Patient satisfaction and acute psychiatric inpatient treatment

Figures & data

Table 1. Sociodemographics and clinical data.

	All admissions	Consented	Not consented
	N = 875	N = 256	N = 91
Sex (women) %	51	50	46
Age
Mean (SD)		39.6 (15.1)	42.7 (15.3)
Civil status %
Married		15
Co-habitation		8
Single		66
Other		11
Diagnosis %
F 20-29 Psychotic disorders	28	28	54*
F 30-39 Affective disorders	19	33	15*
F 40-48 Neurotic disorders	10	11	10
F 10-19 Drug related disorders	16	10	5
F 60-69 Personality disorders	6	8	4
F 00-09 and F 99 Other disorders	21	10	12
GAF Mean (SD)
GAF-S admittance (n = 192)		38.5 (10.9)	38.8 (13.2)
GAF-F admittance (n = 189)		40.2 (11.2)	38.3 (11.7)
GAF-S discharge (n = 139)		52.8 (10.7)	45.4 (11.8)*
GAF-F discharge (n = 142)		50.8 (11.4)	44.8 (13.4)*
Days of stay (range) mean (SD)
All (0–173 days)	12.0 days	18.4 (23.0)	18.6 (29.6)
Reception ward (0–19 days)	1.6 days	1.5 (1.5)	1.3 (1.1)
Other wards (1–173)	23.4 days	26.8 (20.8)	27.8 (33.6)
Discharge from reception ward %	50	36	40
Referred to inpatient treatment %	50	64	60
Legal status of referral %
Voluntary admission (VA)	50	55	46
Involuntary admission (IA)
Involuntary observation	32	25	34
Involuntary treatment	18	20	20
Legal status of admission %
Voluntary admission (VA)	66	64	58
Involuntary admission (IA)
Involuntary observation	5	6	8
Involuntary treatment	29	30	34
PIPEQ: Perception of admittance %
Admitted at own free will (n = 246)
YES		72
NO		28

GAF-S: Global Assessment of Functioning, Symptoms; GAF-F Global Assessment of Functioning, Functioning; N, n number; PIPIEQ: Psychiatric Inpatient Experience Questionaire; SD: standard deviation.

*p ≤ 0.05.

Table 2. PIPEQ: Question descriptions and characteristics.

	N	Missing (%)	Do not know (%)	Mean^a (SD)	Ceiling^b (%)
Q1: In general, how much are you satisfied by the treatment opportunities provided by this institution?	254	0.8	1.6	3.9 (1.2)	37.4
Q2: In general, how helpful was the treatment you received at this institution?	242	1.2	4.7	3.5 (1.4)	23.7
Q3: Has your condition improved or worsened in comparison to when you were admitted?	253	1.6	4.7	4.1 (1.1)	47.9
Q4: In your opinion, has the medical doctor/medical staff prepared you to life after the discharge	248	3.5	5.1	3.5 (1.0)	14.5
Q5: Did you have enough time for discussing your problems with your treating doctor/medical staff	241	3.5	2.7	4.0 (0.9)	32.5
Q6: How did the medical staff understand your situation?	245	4.7	2.5	3.7 (1.1)	27.3
Q7: Did you get the opportunity to tell your doctor /medical staff what was important for your situation?	227	5.9	3.5	3.9 (0.9)	30.6
Q8: In your opinion, did the treatment correspond with your condition?	249	3.1	5.6	3.4 (1.2)	19.7
Q9: Did you have an influence on the choice of treatment?	247	3.9	11.0	3.1 (1.2)	12.3
Q10: Did you have an influence on the choice of medication?	223	5.5	8.3^c	3.0 (1.2)	12.6
Q11: How would you describe information about the treatment possibilities?	250	2.7	10.0	3.6 (1.1)	22.3
Q12: How would you describe the quality of information you got for your illness /diagnosis?	245	4.7	11.9	3.6 (1.2)	26.0
Q13: How was the medical staff cooperating with your relatives?	246	3.9	19.1^d	4.0 (1.1)	38.2
Q14: How would you describe the quality of the activities provided by the institution?	249	3.1	19.8	3.5 (1.3)	21.1
Q15: How do you think now; was the admission to the hospital necessary or not?	250	2.7	3.6	3.9 (1.3)	45.0
Q16: Were the treatment given against your will during your stay at the hospital?	247	3.4	5.3	3.7 (1.4)	43.8
Q17: Considering your plans, you ready for the discharge now?	246	4.3	8.6	3.9 (1.2	38.4

Highlighting of the eight items included in the main dimension.

^aBased on exclusion of answer category ‘Do not know’ and ‘Do not have relatives’; ^b% of a score of 5; ^cDo not use medication; ^dDo not have relatives.

Figure 1. PIPEQ: Percent satisfied, neutral and dissatisfied with treatment.

Table 3. Significant difference in PIPEQ scores according to either perception of- or legal records of voluntary and involuntary admission.

	Perception of admission			Hospital records
Questions from the PIPEQ	YES	NO	^ap Value	Voluntary admissions (VA)	Involuntary admissions (IA)	^ap Value
	Mean (CI )	Mean (CI)		Mean (CI)	Mean (CI)
Q1: General satisfied treatment	4.09 (3.9–4.3)	3.44 (3.2–3.8)	<0.001	4.02 (3.8–4.2)	3.63 (3.4–3.9)	0.010
Q6: Understanding situation	3.89 (3.7–4.1)	3.26 (2.9–3.6)	0.001	3.81 (3.6–4.0)	3.53 (3.3–3.8)	0.062
Q10: Influence of medication	3.16 (3.0–3.4)	2.46 (2.1–2.7)	<0.001	3.11 (2.9–3.3)	2.79 (2.5–3.1)	0.058
Q11: Information treatment	3.72 (3.5–3.9)	3.15 (2.8–3.5)	0.003	3.66 (3.5–3.9)	3.40 (3.2–3.7)	0.146

YES: admission of own will; NO: admission against own will; CI: 95% confidence interval. ^aBonferroni correction for 17 Q, sign level defined as p ≤ 0.003.