title: Satisfaction with psychiatric in-patient care as rated by patients at discharge from hospitals in 11 countries.
abstract: 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.
  
  
  
  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.
  
  
  
  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.
  
  
  
  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.
authors.affiliation: Department of Social Psychiatry, National Institute of Mental Health, Topolová 748, 250 67, Klecany, Czech Republic. dmitry.krupchenko@gmail.com.|Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. dmitry.krupchenko@gmail.com.
authors.forename: Dzmitry
authors.identifier: 0000-0003-0126-5281
authors.initials: D
authors.lastname: Krupchanka
authors.affiliation: Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
authors.forename: Hind
authors.initials: H
authors.lastname: Khalifeh
authors.affiliation: Department of Psychiatry, University of Ibadan, Ibadan, Nigeria.
authors.forename: Jibril
authors.initials: J
authors.lastname: Abdulmalik
authors.affiliation: Research Institute, School of Psychology, University of Buenos Aires, Buenos Aires, Argentina.
authors.forename: Sara
authors.initials: S
authors.lastname: Ardila-Gómez
authors.affiliation: Department of Psychiatry, Jos University Teaching Hospital, Jos, Nigeria.
authors.forename: Aishatu Yusha'u
authors.initials: AY
authors.lastname: Armiya'u
authors.affiliation: Clinic of Psychiatry, University Clinical Center of the Republic of Srpska, Banjaluka, Bosnia and Herzegovina.
authors.forename: Visnja
authors.initials: V
authors.lastname: Banjac
authors.affiliation: Tambov Psychiatric Hospital, Tambov, Russian Federation.
authors.forename: Alexey
authors.initials: A
authors.lastname: Baranov
authors.affiliation: Children's Clinical University Hospital, Riga, Latvia.
authors.forename: Nikita
authors.initials: N
authors.lastname: Bezborodovs
authors.affiliation: University Psychiatric Hospital Vrapce, Zagreb, Croatia.
authors.forename: Petrana
authors.initials: P
authors.lastname: Brecic
authors.affiliation: Department of Acute and Biological Psychiatry, Clinical Hospital Centre Osijek, Osijek, Croatia.
authors.forename: Zoran
authors.initials: Z
authors.lastname: Čavajda
authors.affiliation: Unit of Psychiatric Epidemiology and Evaluation, Saint John of God Clinical Research Centre, Brescia, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: de Girolamo
authors.affiliation: Mental Health Clinic No1, Nizhny Novgorod, Russian Federation.
authors.forename: Maria
authors.initials: M
authors.lastname: Denisenko
authors.affiliation: Makerere University College of Health Sciences, Kampala, Uganda.
authors.forename: Howard Akena
authors.initials: HA
authors.lastname: Dickens
authors.affiliation: KBC Zagreb, Zagreb, Croatia.
authors.forename: Josip
authors.initials: J
authors.lastname: Dujmovic
authors.affiliation: General Hospital "Dr. Josip Bencevic", Slavonski Brod, Croatia.
authors.forename: Dubravka
authors.initials: D
authors.lastname: Ergovic Novotny
authors.affiliation: Ryazan State Medical University, Ryazan, Russian Federation.
authors.forename: Ilya
authors.initials: I
authors.lastname: Fedotov
authors.affiliation: Research Institute, School of Psychology, University of Buenos Aires, Buenos Aires, Argentina.
authors.forename: Marina A
authors.initials: MA
authors.lastname: Fernández
authors.affiliation: Bogomolets National Medical University, Kyiv, Ukraine.
authors.forename: Iryna
authors.initials: I
authors.lastname: Frankova
authors.affiliation: Osijek University Hospital, Osijek, Croatia.
authors.forename: Marta
authors.initials: M
authors.lastname: Gasparovic
authors.affiliation: ″Victor Babes" University of Medicine and Pharmacy of Timisoara, Timisoara, Romania.
authors.forename: Catalina
authors.initials: C
authors.lastname: Giurgi-Oncu
authors.affiliation: University Hospital Center Rijeka, Rijeka, Croatia.
authors.forename: Tanja
authors.initials: T
authors.lastname: Grahovac
authors.affiliation: Federal Neuro-Psychiatric Hospital, Benin City, Nigeria.
authors.forename: Bawo O
authors.initials: BO
authors.lastname: James
authors.affiliation: Department of Psychiatry "A" at Razi Hospital, Manouba, Tunisia.|Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia.
authors.forename: Rabaa
authors.initials: R
authors.lastname: Jomli
authors.affiliation: University Hospital Centre Zagreb, Zagreb, Croatia.
authors.forename: Ivana
authors.initials: I
authors.lastname: Kekin
authors.affiliation: University Hospital Center Rijeka, Rijeka, Croatia.
authors.forename: Rajna
authors.initials: R
authors.lastname: Knez
authors.affiliation: Unit of Psychiatry, Saint John of God Clinical Research Centre, Brescia, Italy.
authors.forename: Mariangela
authors.initials: M
authors.lastname: Lanfredi
authors.affiliation: Great Ormond Street Hospital, London, UK.
authors.forename: Francesca
authors.initials: F
authors.lastname: Lassman
authors.affiliation: NHS Tayside, Dundee, Scotland, UK.
authors.forename: Nisha
authors.initials: N
authors.lastname: Mehta
authors.affiliation: Department of Psychiatry "A" at Razi Hospital, Manouba, Tunisia.|Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia.
authors.forename: Fethi
authors.initials: F
authors.lastname: Nacef
authors.affiliation: Institute of Neuropsychiatric Care (INEP), Prague, Czech Republic.
authors.forename: Alexander
authors.initials: A
authors.lastname: Nawka
authors.affiliation: Proyecto SUMA-Medicus, Buenos Aires, Argentina.
authors.forename: Martin
authors.initials: M
authors.lastname: Nemirovsky
authors.affiliation: Lagos State University College of Medicine, Ikeja, Nigeria.
authors.forename: Bolanle Adeyemi
authors.initials: BA
authors.lastname: Ola
authors.affiliation: Department of Psychiatry, College of Medicine, University of Lagos, Lagos, Nigeria.
authors.forename: Yewande O
authors.initials: YO
authors.lastname: Oshodi
authors.affiliation: Department of Psychiatry "A" at Razi Hospital, Manouba, Tunisia.|Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia.
authors.forename: Uta
authors.initials: U
authors.lastname: Ouali
authors.affiliation: Psychiatric ward, General Hospital Pula, Pula, Croatia.
authors.forename: Tomislav
authors.initials: T
authors.lastname: Peharda
authors.affiliation: University Hospital Centre Zagreb, Zagreb, Croatia.
authors.forename: Andrea
authors.initials: A
authors.lastname: Razic Pavicic
authors.affiliation: University Hospital Centre Zagreb, Zagreb, Croatia.|Zagreb School of Medicine, Zagreb, Croatia.
authors.forename: Martina
authors.initials: M
authors.lastname: Rojnic Kuzman
authors.affiliation: Neuropsychiatric Hospital, Craiova, Romania.
authors.forename: Costin
authors.initials: C
authors.lastname: Roventa
authors.affiliation: Samara Psychiatric Hospital, Samara, Russian Federation.
authors.forename: Rinat
authors.initials: R
authors.lastname: Shamenov
authors.affiliation: Department of Psychiatry, Samara State Medical University, Samara, Russian Federation.
authors.forename: Daria
authors.initials: D
authors.lastname: Smirnova
authors.affiliation: Psychiatric ward, General Hospital Pula, Pula, Croatia.
authors.forename: Davorka
authors.initials: D
authors.lastname: Smoljanic
authors.affiliation: Medical University Named After I.I. Mechnikov, Saint Petersburg, Russian Federation.
authors.forename: Anna
authors.initials: A
authors.lastname: Spikina
authors.affiliation: Occupational Therapy Department, St George's University Hospitals NHS Foundation Trust, London, UK.
authors.forename: Amalia
authors.initials: A
authors.lastname: Thornicroft
authors.affiliation: Neuropsychiatric Hospital "Dr. Ivan Barbot", Popovaca, Croatia.
authors.forename: Marko
authors.initials: M
authors.lastname: Tomicevic
authors.affiliation: University Psychiatric Hospital Vrapce, Zagreb, Croatia.
authors.forename: Domagoj
authors.initials: D
authors.lastname: Vidovic
authors.affiliation: Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
authors.forename: Paul
authors.initials: P
authors.lastname: Williams
authors.affiliation: Saint Petersburg Bekhterev Psychoneurological Research Institute, Saint Petersburg, Russian Federation.
authors.forename: Yulia
authors.initials: Y
authors.lastname: Yakovleva
authors.affiliation: Railway Clinical Hospital #1 Station Kyiv, Kyiv, Ukraine.
authors.forename: Olena
authors.initials: O
authors.lastname: Zhabenko
authors.affiliation: Department of Psychiatry and Medical Psychology, Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russian Federation.
authors.forename: Tatiana
authors.initials: T
authors.lastname: Zhilyaeva
authors.affiliation: University Psychiatric Hospital Vrapce, Zagreb, Croatia.
authors.forename: Maja
authors.initials: M
authors.lastname: Zivkovic
authors.affiliation: Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
authors.forename: Graham
authors.initials: G
authors.lastname: Thornicroft
authors.affiliation: Association for the Improvement of Mental Health Programmes, Geneve, Switzerland.
authors.forename: Norman
authors.initials: N
authors.lastname: Sartorius
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006778:Hospitals, Psychiatric; D006801:Humans; D038622:Internationality; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D055361:Multilevel Analysis; D010351:Patient Discharge; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
keywords: Inpatient care; Patients satisfaction; Psychiatry; Service evaluation