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Factors associated with satisfaction of inpatient psychiatric care: a cross country comparison

Published online by Cambridge University Press:  30 January 2019

Victoria Bird Open the ORCID record for Victoria Bird [Opens in a new window] ,
Elisabetta Miglietta ,
Domenico Giacco ,
Michael Bauer ,
Lauren Greenberg ,
Vincent Lorant ,
Jacek Moskalewicz ,
Pablo Nicaise ,
Andrea Pfennig  and
Mirella Ruggeri
...Show all authors
Victoria Bird*
Affiliation:
Unit for Social and Community Psychiatry (World Health Organisation Collaborating Centre for Mental Health Services Development), Queen Mary University of London, London, UK
Elisabetta Miglietta
Affiliation:
Section of Psychiatry, Department of Public Health and Community Medicine, University of Verona, Verona, Italy
Domenico Giacco
Affiliation:
Unit for Social and Community Psychiatry (World Health Organisation Collaborating Centre for Mental Health Services Development), Queen Mary University of London, London, UK
Michael Bauer
Affiliation:
Department of Psychiatry and Psychotherapy, Carl Gustav Carus University Hospital, Technische Universität Dresden, Dresden, Germany
Lauren Greenberg
Affiliation:
Pragmatic Clinical Trials Unit, Queen Mary University of London, London, UK
Vincent Lorant
Affiliation:
Institute of Health and Society IRSS, Université Catholique de Louvain, Bruxelles, Belgium
Jacek Moskalewicz
Affiliation:
Institute of Psychiatry and Neurology, Warsaw, Poland
Pablo Nicaise
Affiliation:
Institute of Health and Society IRSS, Université Catholique de Louvain, Bruxelles, Belgium
Andrea Pfennig
Affiliation:
Department of Psychiatry and Psychotherapy, Carl Gustav Carus University Hospital, Technische Universität Dresden, Dresden, Germany
Mirella Ruggeri
Affiliation:
Section of Psychiatry, Department of Public Health and Community Medicine, University of Verona, Verona, Italy
Marta Welbel
Affiliation:
Institute of Psychiatry and Neurology, Warsaw, Poland
Stefan Priebe
Affiliation:
Unit for Social and Community Psychiatry (World Health Organisation Collaborating Centre for Mental Health Services Development), Queen Mary University of London, London, UK
*
Author for correspondence: Victoria Bird, E-mail: [email protected]
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Abstract

Background

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.

Methods

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.

Results

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.

Conclusions

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.

Keywords

Europehospital caremental illnesspatient satisfaction
Type
Original Articles
Information
Psychological Medicine , Volume 50 , Issue 2 , January 2020 , pp. 284 - 292
Copyright
Copyright © Cambridge University Press 2019

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