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Satisfaction of ottenders and non-attenders with their treatments at psychiatric out-patient clinics

Published online by Cambridge University Press:  02 January 2018

Helen Killaspy ,
Julia Gledhill  and
Sube Banerjee
Helen Killaspy
Affiliation:
Royal Free Hospital London
Julia Gledhill
Affiliation:
Royal Free Hospital London
Sube Banerjee*
Affiliation:
Section of Epidemiology and General Practice, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
*
∗Correspondence
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Abstract

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Aims and method

Non-attendance at psychiatric outpatient appointments has a substantial financial cost, and may also have clinical significance. To prevent non-attendance and formulate effective responses, its determinants need to be understood. Patient dissatisfaction with services has been suggested as a reason for non-attendance, we therefore investigated the role of patient satisfaction in attendance at psychiatric out-patients appointments. All patients booked for adult psychiatric out-patient follow-up appointments in a three-month period were studied using a brief, self-report questionnaire.

Results

Sixty-three per cent (340/538) of offenders and 54% (118/219) of non-attenders responded. Responders expressed high levels of satisfaction with their treatment (92% offenders, 91% non-attenders) and with the service (96% attenders 92% non-attenders). Despite adequate statistical power, there were no statistically significant differences in satisfaction between the two groups.

Clinical implications

In conclusion, patient satisfaction with psychiatric out-patient care was reported to be relatively high and did not seem to be an important determinant of non-attendance. Further work is needed to determine the impact of variables such as relapse and social disorganisation on attendance.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 22 , Issue 10 , October 1998 , pp. 612 - 615
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1998 The Royal College of Psychiatrists

References

Baekland, F. & Lundwall, L. (1975) Dropping out of treatment: a critical review. Psychological Bulletin, 82, 738–783.CrossRefGoogle Scholar
Bishop, F., Matthews, F. J., Probert, C. S. J., et al (1991) Patients' views on how to run out-patient clinics. Journal of the Royal Society of Medicine, 84, 522–523.CrossRefGoogle Scholar
Burns, T., Beadsmoore, A., Bhat, A. V., et al (1993a) A controlled trial of home-based acute psychiatric services. I: Clinical and social outcome. British Journal of Psychiatry, 163, 49–54.CrossRefGoogle ScholarPubMed
Burns, T., Raftery, J., Beadsmoore, A., et al (1993b) A controlled trial of home-based acute psychiatric services. II: Treatment patterns and costs. British Journal of Psychiatry, 163, 55–61.CrossRefGoogle ScholarPubMed
Carpenter, P. J., Morrow, G. R., Del Gaudio, A. C., et al (1981) Who keeps the first out-patient appointment? American Journal of Psychiatry, 138, 102–105.Google Scholar
Huxley, P. J. & Warner, R. (1992) Case management. quality of life and satisfaction with services of long-term psychiatric patients. Hospital and Community Psychiatry, 43, 799–802.Google ScholarPubMed
Jones, L. & Lodge, A. (1991) A survey of psychiatric patients' views of outpatient clinic facilities. Health Bulletin, 49, 320–328.Google ScholarPubMed
Kaufmann, C., Ward-Colasante, C. & Farmer, J. (1993) Development and evaluation of drop-in centers operated by mental health consumers. Hospital and Community Psychiatry, 44, 675–678.Google ScholarPubMed
Koch, A. & Gillis, L. S. (1991) Non-attendance of psychiatric outpatients. South African Medical Journal, 80, 289–291.Google ScholarPubMed
Lloyd, M., Bradford, C. & Webb, S. (1993) Non-attendance at out-patient clinics: is it related to the referral process? Family Practice, 10, 111–117.CrossRefGoogle Scholar
McIntyre, K., Farrell, M. & David, A. (1989) What do psychiatric inpatients really want? British Medical Journal, 298, 156–160.CrossRefGoogle ScholarPubMed
Morgan, D. (1989) Psychiatric cases: an ethnography of the referral process. Psychological Medicine, 19, 743–753.CrossRefGoogle ScholarPubMed
Muijen, M., Marks, J. M., Connolly, J., et al (1992a) The daily living programme: preliminary comparison of community versus hospital based treatment for the seriously mentally ill facing emergency admission. British Journal of Psychiatry, 160, 379–384.CrossRefGoogle ScholarPubMed
Muijen, M., Marks, J. M., Connolly, J., et al (1992b) Home based care and standard hospital care for patients with severe mental illness: a randomised controlled trial. British Medical Journal, 304, 749–754.CrossRefGoogle ScholarPubMed
Rubin, H. R., Gandek, B., Rogers, W. H., et al (1993) Patients' ratings of out-patient visits in different practice settings. Journal of the American Medical Association, 270, 835–840.CrossRefGoogle ScholarPubMed
Ruggeri, M. & Dall 'Agnola, R. (1993) The development and use of the Verona Expectations for Care Scale (VECS) and the Verona Service Satisfaction Scale (VSSS) for measuring expectations and satisfaction with community-based psychiatric services in patients, relatives and professionals. Psychological Medicine, 23, 511–523.CrossRefGoogle ScholarPubMed
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