title: Determinants of patient satisfaction with hospital health care in psychiatry: results based on the SATISPSY-22 questionnaire.
abstract: 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 (β=0.15). Clinical improvement was moderately associated with higher global satisfaction (β=-0.15), higher satisfaction with quality of care (β=-0.19), and higher satisfaction with food (β=-0.18). Stronger associations with satisfaction were found for care characteristics, particularly the therapeutic alliance with all of the satisfaction dimensions (β, 0.20-0.43) except food, and for seclusion with global satisfaction (β=-0.33) and personal experience (β=-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 (β=-0.15).
  
  
  CONCLUSIONS
  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.
authors.affiliation: Aix-Marseille University, Public Health, Chronic Diseases and Quality of Life, Research Unit, Marseille, France ; Department of Psychiatry, Inpatient Psychiatric Unit, La Conception University Hospital, Marseille, France.
authors.forename: Xavier Y
authors.initials: XY
authors.lastname: Zendjidjian
authors.affiliation: Aix-Marseille University, Public Health, Chronic Diseases and Quality of Life, Research Unit, Marseille, France.
authors.forename: Pascal
authors.initials: P
authors.lastname: Auquier
authors.affiliation: Aix-Marseille University, Public Health, Chronic Diseases and Quality of Life, Research Unit, Marseille, France ; Department of Psychiatry, Psychiatric Public Sector 6, Sainte-Marguerite University Hospital, Marseille, France.
authors.forename: Christophe
authors.initials: C
authors.lastname: Lançon
authors.affiliation: Aix-Marseille University, Public Health, Chronic Diseases and Quality of Life, Research Unit, Marseille, France.
authors.forename: Anderson
authors.initials: A
authors.lastname: Loundou
authors.affiliation: Department of Addictology, Day Hospital, Sainte-Marguerite University Hospital, Marseille, France.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Parola
authors.affiliation: Department of Psychiatry, Psychiatric Public Sector 6, Sainte-Marguerite University Hospital, Marseille, France.
authors.forename: Melanie
authors.initials: M
authors.lastname: Faugère
authors.affiliation: Aix-Marseille University, Public Health, Chronic Diseases and Quality of Life, Research Unit, Marseille, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Boyer
keywords: determinants; hospital; inpatient; psychiatry; satisfaction