hospital in Rome. Operators have been submitted the Maslach Burnout Inventory (Emotional distress, Depersonalization, Personal satisfaction/achievement/fulfilment) while patients have been submitted the Questionnaire on Satisfaction of patient (QS)ResultsBy calculating the Spearman Correlation Coefficient the Depersonalization dimension proves highly correlated with the three subscales of QS: Doctor-Patient relationship quality (-.51); Information Quality and Doctor's therapeutic competence (-.48); Efficiency of service organization (-.58)ConclusionsIn our sample high levels of Depersonalization are correlated to a low satisfaction of patients. We therefore expect low levels of Depersonalization to be correlated with a higher satisfaction of the patient. Although it is not possible to generalize these results we can hypothesize that burn out negatively influences patients’ satisfaction.
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Prosser, David, Sonia Johnson, Elizabeth Kuipers, George Szmukler, Paul Bebbington, and Graham Thornicroft. "Mental Health, ‘Burnout’ and Job Satisfaction among Hospital and Community-Based Mental Health Staff." British Journal of Psychiatry 169, no. 3 (September 1996): 334–37. http://dx.doi.org/10.1192/bjp.169.3.334.
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BackgroundConcerns have been expressed that staff burnout may make community mental health care difficult to sustain. This study compares stress and job satisfaction between community and hospital-based staff.MethodThe GHQ-12, the Maslach Burnout Inventory and a job satisfaction measure were used to study 160 Inner London staff.ResultsCommunity staff scored significantly higher on the GHQ-12 and the ‘emotional exhaustion’ component of the Maslach Burnout Inventory than hospital-based in-patient, day care or out-patient staff. Satisfaction did not vary significantly between settings.ConclusionsThese results may be explained in several ways. Community work may be inherently more stressful than hospital work, or may currently be stressful because of inadequate resources, training or supervision. The results may also reflect widespread recent changes in community services or the specific effects of working in a deprived area.
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Bilderbeck, Amy C., Kate E. A. Saunders, Jonathan Price, and Guy M. Goodwin. "Psychiatric assessment of mood instability: qualitative study of patient experience." British Journal of Psychiatry 204, no. 3 (March 2014): 234–39. http://dx.doi.org/10.1192/bjp.bp.113.128348.
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BackgroundMood instability is a common reason for psychiatric referral. Very little is known about how patients with unstable mood experience assessment and diagnosis.AimsTo investigate the experiences of assessment and diagnosis among patients with mood instability and to suggest improvements to this process.MethodQualitative study, gathering data through individual interviews with 28 people experiencing mood instability and receiving a psychiatric assessment in secondary care.ResultsParticipants described the importance of receiving an explanation for their symptoms; the value of a good interpersonal relationship with their clinician(s); being listened to and acknowledged; and being involved in and informed about clinical decisions. These needs were not, however, consistently met. Receiving a psychiatric diagnosis, including a diagnosis of bipolar disorder or borderline personality disorder, evoked both positive and negative responses among participants, relating to stigma, personal understanding and responsibility, prognosis and treatment.ConclusionsPatients with mood instability seek explanation for their symptoms and difficulties, empathetic care and consistent support as much as cure. Clinicians may incorrectly assume what patients' attitudes towards diagnosis are, a mismatch which may hamper the development of a strong therapeutic relationship. Clear, patient-centred communication, which acknowledges the patient's experience, may result in greater patient engagement and satisfaction.
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Abdulwahab, SA, and HS Zedan. "Factors Affecting Patient Perceptions and Satisfaction with Telemedicine in Outpatient Clinics." Journal of Patient Experience 8 (January 2021): 237437352110637. http://dx.doi.org/10.1177/23743735211063780.
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Despite the increasing use of telemedicine, patients’ views on telemedicine remain unclear. This study aimed to understand factors affecting patient perceptions and satisfaction with telemedicine services. 235 patients were surveyed on accessibility to telemedicine clinics, medical specialities and satisfaction with the services. 58.3% confirmed having a stable internet connection, 24.3% used telemedicine services in internal medicine clinics, and only 5.1% accessed the telemedicine services in psychiatry clinics. 68.5% used the telephone to access telemedicine service, while only 6.4% used the hotline. Over half of patients confirmed their ability to hear clearly and speak easily with their healthcare providers during their consultations. 55.7% confirmed they were satisfied with their telemedicine experience, while 23.4% were neutral and 8.9% were unsatisfied. There was a significant difference in the rates of satisfaction between female and male respondents (p-value<0.001). Those with stable internet connection had significantly higher satisfaction rates with telemedicine services (p-value<0.001). The rates of satisfaction with telemedicine services were significantly higher in Cardiology and Orthopaedic clinics. Larger multi-center studies examining other factors affecting patients’ satisfaction are recommended.
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Lally, John, Fintan Byrne, Eimear McGuire, and Colm McDonald. "Patient satisfaction with psychiatric outpatient care in a university hospital setting." Irish Journal of Psychological Medicine 30, no. 4 (October 14, 2013): 271–77. http://dx.doi.org/10.1017/ipm.2013.54.
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ObjectivesTo measure patient satisfaction with psychiatric outpatient care in a university hospital setting. We wished to ascertain whether there was an association between increased patient satisfaction and background factors such as demographic details, diagnosis and patient preference for outpatient treatment in a hospital or a community setting.MethodsWe conducted a cross-sectional survey of individuals’ satisfaction levels with their outpatient treatment. Outpatients were invited to complete the Client Satisfaction Questionnaire-8 (CSQ-8), a well validated self-report instrument, along with some additional questions on their attitudes to the service.ResultsOne hundred and sixty-two respondents had a mean total CSQ-8 score of 26.7 (s.d. = 4.6) indicating a moderate to high level of satisfaction with outpatient care. Ninety percent of patients were satisfied with their psychiatric outpatient care. There were no significant sociodemographic or clinical associations with satisfaction levels identified. Sixty one percent of patients were in favour of retaining outpatient care in the university hospital.ConclusionsThis study demonstrates high satisfaction levels with psychiatric outpatient care in a university hospital setting. The majority of patients expressed a preference for maintaining outpatient care in the general hospital setting, rather than transferring to a stand-alone mental health facility in a suburban setting.
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Røssberg, J. I., I. Melle, S. Opjordsmoen, and S. Friis. "Patient satisfaction and treatment environment: A 20-year follow-up study from an acute psychiatric ward." Nordic Journal of Psychiatry 60, no. 2 (January 2006): 176–80. http://dx.doi.org/10.1080/08039480600583894.
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Stamboglis, Niccolò, and Rowena Jacobs. "Factors Associated with Patient Satisfaction of Community Mental Health Services: A Multilevel Approach." Community Mental Health Journal 56, no. 1 (September 14, 2019): 50–64. http://dx.doi.org/10.1007/s10597-019-00449-x.
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Abstract Community care is increasingly the mainstay of mental healthcare provision in many countries and patient satisfaction is an important barometer of quality of patient care. This paper explores the key factors associated with patient satisfaction with community mental health services in England and then compares providers’ performance on patient satisfaction. Our analysis is based on patient-level responses from the community mental health survey, which is run annually by the Care Quality Commission (CQC) for the years 2010 to 2013. We perform a repeated cross-section analysis, identifying factors associated with patient satisfaction via a multi-level ordered probit model, including both patient- and provider-level variables. We identify hospital-specific effects via empirical Bayes estimation. Our analysis identifies a number of novel results. First, patient characteristics such as older age, being employed, and being able to work, are associated with higher satisfaction, while being female is associated with lower satisfaction. Service contact length, time since last visit, condition severity and admission to a mental health institution, are all associated with lower satisfaction. Second, treatment type affects satisfaction, with patients receiving talking therapies or being prescribed medications being more satisfied. Third, care continuity and involvement, as proxied by having a care plan, is associated with higher satisfaction. Fourth, seeing a health professional closer to the community improves satisfaction, with patients seeing a community-psychiatric nurse, a social worker or a mental-health support worker being more satisfied. Finally, our study identifies the need for service integration, with patients experiencing financial, accommodation, or physical health needs being less satisfied. At a provider level, we find a negative association between the percentage of occupied beds and satisfaction. We further identify significant provider-specific effects after accounting for observable differences in patient and provider characteristics which suggests significant differences in provider quality of care.
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Azim, H. F. A., and A. S. Joyce. "The Impact of Data-based Program Modifications on the Satisfaction of Outpatients in Group Psychotherapy." Canadian Journal of Psychiatry 31, no. 2 (March 1986): 119–22. http://dx.doi.org/10.1177/070674378603100208.
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A previous assessment of patient satisfaction in our outpatient clinic indicated that patients in group psychotherapy were relatively dissatisfied with services in contrast to patients receiving other forms of therapy. A rational analysis on the part of program staff identified areas where modifications of the group therapy program could be implemented. These program changes are described. Satisfaction ratings of group therapy patients from a subsequent assessment project were compared to ratings from the initial study. Comparisons indicated that an improvement in the level of satisfaction of group patients was evident, providing support for the view that our program changes had had the desired beneficial impact. Results are discussed with regard to the value of ongoing evaluation and data-based modification of delivery services for the continuing improvement of patient care.
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Skime, Michelle K., Ajeng J. Puspitasari, Melanie T. Gentry, Dagoberto Heredia Jr, Craig N. Sawchuk, Wendy R. Moore, Monica J. Taylor-Desir, and Kathryn M. Schak. "Patient Satisfaction and Recommendations for Delivering a Group-Based Intensive Outpatient Program via Telemental Health During the COVID-19 Pandemic: Cross-sectional Cohort Study." JMIR Mental Health 9, no. 1 (January 28, 2022): e30204. http://dx.doi.org/10.2196/30204.
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Background Although group-based intensive outpatient programs (IOPs) are a level of care commonly utilized by adults with serious mental illness, few studies have examined the acceptability of group-based IOPs that required rapid transition to a telemental health (TMH) format during the COVID-19 pandemic. Objective The aim of this study was to evaluate patient satisfaction and future recommendations for a group-based IOP that was transitioned to a TMH format during the COVID-19 pandemic. Methods A 17-item patient satisfaction questionnaire was completed by patients at discharge and covered 3 areas: IOP TMH satisfaction, future recommendations, and video technology challenges. Descriptive and content analyses were conducted for the quantitative and open-ended questions, respectively. Results A total of 76 patients completed the program in 2020. A subset of patients (n=40, 53%) responded to the survey at program discharge. The results indicated that the patients were satisfied overall with the TMH program format; 50% (n=20) of the patients preferred the program continue offering the TMH format, and the rest preferred returning to in-person formats after the pandemic. The patients indicated the elements of the program that they found most valuable and provided recommendations for future program improvement. Conclusions Overall, adults with serious mental illness reported high satisfaction with the group-based IOP delivered via TMH. Health care systems may want to consider offering both TMH and in-person formats regardless of the state of the pandemic. Patients’ feedback on future improvements should be considered to help ensure long-term success.
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Koehler, Aubry N., Laura E. Sudano, Edward Ip, Stephen W. Davis, Gail S. Marion, and Julienne K. Kirk. "Patient experience of an integrated care model in a family practice clinic & FQHC." International Journal of Psychiatry in Medicine 55, no. 5 (September 2020): 357–65. http://dx.doi.org/10.1177/0091217420951059.
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In order to investigate the patient experience of integrated behavioral health care in primary care settings, we implemented a patient cohort model from a combined site sample (N = 727) consisting of a family practice clinic and a Federally Qualified Health Center. Patient experience was measured using 12 questions from a validated measure, the Agency for Healthcare Research and Quality’s Consumer Assessment of Health Care Providers and Systems (CAHPS®), Home and Community Based Services version, and six additional questions about interactions with an integrated behavioral health care team. We assessed bivariate relationships between satisfaction with integration and the clinic practice and self-reported physical health or self-reported mental/emotional health. We also utilized multiple regression to evaluate this relationship. Our analyses showed a statistically significant and small to moderate direct correlation between patients’ self-reported health (both physical and mental/emotional health) and their ratings of the practice as a whole (p = .0003), such that patients who rated their physical and/or mental/emotional health as better were more likely to rate their overall satisfaction with the practice higher. The results of this study suggest that primary care patients with only mild to moderate health conditions (physical and/or mental/emotional) may experience greater satisfaction with integrated behavioral health care than patients with multiple and/or severe health conditions. In contrast, patients with multiple and/or severe health conditions may experience lower satisfaction with integrated behavioral health care and may be better served through higher levels of care.
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Usman, Rahat, Anum Haider, Zoobia Ramzan, and Shafi Mansoori. "Quality Of Life Satisfaction Among Caregivers Of Schizophrenic Patients." ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE 26, no. 2 (September 14, 2021): 84–90. http://dx.doi.org/10.58397/ashkmdc.v26i2.466.
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Objective: This study is aimed to determine the Quality of Life (QOL) satisfaction among caregivers of schizophrenic patients attending Outpatient department of Psychiatry, Abbasi Shaheed Hospital, Karachi Medical and Dental College.Method: The cross-sectional study was conducted among 150 caregivers of Schizophrenic patients from November 2015 to March 2016 attending out patient department of Psychiatry, Abbasi Shaheed Hospital, Karachi Medical and Dental College, Pakistan. The Caregivers were intimate family members who had spent their significant time (at least 2 years) with the schizophrenia patients. The self administered WHO QOL-BREF (validated Urdu version) scale which has 26 items, was used to measure the Quality of Life (QOL). Quality of life Satisfaction was labeled as positive if QOL score was >75% of the total score.Result: Out of 150 patients, the mean age of the caregivers was 45.36 ± 3.85 years. Most of the caregivers 95 (63.3%) were males and had care giving role of father 49 (32.6%). Most of them were unsatisfied of their QOL, 81 (54%). While only 69 (46%)of the caregivers were satisfied with their QOL. Their QOLwasfound to be significantly associated with age of the patient (p-value <0.00 1) and caregiver (p-value <0.002), employment status (p-value 0.040), monthly family income (p-value <0.001), presence of physical illness of caregiver (p-value <0.001) and his/her relationship with the patient (p-value 0.048).Conclusion: Majority of caregivers of Schizophrenia patients were not satisfied with their Quality of Life. However, there are certain sociodemographic factors such as the age of patient and caregiver, employment and economic status, relationship with the patient and presence of physical illness of caregiver which were found to affect their satisfaction with QOL. Hence focusing those factors in the management plan may improve caregiver's satisfaction level.
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Rosenvinge, Jan H., and Anna Kuhlefelt Klusmeier. "Treatment for eating disorders from a patient satisfaction perspective: a Norwegian replication of a British study." European Eating Disorders Review 8, no. 4 (2000): 293–300. http://dx.doi.org/10.1002/1099-0968(200008)8:4<293::aid-erv346>3.0.co;2-4.
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Boyer, Laurent, Christophe Lançon, Karine Baumstarck, Nathalie Parola, Julie Berbis, and Pascal Auquier. "Evaluating the impact of a quality of life assessment with feedback to clinicians in patients with schizophrenia: randomised controlled trial." British Journal of Psychiatry 202, no. 6 (June 2013): 447–53. http://dx.doi.org/10.1192/bjp.bp.112.123463.
Повний текст джерелаАнотація:
BackgroundQuality of life (QoL) measurements are increasingly considered to be an important evaluation of the treatment and care provided to patients with schizophrenia. However, there is little evidence that assessing QoL improves patient outcomes in clinical practice.AimsTo investigate the impact of a QoL assessment with feedback for clinicians regarding satisfaction and other health outcomes in patients with schizophrenia.MethodWe conducted a 6-month, prospective, randomised and controlled open-label study. Patients withschizophrenia were assigned to one of three groups: standard psychiatric assessment; QoL assessment with standard psychiatric assessment; and QoL feedback with standard psychiatric assessment. The primary outcome was patient satisfaction at 6 months. The local ethics committee (Comité de Protection des Personnes Sud-Métediterranéee V, France, trial number 07 067) and the French drug and device regulation agency (Agence Française de Sécurité Sanitaire des Produits de Santé, France, trial number A01033-50) approved this study.ResultsWe randomly assigned 124 patients into groups. Quality of life feedback significantly affectedpatient satisfaction. Global satisfaction was significantly higher in the QoL feedback group (72.5% of patients had a high level of satisfaction) compared with the standard psychiatric assessment (67.5%) and QoL assessment groups (45.2%). Despite trends towards decreased severity for all clinical outcomes and increased changes to medication in the QoL feedback group at 6-month follow-up, these effects were not significant.ConclusionsQuality of life feedback positively influences patient satisfaction, which confirms the relevance of measuring QoL in clinical practice. The absence of a significant effect of QoL feedbackon clinical outcomes also suggests that clinicians did not use these data optimally. Our findings suggest a nocebo effect of QoL assessment without feedback that should be considered by researchers and clinicians.
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Lemmens, Gilbert M. D., Ann Buysse, Els Heene, Ivan Eisler, and Koen Demyttenaere. "Marital satisfaction, conflict communication, attachment style and psychological distress in couples with a hospitalized depressed patient." Acta Neuropsychiatrica 19, no. 2 (April 2007): 109–17. http://dx.doi.org/10.1111/j.1601-5215.2006.00168.x.
Повний текст джерелаАнотація:
Background:There has been fairly consistent empirical support for the association between major depressive disorder and marital dissatisfaction. However, this evidence is limited mostly to out-patient and population-based samples. Further, the role of possible mediating factors such as attachment style and conflict communication are less well investigated in major depression.Objective:The present study aims to investigate whether couples with a depressed partner and nonclinical couples differ in marital satisfaction, attachment style, psychological distress and conflict communication. Gender differences are also investigated.Methods:Seventy-seven couples, who participated in a family intervention trial, were compared with 77 age- and gender-matched nonclinical couples.Results:The depressed patients reported more psychological distress and attachment difficulties and less marital satisfaction than their partners and the nonclinical couples. Partners perceived their relationship as more satisfying than the nonclinical couples. The clinical couples reported less mutual constructive and more mutual avoidant communication in their relationship compared with the nonclinical couples. Finally, female depressed patients reported higher levels of psychological symptoms and were more avoidant attached than male patients.Conclusions:This study shows important differences in several individual and relational characteristics between couples with a depressed partner and nonclinical couples. Further research will be necessary to clarify whether the investigated psychosocial variables play a causal and/or a maintaining role in depression.
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Gehri, Beatrice, Stefanie Bachnick, René Schwendimann, and Michael Simon. "Matching Registered Nurse Services With Changing Care Demands in Psychiatric Hospitals: Protocol for a Multicenter Observational Study (MatchRN Psychiatry Study)." JMIR Research Protocols 10, no. 8 (August 17, 2021): e26700. http://dx.doi.org/10.2196/26700.
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Background The quality of care is often poorly assessed in mental health settings, and accurate evaluation requires the monitoring and comparison of not only the outcomes but also the structures and processes. The resulting data allow hospital administrators to compare their patient outcome data against those reported nationally. As Swiss psychiatric hospitals are planned and coordinated at the cantonal level, they vary considerably. In addition, nursing care structures and processes, such as nurse staffing, are only reported and aggregated at the national level, whereas nurse outcomes, such as job satisfaction or intention to leave, have yet to be assessed in Swiss psychiatric hospitals. Because they lack these key figures, psychiatric hospitals’ quality of care cannot be reasonably described. Objective This study’s purpose is to describe health care quality by exploring hospital structures such as nurse staffing and the work environment; processes such as the rationing of care; nurse outcomes, including job satisfaction and work-life balance; and patients’ symptom burden. Methods MatchRN Psychiatry is a multicenter observational study of Swiss psychiatric hospitals. The sample for this study included approximately 1300 nurses from 113 units of 13 psychiatric hospitals in Switzerland’s German-speaking region. In addition, routine patient assessment data from each participating hospital were included. The nurse survey consisted of 164 items covering three dimensions—work environment, patient safety climate, and the rationing of care. The unit-level questionnaire included 57 items, including the number of beds, number of nurses, and nurses’ education levels. Routine patient data included items such as main diagnosis, the number and duration of freedom-restrictive measures, and symptom burden at admission and discharge. Data were collected between September 2019 and June 2021. The data will be analyzed descriptively by using multilevel regression linear mixed models and generalized linear mixed models to explore associations between variables of interest. Results The response rate from the nurse survey was 71.49% (1209/1691). All data are currently being checked for consistency and plausibility. The MatchRN Psychiatry study is funded by the participating psychiatric hospitals and the Swiss Psychiatric Nursing Leaders Association (Vereinigung Pflegekader Psychiatrie Schweiz). Conclusions For the first time, the MatchRN Psychiatry study will systematically evaluate the quality of care in psychiatric hospitals in Switzerland in terms of organizational structures, processes, and patient and nurse outcomes. The participating psychiatric hospitals will benefit from findings that are relevant to the future planning of nurse staffing. The findings of this study will contribute to improvement strategies for nurses’ work environments and patient experiences in Swiss psychiatric hospitals. International Registered Report Identifier (IRRID) DERR1-10.2196/26700
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⊘rner, Roderick J., and Wolter S. de Loos. "Second World War veterans with chronic post-traumatic stress disorder." Advances in Psychiatric Treatment 4, no. 4 (July 1998): 211–17. http://dx.doi.org/10.1192/apt.4.4.211.
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The present case study describes a typically complex clinical presentation of chronic post-traumatic stress disorder (PTSD) suffered by a Second World War veteran and advises on multi-disciplinary out-patient management extending to acute hospital care. Limited symptomatic impact of psychological and psychopharmacological therapies is discussed, and related to patient reports of satisfaction with therapeutic outcome.
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Quyen, Bui Thi Tu, Nguyen Thanh Ha, and Hoang Van Minh. "Outpatient satisfaction with primary health care services in Vietnam: Multilevel analysis results from The Vietnam Health Facilities Assessment 2015." Health Psychology Open 8, no. 1 (January 2021): 205510292110151. http://dx.doi.org/10.1177/20551029211015117.
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Patient satisfaction has implications for resource distribution across primary, secondary, and tertiary care, as well as accessibility of quality services and equity of service delivery. This study assessed outpatient satisfaction with health services and explored the determinants at the individual and contextual levels in Vietnam. Data on 4372 outpatients were extracted from the Vietnam Health Facility Assessment survey 2015. Three levels of logistic regression were applied to examine the association between outpatient satisfaction and three types of explanatory variables. Outpatients satisfied with their community health center or district hospital accounted for relatively high proportions (85% and 73%, respectively). Patients’ age, occupation, and individual characteristics were significant predictors of patient satisfaction, whereas provincial level factors were not significantly associated with the dependent variable. When individual-level characteristics were controlled, outpatients who had a longer waiting time for health services were less likely to report being satisfied. Interventions for improving outpatient satisfaction should pay attention to simplifying the health procedure at health facilities to reduce patients’ waiting time and increase their examining time.
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Ozcelik, Hanife, Deniz Ezgi Cakmak, Cicek Fadiloglu, Yasemin Yildirim, and Ruchan Uslu. "Determining the satisfaction levels of the family members of patients with advanced-stage cancer." Palliative and Supportive Care 13, no. 3 (June 3, 2014): 741–47. http://dx.doi.org/10.1017/s1478951514000534.
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AbstractObjective:The objective of our study was to determine the satisfaction levels of family members of patients with advanced-stage cancer.Method:This descriptive study was conducted in the palliative care and medical oncology clinics of a university hospital in the province of Izmir between April of 2011 and January of 2012. The study sample consisted of a total of 145 family members, who were selected from among the family members of patients with advanced-stage cancer receiving palliative treatment. The study data were obtained using the Patient Description Form and Family Satisfaction Scale during face-to-face interviews with patients.Results:Some 67% of patients were female and 33% male, 70% were married, 35% were high school graduates, and 34.5% were housewives. The average total family satisfaction score was 76.87 ± 1.14, and the average scores for the component variables were as follows: information giving 74.37 ± 1.28, availability of care 78.40 ± 1.17, physical care 78.99 ± 1.09, and psychosocial care 74.52 ± 1.30. We found a relationship between the level of satisfaction of family members and (1) gender, (2) occupation, (3) presence of someone supporting the care, and (4) possession of sufficient information about the patient (p < 0.05).Significance of Results:Satisfaction levels of participants were determined to be high. We found that family member satisfaction levels were affected by gender and occupation, the existence of someone supporting the care, and possession of sufficient information about the patient.