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Satisfaction with psychiatric in-patient care as rated by patients at discharge from hospitals in 11 countries

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Dzmitry Krupchanka, Hind Khalifeh, Jibril Abdulmalik, Sara Ardila-Gómez, Aishatu Yusha’u Armiya’u, Visnja Banjac, Alexey Baranov, Nikita Bezborodovs, Petrana Brecic, Zoran Čavajda, Giovanni de Girolamo, Maria Denisenko, Howard Akena Dickens, Josip Dujmovic, Dubravka Ergovic Novotny, Ilya Fedotov, Marina A. Fernández, Iryna Frankova, Marta Gasparovic, Catalina Giurgi-Oncu & 32 more Tanja Grahovac, Bawo O. James, Rabaa Jomli, Ivana Kekin, Rajna Knez, Mariangela Lanfredi, Francesca Lassman, Nisha Mehta, Fethi Nacef, Alexander Nawka, Martin Nemirovsky, Bolanle Adeyemi Ola, Yewande O. Oshodi, Uta Ouali, Tomislav Peharda, Andrea Razic Pavicic, Martina Rojnic Kuzman, Costin Roventa, Rinat Shamenov, Daria Smirnova, Davorka Smoljanic, Anna Spikina, Amalia Thornicroft, Marko Tomicevic, Domagoj Vidovic, Paul Williams, Yulia Yakovleva, Olena Zhabenko, Tatiana Zhilyaeva, Maja Zivkovic, Graham Thornicroft, Norman Sartorius

Original languageEnglish
Pages (from-to)1-15
Number of pages15
JournalSocial Psychiatry and Psychiatric Epidemiology
Early online date11 Mar 2017
Publication statusE-pub ahead of print - 11 Mar 2017

King's Authors


Purpose: There is disregard in the scientific literature for the evaluation of psychiatric in-patient care as rated directly by patients. In this context, we aimed to explore satisfaction of people treated in mental health in-patient facilities. The project was a part of the Young Psychiatrist Program by the Association for the Improvement of Mental Health Programmes. Methods: This is an international multicentre cross-sectional study conducted in 25 hospitals across 11 countries. The research team at each study site approached a consecutive target sample of 30 discharged patients to measure their satisfaction using the five-item study-specific questionnaire. Individual and institution level correlates of ‘low satisfaction’ were examined by comparisons of binary and multivariate associations in multilevel regression models. Results: A final study sample consisted of 673 participants. Total satisfaction scores were highly skewed towards the upper end of the scale, with a median total score of 44 (interquartile range 38–48) out of 50. After taking clustering into account, the only independent correlates of low satisfaction were schizophrenia diagnosis and low psychiatrist to patient ratio. Conclusion: Further studies on patients’ satisfaction should additionally pay attention to treatment expectations formed by the previous experience of treatment, service-related knowledge, stigma and patients’ disempowerment, and power imbalance.

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