Patient Satisfaction with Outpatient Psychiatric Treatment: The Role of Diagnosis, Pharmacotherapy, and Perceived Therapeutic Change

Hasler, Gregor; Moergeli, Hanspeter; Bachmann, Rosilla; Lambreva, Evelina; Buddeberg, Claus; Schnyder, Ulrich

doi:10.1177/070674370404900507

Cited by 58 publications

(75 citation statements)

References 22 publications

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“…Este resultado comprova a validade convergente da escala SATIS-BR, uma vez que a escala foi capaz de comprovar a hipótese testada. A relação das mudanças percebidas pelos pacientes com sua satisfação em relação ao tratamento recebido nos serviços tem sido evidenciada por estudos desenvolvidos nos últimos anos, tais como as pesquisas de Hasler et al 7,33 e de Perreault et al 24 .…”

Section: Discussionunclassified

“…A avaliação da satisfação dos pacientes é importante, porque está relacionada com maior frequência de utilização dos serviços e diminuição da taxa de abandono do tratamento [6][7][8] , além de ser um fator preditivo para menor taxa de hospitalizações futuras 9 . A avaliação da satisfação dos pacientes é importante também por causa de sua associação com a adesão ao tratamento 7 .…”

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“…A avaliação da satisfação dos pacientes é importante também por causa de sua associação com a adesão ao tratamento 7 . A adesão é essencial para a obtenção de resultados positivos das intervenções, particularmente em saúde mental, em que há dificuldade dos pacientes psiquiá-tricos em aceitar e manter o tratamento medicamentoso 10 .…”

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Escala de Satisfação dos Pacientes com os Serviços de Saúde Mental (SATIS-BR): estudo de validação

Bandeira

Silva

2012

J. bras. psiquiatr.

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RESUMOObjetivo: Fazer um estudo da validade de construto, validade convergente e consistência interna da Escala de Satisfação dos Pacientes com os Serviços de Saúde Mental (SATIS-BR). Método: Participaram da pesquisa 110 pacientes psiquiátricos, atendidos em cinco serviços públicos de saúde mental do interior de Minas Gerais. A escala foi aplicada em entrevistas individuais estruturadas. A escala possui 12 itens que avaliam a satisfação dos pacientes, com alternativas de resposta dispostas em escala Likert de 5 pontos. Foi também aplicada a Escala de Mudança Percebida (EMP) para a análise de validade convergente da SATIS-BR. Resultados: A análise fatorial pelo método Principal Axis Factoring revelou uma estrutura fatorial de três fatores, que avaliam a satisfação dos pacientes em relação às dimensões: 1. Competência e compreensão da equipe; 2. Ajuda e acolhida; 3. Condições físicas do serviço. A análise pelo coeficiente alfa de Cronbach mostrou boa consistência interna (alfa = 0,88). A análise da validade convergente foi adequada, tendo sido obtida uma correlação de Pearson positiva significativa com a escala EMP, que avalia um construto teoricamente relacionado ao de satisfação (r = 0,41; p < 0,001). Conclusão: A escala SATIS-BR apresenta qualidades psicométricas adequadas de validade de construto, validade convergente e fidedignidade. ABSTRACTObjective: To investigate the construct validity, convergent validity and reliability of the Patient Satisfaction with Mental Health Services Scale (SATIS-BR). Method: One hundred and ten psychiatric patients attending five public mental health services located in Minas Gerais, Brazil, participated in this research. The scale was applied in individual structured interviews. The scale has 12 items evaluating patients' satisfaction, with response alternatives disposed in a five points Likert scale. In order to evaluate the convergent validity, another scale was applied, the Perceived Improvement Questionnaire (PIQ). Results: Factorial analysis using the Principal Axis Factoring method revealed a 3 factors structure, evaluating satisfaction regarding the following dimensions: 1. Professional competence

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Escala de Satisfação dos Pacientes com os Serviços de Saúde Mental (SATIS-BR): estudo de validação

Bandeira

Silva

2012

J. bras. psiquiatr.

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“…Earlier studies (Dirkzwager & Verhaak, 2007;Hasler et al, 2004;Noyes et al, 1999) had already pointed towards a major discontentment with medical care among SFD patients. For example, a Dutch study of patients with medically unexplained physical symptoms (MUPS) found that the latter 'more often felt that they were not taken seriously or not involved in treatment decisions, and more often reported that the GP did not take sufficient time' as compared to their non-MUPS counterparts (Dirkzwager & Verhaak, 2007, p. 1).…”

Section: Illness Attributed To Poor Medical Care In the Pastmentioning

confidence: 97%

“…These authors demand an integrated approach that would overcome the dualistic nature of the healthcare system and bridge the gap between psychiatric and medical services. Furthermore, just as symptom reduction is associated with increased patient satisfaction (Hasler et a., 2004), the persistence of symptoms leads to disappointment, hope-and helplessness, and henceforward, dissatisfaction with the treating physician (Sauer & Eich, 2007). Therefore, proper assessment, management and treatment of SFDs are called for (Henningsen et al, 2007;Rosendal et al, 2005;Stone et al, 2005aStone et al, , 2005b.…”

Section: Illness Attributed To Poor Medical Care In the Pastmentioning

confidence: 99%

Somatoform disorders and causal attributions in patients with suspected allergies: Do somatic causal attributions matter?

Groben¹,

Hausteiner²

2011

Journal of Psychosomatic Research

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Effect of patient dissatisfaction with the therapist on group therapy outcome

Ogrodniczuk

Joyce

Piper

2007

Clin Psychology and Psychoth

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This study had three objectives concerning patients' dissatisfaction with their psychotherapist. The first was to compare patient dissatisfaction with the therapist in interpretive and supportive group therapies. The second was to investigate the relationship between dissatisfaction and treatment outcome. The third was to examine the quality of object relations (QOR) as a moderator of the effect of dissatisfaction on treatment outcome. The study utilized data from 107 patients with complicated grief who participated in a randomized trial of interpretive and supportive group therapies. Patients reported a greater dissatisfaction in interpretive therapy than in supportive therapy. Dissatisfaction was inversely related to improvement in supportive therapy, but not in interpretive therapy. Further, QOR moderated the effect of dissatisfaction on treatment outcome in supportive therapy. The findings suggest that, for certain patients, dissatisfaction with one's therapist may have an adverse effect on one's ability to benefit from group therapy.

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Patient Satisfaction with Outpatient Psychiatric Treatment: The Role of Diagnosis, Pharmacotherapy, and Perceived Therapeutic Change

Abstract: Patient-reported change and diagnostic category appear to play a relevant role in generating patient satisfaction. Further research is needed to clarify the interactions between sex, perceived outcome, and satisfaction.

Cited by 58 publications

References 22 publications

Escala de Satisfação dos Pacientes com os Serviços de Saúde Mental (SATIS-BR): estudo de validação

Escala de Satisfação dos Pacientes com os Serviços de Saúde Mental (SATIS-BR): estudo de validação

Somatoform disorders and causal attributions in patients with suspected allergies: Do somatic causal attributions matter?

Effect of patient dissatisfaction with the therapist on group therapy outcome

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