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巴西一家精神病住院单元的护理满意度:不同医疗保险类型患者的认知差异。

Satisfaction with care in a Brazilian psychiatric inpatient unit: differences in perceptions among patients according to type of health insurance.

作者信息

Godoy Julia Almeida, Pavan Gabriela, Monteiro Ricardo Tavares, Motta Luis Souza, Pacheco Marco Antonio, Nogueira Eduardo Lopes, Spanemberg Lucas

机构信息

Hospital São Lucas, PUCRS, Porto Alegre, RS, Brazil.

Núcleo de Formação Específica em Neurociências, Escola de Medicina, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil.

出版信息

Trends Psychiatry Psychother. 2019 Jan-Mar;41(1):27-35. doi: 10.1590/2237-6089-2017-0156. Epub 2019 Apr 11.

DOI:10.1590/2237-6089-2017-0156
PMID:30994784
Abstract

INTRODUCTION

User satisfaction assessment in mental health services is an important indicator of treatment quality. The objective of this study was to evaluate treatment satisfaction in a sample of inpatients with mental disorders and the associations between levels of satisfaction and clinical/sociodemographic variables.

METHODS

This exploratory study investigated 227 psychiatric inpatients who answered the Patient Satisfaction with Mental Health Services Scale (SATIS-BR) and the Perception of Change Scale (EMP). SATIS scores were analyzed according to associations with clinical and sociodemographic data. Pearson correlations were used to correlate SATIS scores with other variables.

RESULTS

We found a high degree of satisfaction with care at the psychiatric inpatient unit assessed. In general, patients rated maximum satisfaction for most items. The highest satisfaction scores were associated with patients receiving treatment through the Brazilian Unified Health System (SUS) and with less education. SATIS showed a moderate positive correlation with EMP. The worst evaluated dimension was physical facilities and comfort of the ward.

CONCLUSION

Patients treated via SUS may be more satisfied than patients with private health insurance when treated in the same facility. The evaluation of treatment satisfaction can be used to reorganize services at psychiatric inpatient units.

摘要

引言

心理健康服务中的用户满意度评估是治疗质量的一项重要指标。本研究的目的是评估一组精神障碍住院患者的治疗满意度,以及满意度水平与临床/社会人口统计学变量之间的关联。

方法

这项探索性研究调查了227名精神科住院患者,他们回答了《心理健康服务患者满意度量表》(SATIS-BR)和《变化感知量表》(EMP)。根据与临床和社会人口统计学数据的关联对SATIS得分进行分析。使用Pearson相关性分析将SATIS得分与其他变量进行关联。

结果

我们发现对所评估的精神科住院单元的护理满意度很高。总体而言,患者对大多数项目的满意度最高。最高满意度得分与通过巴西统一卫生系统(SUS)接受治疗的患者以及受教育程度较低的患者相关。SATIS与EMP呈中度正相关。评估最差的维度是病房的物理设施和舒适度。

结论

在同一机构接受治疗时,通过SUS治疗的患者可能比拥有私人医疗保险的患者更满意。治疗满意度评估可用于重组精神科住院单元的服务。

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