Determinants of patient satisfaction with hospital health care in psychiatry: results based on the SATISPSY-22 questionnaire

Figures & data

Table 1 Sample characteristics (N=270)

Characteristics	N (%)
Sociodemographic characteristics
Sex ratio (men)	138 (51.1)
Age in years, mean ± standard deviation	45.4±15.3
Marital status
Couple	81 (30.5)
Single	185 (69.5)
Educational level
≥12 years (final year of high school or university level)	95 (37.1)
<12 years	158 (62.9)
Care characteristics
Hospitalization under constraint
Yes	47 (17.7)
No	218 (82.3)
Seclusion
Yes	27 (10.2)
No	239 (89.8)
Length of hospitalization, median (interquartile range)	26 (15–42)
Number of hospitalizations
1	72 (28.5)
>1	181 (71.5)
Clinical characteristics
CGI severity, mean ± standard deviation*	4.4±1.2
CGI improvement, mean ± standard deviation	2.3±0.9
GAF, mean ± standard deviation#	61.9±15.3
Psychiatric diagnosis‡
Schizophrenia	91 (34.3)
Mood disorders	140 (52.8)
Other	34 (12.8)

Notes:

* Clinical global impression.

# Global assessment functioning.

‡ Psychiatric diagnosis defined by the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision.

Table 2 Factors associated with the Satisfaction with Psychiatry Care Questionnaire-22 Index and dimension scores: bivariate analysis

	Satisfaction with Psychiatry Care Questionnaire-22 Index, mean (standard deviation) or R*	P-value
Sex		0.975
Male	68.3 (14.8)
Female	68.4 (15.0)
Educational level		0.833
≥12 years	68.1 (14.9)
<12 years	68.6 (15.1)
Marital status		0.001
Couple	73.2 (10.7)
Single	66.7 (15.9)
Hospitalization under constraint		0.022
Yes	63.3 (15.6)
No	69.4 (14.7)
Seclusion, mean		0.001
Yes	57.9 (16.3)
No	69.5 (14.4)
Number of previous hospitalizations		0.050
1	67.2 (15.4)
>1	71.6 (14.0)
Psychiatric diagnoses		0.332
Schizophrenia	67.0 (14.0)
Mood disorders	70.0 (15.4)
Others	67.0 (15.2)
Age	0.124	0.062
Clinical global impression severity	−0.042	0.528
Clinical global impression improvement	−0.111	0.098
Length of hospitalization	0.000	0.995
4-point ordinal Alliance Scale	0.499	0.001
Global assessment functioning	0.145	0.030

Note:

* R, Spearman’s correlation coefficient.

Table 3 Factors associated with Satisfaction with Psychiatry Care Questionnaire-22 Index and dimensions scores: multivariate analysis

Characteristic	Satisfaction with Psychiatry Care Questionnaire-22 Index β#	Staff β	Quality of care β	Personal experience β	Information β	Activity β	Food β
Sex	0.011	−0.004	−0.072	0.081	−0.010	−0.020	0.114
Educational level	–	–	–	–	–	–	–
Marital status	0.047	0.013	−0.077	0.060	0.102	0.039	−0.081
Hospitalization under constraint	0.106	0.033	−0.033	0.044	−0.024	−0.013	0.015
Seclusion, mean	−0.330**	−0.112	−0.069	−0.316**	−0.144	−0.097	−0.094
Number of previous hospitalizations	−0.109	−0.133	−0.145*	−0.007	−0.115	−0.093	−0.046
Psychiatric diagnoses	–	–	–	–	–	–	–
Age	0.062	−0.052	−0.004	0.147*	−0.113	0.108	0.068
Clinical global impression severity	–	–	–	–	–	–	–
Clinical global impression improvement	−0.147*	−0.108	−0.188*	−0.036	−0.077	−0.046	−0.178*
Length of hospitalization	–	–	–	–	–	–	–
4-point ordinal Alliance Scale	0.424**	0.346**	0.406**	0.202*	0.233**	0.264**	0.104
Global assessment functioning	0.014	0.052	0.074	0.056	−0.005	0.106	−0.102
R^2 (proportion of explained variance)	0.298	0.154	0.252	0.132	0.092	0.107	0.025

Notes:

# β, standardized beta coefficient (β represents a change in the standard deviation in the satisfaction score resulting from a one standard deviation change in the independent variable). Bold values:

* P<0.05;

** P<0.01.