title: Patient satisfaction after acute admission for psychosis.
abstract: Background Measuring patient satisfaction in mental health care potentially provides valuable information, but studies in acutely admitted psychosis patients are scarce. Aims The aims were to assess satisfaction among patients acutely admitted with psychosis, to compare satisfaction in voluntarily versus involuntarily admitted patients, and to assess the influence of symptom load and insight. Methods The UKU Consumer Satisfaction Rating Scale (UKU-ConSat) was used. A total of 104 patients completed the UKU-ConSat at discharge/follow-up (between 6-11 weeks after admittance if not discharged earlier) (mean duration of stay 4 weeks), thus corresponding to the end of the acute treatment phase. Results A total of 88.4% had total scores above zero (satisfied). Only three of the eight single items were statistically significantly different among patients admitted voluntarily versus involuntarily, and only the information item score remained significantly different in adjusted analyses. Insight level at admittance, and an increasing level of insight during the acute phase were positively associated with patient satisfaction, whereas levels and changes in positive and negative psychosis symptoms were indirectly related to satisfaction via this process of insight. Conclusions The vast majority of the acutely admitted patients were satisfied with treatment. There were few differences between the involuntarily and voluntarily admitted patient groups, except that the involuntary care group was clearly less satisfied with the information provided. Poor insight had a major negative impact on treatment satisfaction in psychosis. The provision of sufficient and adequate information is an important target for mental health care service improvement.
authors.affiliation: a Division of Psychiatry , Haukeland University Hospital , Bergen , Norway ;
authors.forename: Beate
authors.initials: B
authors.lastname: Bø
authors.affiliation: b RVTS-Vest (Resource Center for Violence, Traumatic Stress and Suicide prevention-Western Norway), and Juventile Unit, Clinic for Forensic Psychiatry, Haukeland University Hospital , Bergen , Norway ;
authors.forename: Øyvind H
authors.initials: ØH
authors.lastname: Ottesen
authors.affiliation: a Division of Psychiatry , Haukeland University Hospital , Bergen , Norway ;|c Centre for Research and Education in Forensic Psychiatry, Haukeland University Hospital , Bergen , Norway ;
authors.forename: Rolf
authors.initials: R
authors.lastname: Gjestad
authors.affiliation: d Department of Clinical Medicine, Psychiatry , University of Bergen , Norway ;
authors.forename: Hugo A
authors.initials: HA
authors.lastname: Jørgensen
authors.affiliation: a Division of Psychiatry , Haukeland University Hospital , Bergen , Norway ;|d Department of Clinical Medicine, Psychiatry , University of Bergen , Norway ;
authors.forename: Rune A
authors.initials: RA
authors.lastname: Kroken
authors.affiliation: a Division of Psychiatry , Haukeland University Hospital , Bergen , Norway ;|e Institute of Clinical Psychology, University of Bergen , Norway.
authors.forename: Else-Marie
authors.initials: EM
authors.lastname: Løberg
authors.affiliation: a Division of Psychiatry , Haukeland University Hospital , Bergen , Norway ;|d Department of Clinical Medicine, Psychiatry , University of Bergen , Norway ;
authors.forename: Erik
authors.initials: E
authors.lastname: Johnsen
mesh_terms: D000328:Adult; D003134:Commitment of Persons with Psychiatric Disorders / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000592:standards*; D008875:Middle Aged; D010343:Patient Admission / Q000592:standards*; D017060:Patient Satisfaction; D011618:Psychotic Disorders / Q000628:therapy*
keywords: Acute admission; Hospitalization; Patient satisfaction; Psychiatry; Psychosis