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Multicenter Study
. 2017 Aug;52(8):989-1003.
doi: 10.1007/s00127-017-1366-0. Epub 2017 Mar 11.

Satisfaction With Psychiatric In-Patient Care as Rated by Patients at Discharge From Hospitals in 11 Countries

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Multicenter Study

Satisfaction With Psychiatric In-Patient Care as Rated by Patients at Discharge From Hospitals in 11 Countries

Dzmitry Krupchanka et al. Soc Psychiatry Psychiatr Epidemiol. .

Abstract

Purpose: There is disregard in the scientific literature for the evaluation of psychiatric in-patient care as rated directly by patients. In this context, we aimed to explore satisfaction of people treated in mental health in-patient facilities. The project was a part of the Young Psychiatrist Program by the Association for the Improvement of Mental Health Programmes.

Methods: This is an international multicentre cross-sectional study conducted in 25 hospitals across 11 countries. The research team at each study site approached a consecutive target sample of 30 discharged patients to measure their satisfaction using the five-item study-specific questionnaire. Individual and institution level correlates of 'low satisfaction' were examined by comparisons of binary and multivariate associations in multilevel regression models.

Results: A final study sample consisted of 673 participants. Total satisfaction scores were highly skewed towards the upper end of the scale, with a median total score of 44 (interquartile range 38-48) out of 50. After taking clustering into account, the only independent correlates of low satisfaction were schizophrenia diagnosis and low psychiatrist to patient ratio.

Conclusion: Further studies on patients' satisfaction should additionally pay attention to treatment expectations formed by the previous experience of treatment, service-related knowledge, stigma and patients' disempowerment, and power imbalance.

Keywords: Inpatient care; Patients satisfaction; Psychiatry; Service evaluation.

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