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Social Psychiatry and Psychiatric Epidemiology

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11.03.2017 | Original Paper

Satisfaction with psychiatric in-patient care as rated by patients at discharge from hospitals in 11 countries

verfasst von: Dzmitry Krupchanka, Hind Khalifeh, Jibril Abdulmalik, Sara Ardila-Gómez, Aishatu Yusha’u Armiya’u, Visnja Banjac, Alexey Baranov, Nikita Bezborodovs, Petrana Brecic, Zoran Čavajda, Giovanni de Girolamo, Maria Denisenko, Howard Akena Dickens, Josip Dujmovic, Dubravka Ergovic Novotny, Ilya Fedotov, Marina A. Fernández, Iryna Frankova, Marta Gasparovic, Catalina Giurgi-Oncu, Tanja Grahovac, Bawo O. James, Rabaa Jomli, Ivana Kekin, Rajna Knez, Mariangela Lanfredi, Francesca Lassman, Nisha Mehta, Fethi Nacef, Alexander Nawka, Martin Nemirovsky, Bolanle Adeyemi Ola, Yewande O. Oshodi, Uta Ouali, Tomislav Peharda, Andrea Razic Pavicic, Martina Rojnic Kuzman, Costin Roventa, Rinat Shamenov, Daria Smirnova, Davorka Smoljanic, Anna Spikina, Amalia Thornicroft, Marko Tomicevic, Domagoj Vidovic, Paul Williams, Yulia Yakovleva, Olena Zhabenko, Tatiana Zhilyaeva, Maja Zivkovic, Graham Thornicroft, Norman Sartorius

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 8/2017

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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.

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Titel: Satisfaction with psychiatric in-patient care as rated by patients at discharge from hospitals in 11 countries
verfasst von: Dzmitry Krupchanka
Hind Khalifeh
Jibril Abdulmalik
Sara Ardila-Gómez
Aishatu Yusha’u Armiya’u
Visnja Banjac
Alexey Baranov
Nikita Bezborodovs
Petrana Brecic
Zoran Čavajda
Giovanni de Girolamo
Maria Denisenko
Howard Akena Dickens
Josip Dujmovic
Dubravka Ergovic Novotny
Ilya Fedotov
Marina A. Fernández
Iryna Frankova
Marta Gasparovic
Catalina Giurgi-Oncu
Tanja Grahovac
Bawo O. James
Rabaa Jomli
Ivana Kekin
Rajna Knez
Mariangela Lanfredi
Francesca Lassman
Nisha Mehta
Fethi Nacef
Alexander Nawka
Martin Nemirovsky
Bolanle Adeyemi Ola
Yewande O. Oshodi
Uta Ouali
Tomislav Peharda
Andrea Razic Pavicic
Martina Rojnic Kuzman
Costin Roventa
Rinat Shamenov
Daria Smirnova
Davorka Smoljanic
Anna Spikina
Amalia Thornicroft
Marko Tomicevic
Domagoj Vidovic
Paul Williams
Yulia Yakovleva
Olena Zhabenko
Tatiana Zhilyaeva
Maja Zivkovic
Graham Thornicroft
Norman Sartorius
Publikationsdatum: 11.03.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 8/2017
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-017-1366-0

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Satisfaction with psychiatric in-patient care as rated by patients at discharge from hospitals in 11 countries