Abstract
Objective
To examine trends over time in parents’ satisfaction with their children’s prior psychiatric hospitalization and whether such trends are related to postdischarge outcomes.
Study Design/Data Collection
Parents of 107 child inpatients completed a satisfaction survey at discharge. Satisfaction with the same inpatient stay was re-assessed 3, 6, and 12 months after discharge. Parents also provided ratings of behavioral symptoms at admission, discharge, and at postdischarge follow-ups.
Principal Findings
Random regression analyses indicated significant decline in satisfaction from discharge to follow-up. The proportion of parents reporting that they were not satisfied doubled between discharge and 3-month follow-up. Parents whose satisfaction appraisals shifted from satisfied at discharge to not satisfied at follow-up also provided mean ratings of their child’s disruptive behavioral problems at follow-up that were higher than those of parents who reported satisfaction with inpatient care at both times.
Conclusions
Findings suggest that appraisals of inpatient care are subject to change, and may become more negative when clinical improvement associated with hospitalization dissipates in the months following discharge.
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References
Achenbach, T. M. (1991). Integrative guide for the 1991 CBCL/4-18, YSR and TRF profiles. Burlington VT: University of Vermont Department of Psychiatry.
Attkisson, C., & Zwick, R. (1982). The Client Satisfaction Questionnaire. Psychometric properties and correlations with service utilization and psychotherapy outcome. Evaluation and Program Planning, 5, 233–237.
Blader, J. C. (2004). Symptom, family, and service predictors of children’s psychiatric rehospitalization within one year of discharge. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 440–451.
Bradley, E., & Clark, B. (1993). Patients’ characteristics and consumer satisfaction on an inpatient child psychiatric unit. Canadian Journal of Psychiatry, 38, 175–180.
Breetvelt, I. S., & Van Dam F. S. (1991). Underreporting by cancer patients: The case of response shift. Social Science and Medicine, 32, 981–987.
Bryk, A. S., & Raudenbush, S. W. (1992). Hierarchical linear models. Newbury Park, CA: Sage.
Carlson M., & Gabriel R. (2001). Patient satisfaction, use of services, and one-year outcomes in publicly funded substance abuse treatment. Psychiatric Services, 52, 1230–1236.
Crow, R., Gage, H., Hampson, S., Hart, J., Kimber, A., & Storey, L., et al. (2002). The measurement of satisfaction with healthcare: Implications for practice from a systematic review of the literature. Health Technology Assessment, 6(32), 1–244.
Druss, B. G., Rosenheck, R. A., & Stolar, M. (1999). Patient satisfaction and administrative measures as indicators of the quality of mental health care. Psychiatric Services, 50, 1053–1058.
Edlund M. J., Young A. S., Kung F. Y., Sherbourne C. D., & Wells K. B. (2003). Does satisfaction reflect the technical quality of mental health care? Health Services Research, 38(2), 631–645.
Fisk, T. A., Brown, C. J., Cannizzaro, K. G., & Naftal, B. (1990). Creating patient satisfaction and loyalty. Journal of Health Care Marketing, 10, 5–15.
Ford, R. C., Bach, S. A., & Fottler, M. D. (1997). Methods of measuring patient satisfaction in health care organizations. Health Care Management Review, 22(2), 74–89.
Garland, A. F., Aarons, G. A., Hawley, K. M., & Hough R. L. (2003). Relationship of youth satisfaction with mental health services and changes in symptoms and functioning. Psychiatric Services, 54, 1544–1546.
Gerber, G., & Prince, P. (1999). Measuring client satisfaction with assertive community treatment. Psychiatric Services, 50, 546–550.
Gutterman, E. M. (1998). Is diagnosis relevant in the hospitalization of potentially dangerous children and adolescents?. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 1030–1037.
Hedeker, D. (1999). MIXNO: A computer program for mixed-effects nominal logistic regression. Journal of Statistical Software, 4(5), 1–92.
Holcomb, W., Parker, J., Leong, G., Thiele, J., & Higdon J. (1998). Customer satisfaction and self-reported treatment outcomes among psychiatric inpatients. Psychiatric Services, 49, 929–934.
Jackson, J. L., Chamberlin, J., & Kroenke, K. (2001). Predictors of patient satisfaction. Social Science and Medicine, 52, 609–620.
Kaplan, S., Busner, J., Chibnall, J., & Kang, G. (2001). Consumer satisfaction at a child and adolescent state psychiatric hospital. Psychiatric Services, 52, 202–206.
Kertesz, L. (1996). Patient is king. Studies define customers’ satisfaction and the means to improve it. Modern Healthcare, 26(18), 107–108.
Kolb, S. J., Race, K. E. H., & Seibert, J. H. (2000). Psychometric evaluation of an inpatient psychiatric care consumer satisfaction survey. Journal of Behavioral Health Services and Research, 27, 75–86.
Kotsopoulos S., Elwood S., & Oke L. (1989). Parent satisfaction in a child psychiatric service. Canadian Journal of Psychiatry, 34, 530–533.
Lambert, W., Salzer, M. S., & Bickman, L. (1998). Clinical outcome, consumer satisfaction, and ad hoc ratings of improvement in children’s mental health. Journal of Consulting and Clinical Psychology, 66, 270–279.
Marquis, M. S., Davies, A. R., & Ware, J. E. (1983). Patient satisfaction and change in medical care provider: A longitudinal study. Medical Care, 21, 821–829.
Marshall, G. N., Hays, R. D., Sherbourne, C. D., & Wells, K. B. (1993). The structure of patient satisfaction with outpatient medical care. Psychological Assessment, 5, 477–483.
Seibert, J. H., Strohmeyer, J. M., & Carey, R. G. (1996). Evaluating the physician office visit: In pursuit of a valid and reliable measure of quality improvement efforts. Journal of Ambulatory Care Management, 19, 17–37.
Sprangers, M. A. G., & Schwartz, C. (1999). Integrating response shift into health-related quality of life research: A theoretical model. Social Science and Medicine, 48, 1507–1515.
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Supported by grants to the author from the National Institutes of Health (R03MH058456 and K23MH064975).
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Blader, J.C. Longitudinal Assessment of Parental Satisfaction with Children’s Psychiatric Hospitalization. Adm Policy Ment Health 34, 108–115 (2007). https://doi.org/10.1007/s10488-006-0085-8
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DOI: https://doi.org/10.1007/s10488-006-0085-8