Abstract
Introduction
The goal of the study was to understand what characteristics of the provider and recipient of psychiatric care on inpatient civil and forensic units impact satisfaction ratings. Specifically, we explored how demographic variables (age, race), psychiatric diagnosis (psychotic, affective, substance-related), and patients’ interactions with staff influence satisfaction ratings.
Materials and Methods
After matching inpatient samples on demographic characteristics, 384 psychiatric inpatients (188 civil, 196 forensic) who completed surveys assessing their satisfaction with care were included in the present study. Demographic variables and psychiatric diagnosis information was gathered from chart reviews and in collaboration with the patients’ treatment team. A series of univariate analyses of variance (ANOVAs) were conducted to test main and interaction effects influencing mean satisfaction ratings.
Results
While ratings did not differ for recipients’ unit type, age, diagnosis, or perceiving a connection with staff, significant differences were found for race and perceiving a problem with staff. Interaction effects emerged for unit type by psychotic diagnosis and race by perceiving a problem with staff. Supplemental analyses also examined how provider and recipient characteristics influenced components of satisfaction.
Conclusion
Increasing patient satisfaction by targeting more “vulnerable” patients and addressing relations with staff may impact treatment compliance.
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References
American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders-text revision, 4th edn. American Psychiatric Association, Washington, DC
Anders RL, Olsen T, Bader J (2007) Assessment of acutely mentally ill patients’ satisfaction of care: There is a difference among ethnic groups. Issues Ment Health Nurs 28:297–308
Aragon SJ, Gesell SB (2003) A patient satisfaction theory and its robustness across gender in emergency departments: a multigroup structural equation modeling investigation. Am J Med Qual 18:229–241
Barker DA, Orrell MW (1999) The psychiatric care satisfaction questionnaire: a reliability and validity study. Soc Psychiatry Psychiatr Epidemiol 34:111–116
Berghofer G, Schmidl F, Rudas S et al (2002) Predictors of treatment discontinuity in outpatient mental health care. Soc Psychiatry Psychiatr Epidemiol 37:276–282
Bhugra D, La Granade J, Dazzan P (1999) Psychiatric inpatients’ satisfaction with services: a pilot study. Int J Psychiatry Clin Pract 4:327–332
Bjørngaard JH, Ruund T, Friis S (2007) The impact of mental illness on patient satisfaction with the therapeutic relationship. Soc Psychiatry Psychiatr Epidemiol 42:803–809
Bjørngaard JH, Andersson HW, Ose SO, Hanssen-Bauer K (2008) User satisfaction with child and adolescent mental health services: impact of the service unit level. Soc Psychiatry Psychiatr Epidemiol 43:635–641
Carlin P, Gudjonsson G, Yates M (2005) Patient satisfaction with services in medium secure units. J Forensic Psychiatry Psychol 16:714–728
Druss BG, Rosenheck RA, Stolar M (1999) Patient satisfaction and administrative measures as indicators of the quality of mental health care. Psychiatr Serv 50:1053–1058
Gillispie R, Williams C, Gillispie C (2005) Hospitalized African–American mental health consumers: some antecedents to service satisfaction and intent to comply with aftercare. Am J Orthopsychiatry 75:254–261
Greenwood N, Key A, Burns T et al (2000) Satisfaction with in-patient psychiatric services. Relationship to patient and treatment factors. Br J Psychiatry 174:59–63
Hoff R, Rosenheck R, Meterko M et al (1999) Mental illness as a predictor of satisfaction with inpatient care at Veterans Affairs Hospitals. Psychiatr Serv 50:680–685
Kelstrup A, Lund K, Lauritsen B et al (1993) Satisfaction with care reported by psychiatric inpatients: relationship to diagnosis and medical treatment. Acta Psychiatr Scand 87:374–379
Lebow J (1982) Consumer satisfaction with mental health treatment. Psychol Bull 91:244–259
Linder-Pelz S (1982) Toward a theory of satisfaction. Soc Sci Med 16:577–582
Morgan DG (1999) ‘Please see and advise’: a qualitative study of patients’ experiences of psychiatric outpatient case. Soc Psychiatry Psychiatr Epidemiol 34:442–450
Morgan RD, Rozycki AT, Wilson S (2004) Inmate perceptions of mental health services. Prof Psychol Res Pr 35:389–396
Rosenheck R, Wilson N, Meterko M (1997) Influence of patient and hospital factors on consumer satisfaction with inpatient mental health treatment. Psychiatr Serv 48:1553–1561
Shiva A, Haden SC, Brooks J (2009) Development and psychometric evaluation of a psychiatric inpatient satisfaction questionnaire. Am Acad Psychiatry Law (in press)
Sitzia J, Wood N (1997) Patient satisfaction: a review of issues and concepts. Soc Sci Med 45(12):1829–1843
Snowden LR (1999) Black service use for mental health problems. J Commun Psychol 27:303–313
Strine TW, Chapman DP, Balluz L, Mokdad AH (2008) Health-related quality of life and health behaviors by social and emotional support: their relevance to psychiatry and medicine. Soc Psychiatry Psychiatr Epidemiol 43:151–159
Thapinta D, Anders R, Wiwatkunupakan S et al (2004) Assessment of patient satisfaction of mentally ill patients hospitalized in Thailand. Nurs Health Sci 6:271–278
Whaley AL (2001) Cultural mistrust: An important psychological construct for diagnosis and treatment of Black. Prof Psychol Res Pr 32:555–562
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Shiva, A., Haden, S.C. & Brooks, J. Psychiatric civil and forensic inpatient satisfaction with care: the impact of provider and recipient characteristics. Soc Psychiat Epidemiol 44, 979–987 (2009). https://doi.org/10.1007/s00127-009-0019-3
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DOI: https://doi.org/10.1007/s00127-009-0019-3