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      A study on patient satisfaction with psychiatric services

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          Abstract

          Context:

          Patient satisfaction with psychiatric services is an important construct, which influences multiple areas including treatment adherance and outcome. There is paucity of studies from India in this area.

          Aims:

          To measure satisfaction of psychiatric outpatients of Mental Health Institute, Cuttack, and to assess the relationship between demographic and clinical variables with different domains of patient satisfaction.

          Settings and Design:

          In a cross-sectional study, patients of age 18-60 years receiving treatment for at least six months from outpatient department of Mental Health Institute, SCB Medical College, Cuttack, were assessed.

          Materials and Methods:

          Participants ( n=60) were selected randomly. Satisfaction was assessed by Patient Satisfaction Questionnaire–18 (PSQ-18) and the diagnoses were based on the Diagnostic and Statistical Manual-IV-TR. Severity of psychiatric disorder was measured using Clinical Global Impression-severity scale. The functioning level was assessed by Global Assessment of Functioning.

          Statistical Analysis:

          Continuous variables compared using independent t-test or analysis of variance.

          Results:

          Diagnostic break-up of the patients included anxiety disorder (36.6%), major depressive disorder (30.0%), bipolar disorder (16.6%), and schizophrenia (16.6%). Greatest level of satisfaction was noted in interpersonal aspects (71.4%) and time spent with doctors (62.4%). General satisfaction level was a little over 50% (57%). Differences between composite scores of PSQ-18 in the diagnostic categories were statistically significant; patients with depression had the highest score followed by those with anxiety disorder, bipolar, and the least was with schizophrenia patients. There was variability among the demographic and clinical groups regarding the various subscale score of PSQ-18.

          Conclusions:

          Satisfaction of psychiatric outpatients was observed to be different in various clinical and demographic groups and across many domains of satisfaction.

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          Most cited references 33

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          Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis.

          A meta-analysis was performed to examine the relation of patients' sociodemographic characteristics to their satisfaction with medical care. The sociodemographic characteristics were age, ethnicity, sex, socioeconomic status (three indices), marital status, and family size. Greater satisfaction was significantly associated with greater age and less education, and marginally significantly associated with being married and having higher social status (scored as a composite variable emphasizing occupational status). The average magnitudes of relations were very small, with age being the strongest correlate of satisfaction (mean r = 0.13). No overall relationship was found for ethnicity, sex, income, or family size. For all sociodemographic variables, the distribution of correlations was significantly heterogeneous, and statistical contrasts revealed the operation of several moderating variables. The meaning of the overall results and their relation to earlier reviews is discussed.
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            Patient satisfaction with hospital care: effects of demographic and institutional characteristics.

            There are a growing number of efforts to compare the service quality of health care organizations on the basis of patient satisfaction data. Such efforts inevitably raise questions about the fairness of the comparisons. Fair comparisons presumably should not penalize (or reward) health care organizations for factors that influence satisfaction scores but are not within the control of managers or clinicians. On the basis of previous research, these factors might include the demographic characteristics of patients (eg, age) and the institutional characteristics (eg, size) of the health care organizations where care was received. The goal of this study was to examine the extent to which a patient's satisfaction scores are related to both his/her demographic characteristics and the institutional characteristics of the health care organization where care was received. We conducted an analysis of secondary data from the Veterans Health Administration (VHA), US Department of Veterans Affairs. The database contained patient responses to self-administered satisfaction questionnaires and information about demographic characteristics. Additional data from VHA were obtained regarding the institutional characteristics of the hospitals where patients received their care. Among demographic characteristics, age, health status, and race consistently had a statistically significant effect on satisfaction scores. Among the institutional characteristics, hospital size consistently had a significant effect on patient satisfaction scores. Study results can be interpreted as justifying the need to adjust patient satisfaction scores for differences in patient population among health care organizations. However, from a policy perspective, such adjustments may ultimately create a disincentive for health care organizations to customize their care.
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              ECDEU Assessment Manual for Psychopharmacology

               W Guy (1976)
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                Author and article information

                Journal
                Indian J Psychiatry
                Indian J Psychiatry
                IJPsy
                Indian Journal of Psychiatry
                Medknow Publications & Media Pvt Ltd (India )
                0019-5545
                1998-3794
                Oct-Dec 2012
                : 54
                : 4
                : 327-332
                Affiliations
                Department of Psychiatry, Postgraduate Institute of Medical Education and Research, (PGIMER), Chandigarh, India
                [1 ]Consultant Psychiatrist, Black Country Partnership NHS Foundation Trust, Steps to Health, Showell Circus, Low Hill, Wolverhampton, UK
                [2 ]Department of Psychiatry, Mental Health Institute, S.C.B. Medical College, Cuttack, Odisha, India
                [3 ]Department of Psychiatry, Mamta Medical College and Hospital, Khammam, Andhra Pradesh, India
                Author notes
                Address for correspondence: Dr. Prabhakar C. Holikatti, Department of Psychiatry, Postgraduate Institute of Medical Education and Research, (PGIMER), Sector-12, Chandigarh, 160 012, Punjab, India. E-mail: doctorprabhakar.pgi@ 123456gmail.com
                Article
                IJPsy-54-327
                10.4103/0019-5545.104817
                3554963
                23372234
                Copyright: © Indian Journal of Psychiatry

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                Categories
                Original Article

                Clinical Psychology & Psychiatry

                psychiatry, patient satisfaction, out-patient, india

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