Comparison of patient satisfaction with community‐based vs. hospital psychiatric services

Henderson, Claire; Phelan, Michael; Loftus, Linda; Dall'Agnola, Rosa Bruna; Ruggeri, Mirella

doi:10.1111/j.1600-0447.1999.tb00975.x

Cited by 55 publications

(51 citation statements)

References 21 publications

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“…However, the relevance of patient satisfaction is controversial. For example, there are contradictory fi ndings regarding the relationship of patient satisfaction and eff ectiveness of treatment or compliance with treatment (Garman et al 2004;Henderson et al 1999).…”

Section: Introductionmentioning

confidence: 97%

Patient satisfaction with inpatient psychiatric treatment and its relation to treatment outcome in unipolar depression and schizophrenia

Köhler¹,

Unger²,

Hoffmann³

et al. 2014

International Journal of Psychiatry in Clinical Practice

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Section: Introductionmentioning

confidence: 97%

Patient satisfaction with inpatient psychiatric treatment and its relation to treatment outcome in unipolar depression and schizophrenia

Köhler¹,

Unger²,

Hoffmann³

et al. 2014

International Journal of Psychiatry in Clinical Practice

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“…Patient-reported satisfaction with psychiatric care has been consistently associated with more positive future outcomes such as fewer hospital admissions and symptoms following discharge [4–6]. This holds true when patient-reported satisfaction has been assessed within a few days of starting treatment, which has been termed the subjective initial response (SIR).…”

Section: Introductionmentioning

confidence: 99%

Exploring the initial experience of hospitalisation to an acute psychiatric ward

et al. 2018

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BackgroundPatient-reported satisfaction with inpatient psychiatric services, within the first few days of admission, is related to positive future outcomes. Despite its predictive value, little is known about this initial experience and what underlies these appraisals. The aim of this study was to qualitatively explore the initial experience of being admitted to an inpatient psychiatric ward.MethodsSemi-structured interviews were conducted with 61 recently admitted patients across five psychiatric hospitals in London, England. Participants were purposively sampled to ensure a mix of experiences including people with high and low satisfaction scores as measured by the Client Assessment of Treatment. Thematic analysis was used to identify, analyse and report patterns within the data, with content analysis applied to determine whether certain themes were more common to either negative or positive appraisals.ResultsFour broad themes were evident 1) ‘Best place for me right now?’ 2) ‘Different from out in society’ 3) ‘Moving from uncertainty to being informed’ and 4) ‘Relating & Alienating’. Individuals with very positive appraisals spoke most frequently of helpful relationships with both staff and other patients, and feeling cared for. They also spoke of having had previous admissions and the assessment process on entering the ward suggesting that these may be valuable experiences. Conversely, the group with very negative appraisals spoke of relationships that were alienating or where there was a perceived abuse of power. They described restrictions to their freedom, compared hospital to prison and generally had the view that hospital makes you worse.ConclusionsThe experience of hospital within the first few days of admission determines whether an individual has a positive or negative experience of their inpatient care. Reducing the impact of uncertainty and promoting good relationships may help services to improve the initial experience of hospital admission and ultimately improve future outcomes for patients.

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“…Essentially, these reforms encourage general practitioners (GPs) and case managers (usually a nurse or social worker) to follow more patients with SMD in the community [1,3]. Primary care and community-based services are considered less stigmatising, more accessible, and no costlier than hospital-based care; in addition, they are often more greatly appreciated by patients [4-6]. Yet, hospitals and psychiatric care continue to occupy a central place in the mental health care system [7,8].…”

Section: Introductionmentioning

confidence: 99%

Professional Service Utilisation among Patients with Severe Mental Disorders

Fleury

Grenier

Bamvita

et al. 2010

BMC Health Serv Res

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Background Generally, patients with serious mental disorders (SMD) are frequent users of services who generate high care-related costs. Current reforms aim to increase service integration and primary care for improved patient care and health-care efficiency. This article identifies and compares variables associated with the use by patients with SMD of services offered by psychiatrists, case managers, and general practitioners (GPs). It also compares frequent and infrequent service use. Method One hundred forty patients with SMD from five regions in Quebec, Canada, were interviewed on their use of services in the previous year. Patients were also required to complete a questionnaire on needs-assessment. In addition, data were collected from clinical records. Descriptive, bivariate, and multivariate analyses were conducted. Results Most patients used services from psychiatrists and case managers, but no more than half consulted GPs. Most patients were followed at least by two professionals, chiefly psychiatrists and case managers. Care access, continuity of care, and total help received were the most important variables associated with the different types of professional consultation. These variables were also associated with frequent use of professional service, as compared with infrequent service use. In all, enabling factors rather than need factors were the core predictors of frequency of service utilisation by patients with SMD. Conclusion This study reveals that health care system organisation and professional practice - rather than patient need profiles - are the core predictors of professional consultation by patients with SMD. The homogeneity of our study population, i.e. mainly users with schizophrenia, recently discharged from hospital, may partly account for these results. Our findings also underscored the limited involvement of GPs in this patient population's care. As comorbidity is often associated with serious mental disorders, closer follow-up by GPs is needed. Globally, more effort should be directed at increasing shared-care initiatives, which would enhance coordination among psychiatrists, GPs, and psychosocial teams (including case managers). Finally, there is a need to increase awareness among health care providers, especially GPs, of the level of care required by patients with disabling and serious mental disorders.

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Comparison of patient satisfaction with community‐based vs. hospital psychiatric services

Abstract: This study suggests that experimental findings that patients prefer community-based to hospital psychiatric services can be generalized to routine services.

Cited by 55 publications

References 21 publications

Patient satisfaction with inpatient psychiatric treatment and its relation to treatment outcome in unipolar depression and schizophrenia

Patient satisfaction with inpatient psychiatric treatment and its relation to treatment outcome in unipolar depression and schizophrenia

Exploring the initial experience of hospitalisation to an acute psychiatric ward

Professional Service Utilisation among Patients with Severe Mental Disorders

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