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Social Psychiatry and Psychiatric Epidemiology

, Volume 52, Issue 8, pp 989–1003 | Cite as

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

  • Dzmitry KrupchankaEmail author
  • 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
Original Paper

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.

Keywords

Patients satisfaction Service evaluation Inpatient care Psychiatry 

Notes

Acknowledgements

The study was supported by the Association for the Improvement of Mental Health Programmes (Geneva, Switzerland), and coordinated at Institute of Psychiatry, Psychology and Neuroscience, King’s College London, and National Institute of Mental Health (NIMH), Klecany, Czech Republic. DK was supported by the NIMH funded by the project Nr. LO1611 with a financial support from the Ministry of Education Youth and Sport (MEYS) under the National Programme of Sustainability I (NPUI). GT is supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South London. The views expressed are those of the authors and not necessarily those of the NIMH, National Health Service (NHS), the NIHR or the Department of Health. GT acknowledges financial support from the Department of Health via the NIHR Biomedical Research Centre and Dementia Unit awarded to South London and Maudsley NHS Foundation Trust in partnership with King’s College London and King’s College Hospital NHS Foundation Trust. GT is also supported by the European Union Seventh Framework Programme (FP7/2007–2013) Emerald project. We would also like to acknowledge our gratitude to the following colleagues for their contribution to this study: Mikhail Sheifer, Petr Morozov, Pavel Bomov, Dmitryi Zhdanok, Natalia Plotnikova, Svetlana Chetverikova, Olga Izmailova, Takhmina Nazaralieva, Evgenii Ershov, Andrey Ikko, Roman Ostrikov, Pavel Kulagin, Dmitry Vinogradov, Andrey Podovinnikov, Ksenia Manyakova, Julia Katernaya, Oleg Chaban, Luana Roata, Maria Magdalena Dumitru, Joanna Murray, Diana Rose and Heidi Lempp.

Compliance with ethical standards

Conflict of interest

The authors have no conflict of interest to declare.

Supplementary material

127_2017_1366_MOESM1_ESM.docx (49 kb)
Supplementary material 1 (DOCX 49 KB)

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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  • Dzmitry Krupchanka
    • 1
    • 2
    Email author
  • Hind Khalifeh
    • 2
  • Jibril Abdulmalik
    • 3
  • Sara Ardila-Gómez
    • 4
  • Aishatu Yusha’u Armiya’u
    • 5
  • Visnja Banjac
    • 6
  • Alexey Baranov
    • 7
  • Nikita Bezborodovs
    • 8
  • Petrana Brecic
    • 9
  • Zoran Čavajda
    • 10
  • Giovanni de Girolamo
    • 11
  • Maria Denisenko
    • 12
  • Howard Akena Dickens
    • 13
  • Josip Dujmovic
    • 14
  • Dubravka Ergovic Novotny
    • 15
  • Ilya Fedotov
    • 16
  • Marina A. Fernández
    • 4
  • Iryna Frankova
    • 17
  • Marta Gasparovic
    • 18
  • Catalina Giurgi-Oncu
    • 19
  • Tanja Grahovac
    • 20
  • Bawo O. James
    • 21
  • Rabaa Jomli
    • 22
    • 23
  • Ivana Kekin
    • 24
  • Rajna Knez
    • 20
  • Mariangela Lanfredi
    • 26
  • Francesca Lassman
    • 28
  • Nisha Mehta
    • 29
  • Fethi Nacef
    • 22
    • 23
  • Alexander Nawka
    • 30
  • Martin Nemirovsky
    • 31
  • Bolanle Adeyemi Ola
    • 32
  • Yewande O. Oshodi
    • 33
  • Uta Ouali
    • 22
    • 23
  • Tomislav Peharda
    • 34
  • Andrea Razic Pavicic
    • 24
  • Martina Rojnic Kuzman
    • 24
    • 25
  • Costin Roventa
    • 27
  • Rinat Shamenov
    • 35
  • Daria Smirnova
    • 36
  • Davorka Smoljanic
    • 34
  • Anna Spikina
    • 37
  • Amalia Thornicroft
    • 38
  • Marko Tomicevic
    • 39
  • Domagoj Vidovic
    • 9
  • Paul Williams
    • 2
  • Yulia Yakovleva
    • 40
  • Olena Zhabenko
    • 41
  • Tatiana Zhilyaeva
    • 42
  • Maja Zivkovic
    • 9
  • Graham Thornicroft
    • 2
  • Norman Sartorius
    • 43
  1. 1.Department of Social PsychiatryNational Institute of Mental HealthKlecanyCzech Republic
  2. 2.Institute of Psychiatry, Psychology & NeuroscienceKing’s College LondonLondonUK
  3. 3.Department of PsychiatryUniversity of IbadanIbadanNigeria
  4. 4.Research Institute, School of PsychologyUniversity of Buenos AiresBuenos AiresArgentina
  5. 5.Department of PsychiatryJos University Teaching HospitalJosNigeria
  6. 6.Clinic of PsychiatryUniversity Clinical Center of the Republic of SrpskaBanjalukaBosnia and Herzegovina
  7. 7.Tambov Psychiatric HospitalTambovRussian Federation
  8. 8.Children’s Clinical University HospitalRigaLatvia
  9. 9.University Psychiatric Hospital VrapceZagrebCroatia
  10. 10.Department of Acute and Biological PsychiatryClinical Hospital Centre OsijekOsijekCroatia
  11. 11.Unit of Psychiatric Epidemiology and EvaluationSaint John of God Clinical Research CentreBresciaItaly
  12. 12.Mental Health Clinic No1Nizhny NovgorodRussian Federation
  13. 13.Makerere University College of Health SciencesKampalaUganda
  14. 14.KBC ZagrebZagrebCroatia
  15. 15.General Hospital “Dr. Josip Bencevic”Slavonski BrodCroatia
  16. 16.Ryazan State Medical UniversityRyazanRussian Federation
  17. 17.Bogomolets National Medical UniversityKyivUkraine
  18. 18.Osijek University HospitalOsijekCroatia
  19. 19.″Victor Babes” University of Medicine and Pharmacy of TimisoaraTimisoaraRomania
  20. 20.University Hospital Center RijekaRijekaCroatia
  21. 21.Federal Neuro-Psychiatric HospitalBenin CityNigeria
  22. 22.Department of Psychiatry “A” at Razi HospitalManoubaTunisia
  23. 23.Faculty of MedicineUniversity of Tunis El ManarTunisTunisia
  24. 24.University Hospital Centre ZagrebZagrebCroatia
  25. 25.Zagreb School of MedicineZagrebCroatia
  26. 26.Unit of PsychiatrySaint John of God Clinical Research CentreBresciaItaly
  27. 27.Neuropsychiatric HospitalCraiovaRomania
  28. 28.Great Ormond Street HospitalLondonUK
  29. 29.NHS TaysideDundeeScotland, UK
  30. 30.Institute of Neuropsychiatric Care (INEP)PragueCzech Republic
  31. 31.Proyecto SUMA-MedicusBuenos AiresArgentina
  32. 32.Lagos State University College of MedicineIkejaNigeria
  33. 33.Department of Psychiatry, College of MedicineUniversity of LagosLagosNigeria
  34. 34.Psychiatric wardGeneral Hospital PulaPulaCroatia
  35. 35.Samara Psychiatric HospitalSamaraRussian Federation
  36. 36.Department of PsychiatrySamara State Medical UniversitySamaraRussian Federation
  37. 37.Medical University Named After I.I. MechnikovSaint PetersburgRussian Federation
  38. 38.Occupational Therapy DepartmentSt George’s University Hospitals NHS Foundation TrustLondonUK
  39. 39.Neuropsychiatric Hospital “Dr. Ivan Barbot”PopovacaCroatia
  40. 40.Saint Petersburg Bekhterev Psychoneurological Research InstituteSaint PetersburgRussian Federation
  41. 41.Railway Clinical Hospital #1 Station KyivKyivUkraine
  42. 42.Department of Psychiatry and Medical PsychologyNizhny Novgorod State Medical AcademyNizhny NovgorodRussian Federation
  43. 43.Association for the Improvement of Mental Health ProgrammesGeneveSwitzerland

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