ASSESSMENT OF PATIENT SATISFACTION WITH MENTAL HEALTH SERVICES IN A TERTIARY CARE SETTING
Abstract
Background: Patients' opinion regarding services has acquired great importance. Patient satisfaction isplaying an increasingly important role in quality of care reforms and health-care delivery. The study aimed
to measure patient satisfaction in a tertiary care hospital in order to know the patients' perspectives and
expectations of the services and make appropriate improvements accordingly. Methods: This was a crosssectional study conducted at the Out-patient and Inpatient Departments of the Institute of Psychiatry,
Benazir Bhutto Hospital, Rawalpindi, for a period of 8 months from October 2008 till June 2009. Sample
size was 246 patients; which included 123 participants from Out-patient and In-patient departments each.
Patients aged 18 and above, of both genders, who gave informed written consent, were consecutively
recruited for the study. Learning disabled patients, frankly psychotic and those with severe cognitive
impairment and severe co-morbid physical illnesses were excluded. Performa was filled in by the
participants for their demographic details. The Client Satisfaction Questionnaire-8 was then orally
administered in the native language (Urdu/Punjabi) to assess the degree of patient satisfaction. Results:
Among the participants, 72% were mostly satisfied, 18.7% mildly satisfied and 9.3% dissatisfied with the
psychiatric care. Age was significantly associated with satisfaction however no such associations could be
found for gender and economic status. Conclusion: Majority of the patients were satisfied with the
psychiatric services. The younger people were more satisfied. Gender and economic status had no
influence on patient satisfaction.
Keywords: Patient satisfaction, Quality of Health Care, Patient compliance, Mental Health Services
References
dlund MJ, Young AS, Kung FY, Sherbourne CD, Wells KB.
Does Satisfaction Reflect the Technical Quality of Mental Health
Care? Health Serv Res 2003;38:631-45.
Blenkiron P, Hammill CA. What determines patients' satisfaction
with their mental health care and quality of life? Postgrad Med J
;79:337-40.
Bramesfeld A, Wedegärtner F, Elgeti H, Bisson S. How does
mental health care perform in respect to service user's
expectations? Evaluating inpatient and outpatient care in
Germany with the WHO responsiveness concept. BMC Health
Serv Res 2007;7:99.
Hajifathali A, Aini E, Jafary H, Moghadam NM, Kohyar E,
Hajikaram S. In-patient satisfaction and its related factors in
Taleghani University Hospital, Tehran, Iran. Pak J Med Sci
;24:274-7.
Bleich SN, Özaltin E, Murray CK. How does satisfaction with
the health-care system relate to patient experience? Bull World
Health Organ 2009;87(4):271-8.
J Ayub Med Coll Abbottabad 2011;23(1)
http://www.ayubmed.edu.pk/JAMC/23-1/Gani.pdf
Jin J, Sklar GE, Min Sen Oh V, Chuen Li S. Factors affecting
therapeutic compliance: A review from the patient's
perspective Ther Clin Risk Manag 2008;4:269-86.
DiMatteo MR. Patient adherence to pharmacotherapy: the
importance of effective communication. Formulary
;30:596-8, 601-2, 605.
Blendon RJ, Schoen C, DesRoches C, Osborn R, Zapert K.
Common concerns amid diverse systems: health care experiences
in five countries. Health Aff (Millwood) 2003;22(3):106-21.
Rao MH, Soomro IBM. Non-compliance-awareness and attitude
of psychiatric patients regarding out patient follow-up at Civil
Hospital, Karachi. J Dow Uni Health Sci 2008;2:36-40.
Baqar Raza. Effectiveness of Olanzapine treatment of
Schizophrenic patient in Pakistan Med Channel 2006;12:75-81.
Channa R, Siddiqi MN. What do patients want from their
psychiatrist? A cross-sectional questionnaire based exploratory
study from Karachi. BMC Psychiatry 2008;8:14.
Arean PA, Gum AM, Tang L, Unutzer J. Service use and
Outcomes Among Elderly persons with low income being treated
for Depression. Psychiatr Serv 2007;58:1057-64.
Jackson TC, Allen G, Essock SM, Felton CJ, Donahue SA.
Clients' satisfaction with Project Liberty Counselling Services.
Psychiatr Serv 2006;57:1316-9.
Prasanna K, Bashith M, Sucharitha S. Consumer Satisfaction
about Hospital Services: A Study from the Outpatient
Department of a Private Medical College Hospital at Mangalore.
Indian J Community Med 2009;34(2):156-9.
Danish KF, Khan UA, Chaudhry T, Naseer M. Patient
satisfaction; An experience at IIMC-T Railway Hospital. Rawal
Med J 2008;33:245-8.
Yildirim C, Kocoglu H, Goksu S, Gunay N, Savas H. Patient
satisfaction in a university hospital emergency department in
Turkey. Acta Medica (Hradec Kralove) 2005;48:59-62.
Stengård E, Honkonen T, Koivisto AM, Salokangas RK.
Satisfaction of caregivers of patients with schizophrenia in
Finland. Psychiatr Serv 2000;51:1034-9.
Khan MH, Hassan R, Anwar S, Babar TS, Babar KS.
Satisfaction with Nursing care. Rawal Med J 2007;32:28-30.
Kuosmanen L, Hätönen H, Jyrkinen AR, Katajisto J, Välimäki
M. Patient satisfaction with psychiatric inpatient care. J Adv Nurs
;55:655-63.
Soergaard KW, Nivison M, Hansen V, Oeiesvold T. Treatment
needs and acknowledgement of illness-importance for
satisfaction with psychiatric inpatient treatment. BMC Health
Serv Res 2008;8:103.
Crow R, Gage H, Hampson S, Hart J, Kimber A, Storey L, et al.
The measurement of satisfaction with healthcare: implications for
practice from a systematic review of the literature. Health
Technol Assess 2002;6:1-244.
Ruggeri M. Patients' and relatives' satisfaction with psychiatric
services: The state of the art of its measurement. Soc Psychiatry
Psychiatr Epidemiol 1994;29:212-27.
Thornicroft G, Leese M, Tansella M, Howard L, Toulmin
H, Herran A, et al. Gender differences in living with
schizophrenia. A cross-sectional European multi-site study.
Schizophr Res 2002;57:191-200.
Bjorngaard JH, Ruud T, Garratt A. Patients' Experiences and
Clinicians' Ratings of the Quality of Outpatient Teams in
Psychiatric Care Units in Norway. Psychiatr Serv 2007;58:1102-7.
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