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Determinants of patient satisfaction with hospital health care in psychiatry: results based on?the?SATISPSY-22 questionnaire

机译:患者满意度与医院医疗保健在精神科医疗保健的决定因素:结果基于?Satispey-22问卷

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Background: The aim of our study was to identify patient- and care-related factors that are associated with patients’ satisfaction with psychiatric hospital care, using a specific, self-administered questionnaire based exclusively on the patient’s point of view: the Satisfaction with Psychiatry Care Questionnaire-22 (SATISPSY-22).Methods: This cross-sectional study was conducted in the psychiatric departments of two French public university teaching hospitals. The data collected included sociodemographic information, clinical characteristics, care characteristics, and the SATISPSY-22. A multivariate analysis using multiple linear regressions was performed to determine the variables potentially associated with satisfaction levels.Results: Two hundred seventy patients were enrolled in our study. Only one moderate association was found between satisfaction and sociodemographic characteristics: the personal experience dimension with age (?=0.15). Clinical improvement was moderately associated with higher global satisfaction (?=–0.15), higher satisfaction with quality of care (?=–0.19), and higher satisfaction with food (?=–0.18). Stronger associations with satisfaction were found for care characteristics, particularly the therapeutic alliance with all of the satisfaction dimensions (?,?0.20–0.43) except food, and for seclusion with global satisfaction (?=–0.33) and personal experience (?=–0.32). Patients with previous hospitalization also had a higher level of satisfaction with quality of care compared with patients who were admitted for the first time (?=–0.15).Conclusion: This study has identified a number of potential determinants of satisfaction. The therapeutic relationship and seclusion were the most important features associated with a patient’s satisfaction. These factors might be amenable through intervention, which, in turn, might be expected to improve satisfaction, patients’ management, and health outcomes in psychiatric hospitals.
机译:背景:我们的研究目的是识别与患者对精神病院护理的满意有关的患者和护理相关因素,使用特定的自我管理的问卷在患者的角度来看:对精神病学的满意度护理问卷-22(Satpsy-22)。方法:这种横断面研究是在两所法国公共大学教学医院的精神科部门进行的。收集的数据包括社会渗目信息,临床特征,护理特征和Satispy-22。进行使用多元线性回归的多变量分析以确定可能与满意度相关的变量。结果:我们的研究中注册了两百七十名患者。在满足和社会渗塑特征之间发现了一个中等的联系:个人体验尺寸随着年龄的增长(?= 0.15)。临床改善与全球性满意度更高的临床改善(?= - 0.15),对护理质量更高的满意度(?= - 0.19),与食物更高的满意度(?= - 0.18)。较强的关联与满意的关联是为了护理特征,特别是治疗联盟,与食物外的所有满意度(?,?0.20-0.43),以及全球满意度的隐居(?= - 0.33)和个人经验(?= - 0.32)。与先前住院治疗的患者也与第一次入院的患者相比具有更高的满意度(?= - 0.15)。结论:本研究确定了许多满足的潜在决定因素。治疗关系和隐居是与患者满意相关的最重要的特征。这些因素可能会通过干预来实现,这反过来可能会有望改善精神病医院的满意度,患者的管理和健康结果。

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