2005 issue 4

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Volume 14, issue 4

Original article

Quality of inpatient psychiatric services as rated by patients of selected psychiatric wards

Joanna Raduj1, Anna Indulska1, Marta Anczewska1, Waldemar Lechowicz1, Maciej Pałyska1, Katarzyna Prot1
1. Zespołu do Spraw Jakości Usług Medycznych Instytutu Psychiatrii i Neurologii w Warszawie
Postępy Psychiatrii i Neurologii 2005; 14 (4): 277-284
Keywords: quality of medical services, patient satisfaction, mental health

Abstract

Objectives. Patient satisfaction with treatment together with staff competence, are prerequisites ofa good therapy outcome. The aim of the study was to obtain information about the patients ' opinion on the quality of medical services provided to them at the Institute of Psychiatry and Neurology (IPiN).

Methods. Participants in the study were 102 inpatients of 6 IPiN psychiatric wards providing diagnostics and treatment. They responded to a patient satisfaction questionnaire developed by the authors.

Results. The circumstances of admission to the mental hospital and ward, as well as the situation of hospitalization were assessed positively by a majority ofpatients, as only 10% of the respondents were dissatisfied with their admission and hospital stay, while 5% - with their relations with the staff. Less positive were the patients ' ratings concerning the quality of hospital equipment, noise at night, support received from particular staff members, and too scarce information concerning patient rights and duties, mental illness and its treatment - only every third patient confirmed having received information about the illness, and every fifth - about treatment. About a half of the sample did not confirm their being acquainted with their rights and the ward regulations. Accessibility of doctors was assessed as good by 93% of the patients, and of nurses - by almost all. Accessibility of therapists, as well the amount ofpsychological support from therapists and nurses were reported as unsatisfactory. The patients often complained of troublesome behaviors of their co-patients, of noise and inadequate ward equipment.

Conclusions. Improvement is needed in the following areas of provided medical services: therapists (i.e. psychologists and occupational therapists) should be more active, medical and formal information more available, and living conditions related to the ward infractructure - more user-friendly.

Address for correspondence:
Mgr Joanna Raduj, Zespól do Spraw Jakości Usług Medycznych Instytutu Psychiatrii i Neurologii, ul. Sobieskiego 9, 02-957 Warszawa