Summary
Patient satisfaction with in-hospital psychiatric care in a community-oriented care organization was studied by means of a questionnaire mailed to a 1-year population of hospitalized patients. The response rate was 43.5%. The results showed that the level of patient satisfaction was high in some areas and low in others. It was higher with regard to staff-patient relationships, treatment programs and the physical environment of the wards, and lower in the areas of patient information, influence on management and design of treatment. Patients' ratings of the quality of different aspects of the treatment process were related to satisfaction. Patient satisfaction was also related to the level of global improvement. Male patients and older patients were more satisfied with the care received. No differences in patient satisfaction were found regarding diagnosis or length of treatment. Compulsorily admitted patients showed significantly lower levels of satisfaction in all areas measured, except for treatment design. It was concluded that there are some indicators of a decrease in patient satisfaction with inhospital psychiatric care, which might be associated with the changes towards a community-oriented psychiatric care organization.
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References
Donabedian A (1980 Explorations in quality assessment and monitoring: the definition of quality and approaches to its assessment. Health Administration Press, Ann Arbor Mich.
Edwards DW, Yarvis RM, Müller DP, Langsley DG (1978) Does patient satisfaction correlate with success? Hosp Community Psychiatry 29:188–198
Frank R, Salzman K, Fergus E (1977) Correlates of consumer satisfaction with outpatient therapy assessed by postcards Community Ment Health J 13:37–45
Gove WR, Fain T (1977) A comparison of voluntary and committed patients. Arch Gen Psychiatry 34:669–676
Häfner H, Klug J (1982) The impact of an expanding community mental health service on patterns of bed usage: evaluation of a four-year period of implementation. Psychol Med 12:177–190
Hansson L (1987) Patient involvement in treatment planning. A controlled study of patients treated in short-term psychiatric care. Doctoral Dissertation, Faculty of Medicine, University of Lund, Sweden
Hansson L (1989) The quality of outpatient psychiatric care. A survey of patient satisfaction in a sectorized care organization. Scand J Caring Sci 3:71–81
Hansson L, Berglund M, Öhman R, Lihencrantz C, Andersson G (1985) Patient attitudes in short-term psychiatric care. Relations to social and psychiatric background, clinical symptoms and treatment model. Acta Psychiatr Scand 72:193–201
Horn GHMM ten (1980) Register study: a small cohort of multiple service users from a geographically circumscribed area. Acta Psychiatr Scand 62:305–314
Jones N, Kahn MW (1964) Patient attitudes as related to social class and other variables concerned with hospitalization. J Consult Clin Psychol 28:403–408
Kalman TP (1983) An overview of patient satisfaction with psychiatric treatment. Hosp Community Psychiatry 34:48–54
Kelstrup A, Jörgensen L, Wagtmann MA, Hansen I, Rosenkvist H (1988) Patients' assessment of a ward for day treatment (in Danish). Nord Psykiatr Tidsskr 42:381–388
Kuipers L, Bebbington P (1985) Relatives as a resource in the management of functional illness, Br J Psychiatry 147:465–470
Lehmann AF, Ward NC, Linn LS (1982) Chronic mental patients: the quality of life issue. Am J Psychiatry 139:1271–1276
Linn LS (1969) Social characteristics and patient expectations toward mental hospitalization. Arch Gen Psychiatry 20:457–469
McNemar Q (1959) Psychological statistics. Wiley, New York
Office of Technology Assessment (1988) The quality of medical care. Information for consumers. Congress of the United States, Washington, DC
Siegel S (1956) Nonparametric statistics for the behavioural sciences. McGraw-Hill, New York
Vuori H (1982) Quality assurance of health services. WHO Regional Office for Europe. Public Health in Europe 16, Copenhagen
Ware JE, Davies AR (1983) Behavioural consequences of consumer dissatisfaction with medical care. Evaluation Program Planning 6:291–297
Ware JE, Davies-Avery A, Stewart AL (1977) The meaning and measurement of patient satisfaction: a review of the literature. Rand Paper series P-6036, Santa Monica, Calif.
Weinstein RM (1977) Mental patients' attitudes towards illness, hospitalization and treatment. Psychiatry Digest 38:19–34
Weinstein RM (1979) Patient attitudes towards mental hospitalization: a review of quantitative research. J Health Soc Behav 20:237–258
Weinstein RM (1981) Mental patients' attitudes toward hospital staff: a review of quantitative research. Arch Gen Psychiatry 38:483–489
Woogh CM (1986) A cohort through the revolving door. Can J Psychiatry 31:214–221
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Hansson, L. Patient satisfaction with in-hospital psychiatric care. Eur Arch Psychiatr Neurol Sci 239, 93–100 (1989). https://doi.org/10.1007/BF01759581
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DOI: https://doi.org/10.1007/BF01759581