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Jiang F, Hu L, Zhao R, Zhou H, Wu Y, Rakofsky JJ, Liu T, Liu H, Liu Y, Tang YL. Satisfaction of family members with inpatient psychiatric care and its correlates: a national survey in China. BMC Psychiatry 2019; 19:427. [PMID: 31888562 PMCID: PMC6937693 DOI: 10.1186/s12888-019-2362-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2019] [Accepted: 11/15/2019] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Measuring family members' satisfaction with inpatient psychiatric care may help improve the quality of healthcare in psychiatric hospitals. This survey aimed to investigate the satisfaction of family members with inpatient psychiatric care and to explore its associated factors, using a newly-developed 5-item questionnaire. METHODS This study included 1598 family members of psychiatric inpatients in 32 tertiary public psychiatric hospitals in 29 provinces of China. Satisfaction and demographic data were collected by research staff while patient and hospital data were retrieved separately. RESULTS We found that the overall satisfaction level was 93.84% (23.46/25). The total satisfaction score in Northeast China was the highest, followed by the East, Middle and West regions (p < 0.001). There was no significant sex difference in total family satisfaction scores. Family members with a lower educational background (elementary school or less) had significantly lower satisfaction. Family members of patients who were diagnosed with schizophrenia were significantly less satisfied with doctor-family communication. In different treatment response subgroups, the marked improvement subgroup had significantly higher total satisfaction scores and subscores. Meanwhile, lower self-payment expenses and a higher number of psychologic treatments offered per day were significantly associated with higher total satisfaction scores and all subscores. Logistic regression showed a higher educational background, more psychologic treatments offered per day, adequacy of professional staffing (higher doctor/bed, nurse/bed and psychologist/bed ratio) were all significantly associated with higher family satisfaction. CONCLUSIONS We suggest government and hospital managers recruit more mental health professions to improve family satisfaction. If feasible, providing more psychologic treatments to inpatients may also improve families' satisfaction and involvement.
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Affiliation(s)
- Feng Jiang
- 0000 0000 9889 6335grid.413106.1School of public health, Chinese Academy of Medical Sciences and Peking Union Medical Colleg, No.3 Dong Dan San Tiao, Dongcheng District, Beijing, China
| | - Linlin Hu
- 0000 0000 9889 6335grid.413106.1School of public health, Chinese Academy of Medical Sciences and Peking Union Medical Colleg, No.3 Dong Dan San Tiao, Dongcheng District, Beijing, China
| | - Ruiping Zhao
- 0000 0004 0632 4559grid.411634.5Department of doctor-patient relationship, Peking University People’s Hospital, No.11 Xizhimeng South Road, Xicheng District, Beijing, China
| | - Huixuan Zhou
- 0000 0000 9889 6335grid.413106.1School of public health, Chinese Academy of Medical Sciences and Peking Union Medical Colleg, No.3 Dong Dan San Tiao, Dongcheng District, Beijing, China
| | - Yinuo Wu
- 0000 0000 9889 6335grid.413106.1School of public health, Chinese Academy of Medical Sciences and Peking Union Medical Colleg, No.3 Dong Dan San Tiao, Dongcheng District, Beijing, China
| | - Jeffrey J. Rakofsky
- 0000 0001 0941 6502grid.189967.8Department of Psychiatry and Behavioral Sciences, Emory University, 12 Executive Park Drive NE, Suite 348, Atlanta, GA USA
| | - Tingfang Liu
- 0000 0001 0662 3178grid.12527.33Institute for Hospital Management of Tsinghua University, No.30 Shuangqing Road, Haidian District, Beijing, China
| | - Huanzhong Liu
- Department of Psychiatry, Chaohu Hospital of Anhui Medical University, No.64 Chaohu North Road, Chaohu District, Hefei, China.
| | - Yuanli Liu
- School of public health, Chinese Academy of Medical Sciences and Peking Union Medical Colleg, No.3 Dong Dan San Tiao, Dongcheng District, Beijing, China.
| | - Yi-Lang Tang
- 0000 0001 0941 6502grid.189967.8Department of Psychiatry and Behavioral Sciences, Emory University, 12 Executive Park Drive NE, Suite 348, Atlanta, GA USA ,0000 0004 0419 4084grid.414026.5Atlanta VA Medical Center, 1670 Clairmont Road, Decatur, GA USA
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