ASSESSMENT OF PATIENT SATISFACTION WITH MENTAL HEALTH SERVICES IN A TERTIARY CARE SETTING

Authors

  • Naveed Gani
  • Khalid Saeed
  • Fareed Aslam Minhas
  • Nigar Anjuman
  • Maria Waleed
  • Ghulam Fatima

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 aimedto measure patient satisfaction in a tertiary care hospital in order to know the patients’ perspectives andexpectations 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. Samplesize 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 consecutivelyrecruited for the study. Learning disabled patients, frankly psychotic and those with severe cognitiveimpairment and severe co-morbid physical illnesses were excluded. Performa was filled in by theparticipants for their demographic details. The Client Satisfaction Questionnaire-8 was then orallyadministered 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 thepsychiatric care. Age was significantly associated with satisfaction however no such associations could befound for gender and economic status. Conclusion: Majority of the patients were satisfied with thepsychiatric services. The younger people were more satisfied. Gender and economic status had noinfluence 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.

Published

2011-03-01