Satisfaction with the quality of medical care of the mentally ill patients and its determining factors

Svetlichnaya T.G.

Northern State Medical University of the Ministry of Health of the Russian Federation

Voronov V.A.

North-Western State Medical University named after I.I. Mechnikov

SPIN RSCI: 2039-6322
ORCID: 0000-0002-3859-6298

Smirnova E.A.

Federal Institute of Industrial Property of the Federal Service for Intellectual Property, Patents and Trademarks

Satisfaction with the quality of medical care of the mentally ill patients and its determining factors

Authors:

Svetlichnaya T.G., Voronov V.A., Smirnova E.A.

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Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(5): 111‑117

DOI: 10.17116/jnevro2022122051111

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To cite this article:

Svetlichnaya TG, Voronov VA, Smirnova EA. Satisfaction with the quality of medical care of the mentally ill patients and its determining factors. S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(5):111‑117. (In Russ.)
https://doi.org/10.17116/jnevro2022122051111

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OBJECTIVE

To study satisfaction with treatment as a predictor of compliance in patients with mental disorders prone to committing socially dangerous acts (SDA).

MATERIAL AND METHODS

The study included 83 patients of a psycho-neurological institution prone to commit SDA. The comparison group consisted of 88 mental patients who were not inclined to commit SDA. The material was collected using the method of anonymous survey according to the «Questionnaire for the Study of Satisfaction of the Population with Inpatient Medical Care». To interpret the data, quantitative and qualitative indicators were calculated.

RESULTS

Satisfaction with treatment in consumers of psychiatric services is high, reaching 96.4% (n=80) in the main group and 97.7% (n=86) in the comparison group. Doctors’ knowledge (95.2%, n=79 and 97.7%, n=86) and the level of trust in them (86.8%, n=72 and 90.9%, n=80) received the highest share of positive assessments by the patients. However, patients who are prone to commit SDA rate lower both medical care in general (68.7%, n=57 vs. 90.9%, n=80) and its individual parameters. Thus, 71.1% (n=59) believe that the doctor does not perceive them as an independent person, does not devote enough time to them (41%, n=34). In the comparison group, there are fewer such answers (11.4%, n=10; 4.5%, n=4). Patients highly (89.2%, n=74 and 94.3%, n=83) rate the living conditions in the hospital.

The perceived quality of medical care is influenced by three groups of factors: the characteristics of consumers of medical services, the possibilities for using health services, the assessed and perceived need for medical services. Equally important is the study of contextual factors in the use of mental health services.

CONCLUSION

The formation of a trusting relationship between the patient and the doctor and ensuring the latter maintain medical secrecy contributes to strengthening social interaction and, as a result, reducing the feeling of coercion, increasing internal motivation and satisfaction with the quality of treatment.

Keywords:

quality of medical care

patients with mental disorders

socially dangerous actions

qualification factors

organizational factors

Authors:

Svetlichnaya T.G.

Northern State Medical University of the Ministry of Health of the Russian Federation

Voronov V.A.

North-Western State Medical University named after I.I. Mechnikov

SPIN RSCI: 2039-6322
ORCID: 0000-0002-3859-6298

Smirnova E.A.

Federal Institute of Industrial Property of the Federal Service for Intellectual Property, Patents and Trademarks

Received:

31.01.2022

Accepted:

04.02.2022

List of references:

Limankin OV, Kishka TN, Han’ko AV, Golosov EA, et al. Study of inpatients satisfaction with the quality of care in a psychiatric hospital. Social and Clinical Psychiatry. 2021;2(31):44-50. (In Russ.).
Lutova NB. Relationship between subjective satisfaction with treatment and compliance in psychotic patients. Russian Journal of Psychiatry. 2012;6:65-68. (In Russ.).
Ruzhenkov VA, Trunov VI. Modern approaches to the assessment satisfaction with the quality medical assistance to persons with mental disorders. Modern Problems of Science and Education. 2016;5:4-8. (In Russ.).
Lyubov EB, Burygina LA, Boyarov VG. Evaluation of the quality of psychiatric care by patients and their relatives. Metodicheskie rekomendacii. M.: Moskovskij NII psihiatrii; 2009;403-427. (In Russ.).
Stolyarova EA, Fedorova EV. Patient satisfaction as an indicator of the quality of medical care in the Sakhalin Regional Hospital. Bulletin of Public Health and Healthcare of the Far East of Russia. 2013;1(10):8. (In Russ.).
Kelly BD. Globalization and psychiatry. Advances in Psychiatric Treatment. 2003;9:464-470. https://doi.org/10.1192/apt.9.6.464
Semenova NV. Sovershenstvovanie sistemy regional’noj psihiatricheskoj pomoshchi i obespechenie ee kachestva. Vestnik Psihoterapii. 2012;43(48):9-20. (In Russ.).
Svetlichnaya TG. Analysis of population satisfaction with the quality of medical care. Metodicheskie rekomendacii. Arhangel’sk: Izd-vo SGMU; 2010;58. (In Russ.).
Zaharov NB, Zlokazova MV, Solov’ev AG. Satisfaction of patients with schizophrenia-spectrum disorders with the assistance provided in psychiatric hospital environments. Ural Medical Journal. 2013;6:134-138. (In Russ.).
Aday L, Andersen R. A framework for the study of access to medical care. Health Serv Res. 1974;9(3):208-220.
Gore S, Syme LS. Social support and styles coping with stress. Ed. by: S. Cohen. Social support and health. Orlando. Academic Press. 1985;263-278.
Svetlichnaya TG, Smirnova EA. Socio-medical support of persons with mental health disorders. Monografiya. Arhangel’sk: Izd-vo Severnogo gosudarstvennogo medicinskogo universiteta; 2017;191. (In Russ.).

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