Psychiatric civil and forensic inpatient satisfaction with care: the impact of provider and recipient characteristics.
BACKGROUND
The goal of the study was to understand what characteristics of the provider and recipient of psychiatric care on inpatient civil and forensic units impact satisfaction ratings. Specifically, we explored how demographic variables (age, race), psychiatric diagnosis (psychotic, affective, substance-related), and patients' interactions with staff influence satisfaction ratings.


METHODS
After matching inpatient samples on demographic characteristics, 384 psychiatric inpatients (188 civil, 196 forensic) who completed surveys assessing their satisfaction with care were included in the present study. Demographic variables and psychiatric diagnosis information was gathered from chart reviews and in collaboration with the patients' treatment team. A series of univariate analyses of variance (ANOVAs) were conducted to test main and interaction effects influencing mean satisfaction ratings.


RESULTS
While ratings did not differ for recipients' unit type, age, diagnosis, or perceiving a connection with staff, significant differences were found for race and perceiving a problem with staff. Interaction effects emerged for unit type by psychotic diagnosis and race by perceiving a problem with staff. Supplemental analyses also examined how provider and recipient characteristics influenced components of satisfaction.


CONCLUSIONS
Increasing patient satisfaction by targeting more "vulnerable" patients and addressing relations with staff may impact treatment compliance.
Shiva
Andrew
A
Forensic Inpatient Psychiatry Service (19W33), NYU/Bellevue Hospital Center, 462 First Avenue, New York, NY 10016, USA. Andrew.Shiva@bellevue.nychhc.org
Haden
Sara C
SC
Brooks
Jeannie
J
D000328:Adult; D000367:Age Factors; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003134:Commitment of Persons with Psychiatric Disorders; D005006:Ethnicity / Q000523:psychology / Q000706:statistics & numerical data; D005555:Forensic Psychiatry / Q000706:statistics & numerical data*; D019538:Health Care Surveys / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D010348:Patient Care Team / Q000706:statistics & numerical data*; D010349:Patient Compliance; D017060:Patient Satisfaction; D011329:Prisoners / Q000523:psychology*; D011795:Surveys and Questionnaires