Krupchanka Dzmitry, Khalifeh Hind, Abdulmalik Jibril, Ardila-Gómez Sara, Armiya'u Aishatu Yusha'u, Banjac Visnja, Baranov Alexey, Bezborodovs Nikita, Brecic Petrana, Čavajda Zoran, de Girolamo Giovanni, Denisenko Maria, Dickens Howard Akena, Dujmovic Josip, Ergovic Novotny Dubravka, Fedotov Ilya, Fernández Marina A, Frankova Iryna, Gasparovic Marta, Giurgi-Oncu Catalina, Grahovac Tanja, James Bawo O, Jomli Rabaa, Kekin Ivana, Knez Rajna, Lanfredi Mariangela, Lassman Francesca, Mehta Nisha, Nacef Fethi, Nawka Alexander, Nemirovsky Martin, Ola Bolanle Adeyemi, Oshodi Yewande O, Ouali Uta, Peharda Tomislav, Razic Pavicic Andrea, Rojnic Kuzman Martina, Roventa Costin, Shamenov Rinat, Smirnova Daria, Smoljanic Davorka, Spikina Anna, Thornicroft Amalia, Tomicevic Marko, Vidovic Domagoj, Williams Paul, Yakovleva Yulia, Zhabenko Olena, Zhilyaeva Tatiana, Zivkovic Maja, Thornicroft Graham, Sartorius Norman
Department of Social Psychiatry, National Institute of Mental Health, Topolová 748, 250 67, Klecany, Czech Republic.
Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Soc Psychiatry Psychiatr Epidemiol. 2017 Aug;52(8):989-1003. doi: 10.1007/s00127-017-1366-0. Epub 2017 Mar 11.
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.
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.
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.
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.
科学文献中忽视了由患者直接对精神科住院治疗进行的评估。在此背景下，我们旨在探究在精神科住院设施接受治疗的患者的满意度。该项目是精神卫生项目改善协会青年精神科医生项目的一部分。
这是一项在11个国家的25家医院开展的国际多中心横断面研究。每个研究地点的研究团队对30名出院患者组成的连续目标样本进行研究，使用特定研究的五项问卷来衡量他们的满意度。通过多水平回归模型中二元和多变量关联的比较，研究了“低满意度”的个体和机构层面的相关因素。
最终的研究样本包括673名参与者。总体满意度得分高度偏向量表高端，50分制下的中位数总分为44分（四分位距为38 - 48分）。在考虑聚类因素后，低满意度的唯一独立相关因素是精神分裂症诊断和精神科医生与患者的低比例。
关于患者满意度的进一步研究应额外关注由既往治疗经历、服务相关知识、耻辱感以及患者无权和权力不平衡所形成的治疗期望。
