Unit for Social and Community Psychiatry (World Health Organisation Collaborating Centre for Mental Health Services Development), Queen Mary University of London, London, UK.
Section of Psychiatry, Department of Public Health and Community Medicine, University of Verona, Verona, Italy.
Psychol Med. 2020 Jan;50(2):284-292. doi: 10.1017/S0033291719000011. Epub 2019 Jan 30.
Patient 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.
All 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.
Higher 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.
Having 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.
患者满意度是住院治疗质量的关键指标，与入院后的临床结果相关。不同的患者特征与满意度之间的关联不一致。本研究旨在通过评估哪些患者特征与在五个欧洲国家进行的大型精神科住院患者研究中的满意度相关，克服以前的局限性。
所有被诊断为精神（F2）、情感（F3）或焦虑/躯体形式（F4）障碍的患者均纳入比利时、德国、意大利、波兰和英国的 57 个精神科住院病房。数据来自病历和面对面访谈，在入院后 2 天内对患者进行评估。采用患者治疗评估量表评估对住院治疗的满意度。
较高的满意度得分与年龄较大、就业、与他人同住、有亲密朋友、病情较轻和初次入院有关。相比之下，较高的教育水平、合并人格障碍和非自愿入院与较低的满意度相关。尽管相同的患者特征预测了五个国家的满意度，但各国的总体满意度评分存在显著差异。与其他国家相比，英国的患者对住院治疗的满意度明显较低。
更好地了解患者满意度可以使服务提高为所有患者提供的护理质量和临床结果。在各国，相同的患者特征预测满意度，这表明在评估国内和国际满意度时，可以而且应该使用类似的分析框架。
