Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-25T06:43:16.138Z Has data issue: false hasContentIssue false
  • English
  • Français

Satisfaction with in-patient psychiatric services

Relationship to patient and treatment factors

Published online by Cambridge University Press:  02 January 2018

Nan Greenwood ,
Adrienne Key ,
Tom Burns ,
Mike Bristow  and
Philip Sedgewick
Nan Greenwood
Affiliation:
Department of Psychiatry, Jenner Wing, St George's Hospital Medical School, London
Adrienne Key
Affiliation:
Department of Psychiatry, Jenner Wing, St George's Hospital Medical School, London
Tom Burns*
Affiliation:
Department of Psychiatry, Jenner Wing, St George's Hospital Medical School, London
Mike Bristow
Affiliation:
Department of Psychiatry, Jenner Wing, St George's Hospital Medical School, London
Philip Sedgewick
Affiliation:
Department of Psychiatry, Jenner Wing, St George's Hospital Medical School, London
*
Professor T. Burns, Department of Psychiatry, Jenner Wing, St George's Hospital Medical School, Cranmer Terrace, London SW17 0RE. Tel: 0181 725 5542; Fax: 0181 725 3538
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

There is growing concern about patient satisfaction with psychiatric in-patient provision. This paper measures satisfaction in psychiatric in-patients and its relationships with patient characteristics and ward experiences.

Aims

To: (a) measure overall in-patient satisfaction; (b) examine its relationship to in-patient experiences; and (c) examine its relationship to patient factors.

Method

Four hundred and thirty-three patients were interviewed. Satisfaction was assessed by a single question, the Client Satisfaction Questionnaire (CSQ) and by a semi-structured interview.

Results

Over three-quarters of the patients were satisfied, but two-thirds reported adverse events. Females, younger patients and those detained were more dissatisfied. No significant relationship was found for ethnic group. Results were similar in the mental hospital and district general hospital.

Conclusions

There remain problems with satisfaction scales. Qualitative approaches to examine patients' experiences in hospital and the causes of dissatisfaction are recommended.

Type
Papers
Information
The British Journal of Psychiatry , Volume 174 , Issue 2 , February 1999 , pp. 159 - 163
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Declaration of interest Support was received from Merton, Sutton and Wandsworth Health Authority.

References

Attldsson, C. & Zwick, R. (1982) The Client Satisfaction Questionnaire: Psychometric properties and correlation with service utilisation and psychotherapy outcome. Evaluation Programme Planning, 5, 233–237.Google Scholar
Avis, M., Bond, M. & Arthur, A. (1997) Questioning patient satisfaction: An empirical investigation in two outpatient clinics. Social Science and Medicine, 44, 85–92.Google Scholar
Carr-Hill, R. (1992) The measurement of patient satisfaction. Journal of Public Health Medicine, 14, 236–249.Google Scholar
Department of Health and Social Security (1983) The Report of the NHS Management Enquiry. London: HMSO.Google Scholar
Francis, E., David, J., Johnson, N., et al (1989) Black people and psychiatry in the UK. An alternative to institutional care. Psychiatric Bulletin, 13, 482–485.CrossRefGoogle Scholar
Hansson, L. (1989) Patient satisfaction with in-hospital psychiatric care. A study of a 1-year population of patients hospitalised in a sectorised care organisation. European Archives of Psychiatry and Neurological Sciences, 239, 93–100.Google Scholar
Leavey, C., King, M., Cole, E., et al (1997) First-onset psychotic illness: patients' and relatives' satisfaction with services. British Journal of Psychiatry, 170, 53–57.Google Scholar
McGovern, D. & Hammings, P. (1994) A follow-up of second generation Afro-Caribbeans and White British with a first admission diagnosis of schizophrenia: attitudes to mental illness and psychiatric services of patients and relatives. Social Science and Medicine, 38, 117–127.Google Scholar
McIntyre, K., Farrell, M. & David, A. (1989) What do psychiatric patients realty want? British Medical Journal, 298, 159–160.CrossRefGoogle Scholar
Parkman, S., Davies, S., Leese, M., et al (1997) Ethnic differences in satisfaction with mental health services among representative people with psychosis in South London: PRiSM Study 4. British Journal of Psychiatry, 171, 260–264.CrossRefGoogle ScholarPubMed
Perreault, M., Rogers, W., Leichner, P., et al (1996) Patients' requests and satisfaction with services in an outpatient psychiatric setting. Psychiatric Services, 47, 287–292.Google Scholar
Priebe, S. & Gruyters, T. (1995) Patients' assessment of treatment predicting outcome. Schizophrenia Bulletin, 21, 87–94.Google Scholar
Royal College of Psychiatrists (1998) Not Just Bricks and Mortar. Report of the Royal College of Psychiatrists.Google Scholar
Working Party on the Size, Staffing, Structure, Siting, and Security of New Acute Adult Psychiatric In-Patient Units. Council Report CR62. London: Royal College of Psychiatrists.Google Scholar
Ruggeri, M., Dall'Agnoia, R., Agostini, C., et al (1994) Acceptability, sensitivity and content validity of the VECS and VSSS in measuring expectations and satisfaction in psychiatric patients and their relatives. Social Psychiatry & Psychiatric Epidemiology 29, 265–276.Google Scholar
Svensson, B. & Hansson, L. (1994) Patient satisfaction with inpatient care. The influence of personality traits, diagnosis and perceived coercion. Acta Psychiatrica Scandinavica, 90, 379–384.CrossRefGoogle ScholarPubMed
Thomas, C., Bartiett, A. & Mezey, G. C. (1995) The extent and effects of violence among psychiatric in patients. Psychiatric Bulletin, 19, 600–604.Google Scholar
Williams, B. & Wilkinson, G. (1995) Patient satisfaction in mental health care. Evaluating an evaluative method. British Journal of Psychiatry, 166, 559–562.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.