Patient satisfaction in inpatient psychiatric treatment compared with inpatient equivalent home treatment in Germany: an in-depth qualitative study

被引:0
作者
Adam, Nele [1 ]
Neumann, Melanie [2 ,3 ]
Edelhaeuser, Friedrich [2 ,4 ]
机构
[1] Univ Witten Herdecke, Fac Hlth, Dept Psychol & Psychotherapy, Witten, Germany
[2] Univ Witten Herdecke, Inst Integrat Med & Integrated Curriculum Anthropo, Fac Hlth, Dept Med, Witten, Germany
[3] Univ Witten Herdecke, Fac Hlth, Chair Psychosomat Med & Psychotherapy, Dept Med, Witten, Germany
[4] Dept Early Rehabil, Gemeinschaftskrankenhaus, Herdecke, Germany
来源
FRONTIERS IN HEALTH SERVICES | 2023年 / 3卷
关键词
home treatment; psychiatric inpatient treatment; psychiatric inpatient equivalent home treatment; patient satisfaction; qualitative study; INTEGRATED CARE; IMPLEMENTATION; STANDARDS; OUTCOMES; MODEL;
D O I
10.3389/frhs.2023.1195614
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
BackgroundInpatient treatment (IT) is the predominant form of psychiatric care in Germany and worldwide, whereby forms of psychiatric treatment have mainly evolved in the direction of home services. Inpatient equivalent home treatment (IEHT) is a new and additional pillar of psychiatric acute care provision legally embedded since 2018 in Germany.ObjectiveThe aim of this study was to conduct an in-depth exploration as little qualitative research has been performed so far in Germany to examine possible differences in patient satisfaction with IT compared with IEHT.MethodsIn the current qualitative study, N = 9 patients of a German hospital providing IT and IEHT were interviewed with the problem-centered interview. Inclusion criteria were IT or IT with subsequent IEHT. The theoretical sampling method was applied to select test persons in the research process. The experiences of the participants during their psychiatric treatment were analyzed using a qualitative content analysis.ResultsThe results of both types of psychiatric treatment refer to different satisfaction factors during the treatment period. The function of fellow patients, the setting of the treatment, the conditions in place, and the relationship to relatives turn out to be pivotal for patient satisfaction. In addition, the quality of the therapy and relationship to caregivers itself can have an impact on patient satisfaction, particularly by shared decision making. During the IEHT, patient satisfaction can be strengthened by the possibility to handle daily tasks, to be close to relatives, while not so close to fellow patients, whereas IT patients are mostly satisfied because of the distance to their everyday life and the closeness to fellow patients. The choice of the form of psychiatric treatment according to the individual needs of the patients seems to be one key driver that can in turn increase patient satisfaction. In addition, a clean and hygienic environment seems to be critical for our respondents as a lack of it is one of the reasons to drop out of treatment.ConclusionsDespite its limitations, this hypothesis-generating study is one of the first investigating German IEHT in comparison with IT in an in-depth qualitative approach contributing to a patient-oriented and cost-effective psychiatric treatment. Although hospitals are highly complex organizations and therefore not directly comparable, other German and international providers of IEHT may derive several generic success factors from this study for the development and improvement of patient satisfaction.
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共 41 条
[31]   Factors behind a remarkable increase in adolescent psychiatric inpatient treatment between 1980 and 2010-a nationwide register study [J].
Holttinen, Timo ;
Pirkola, Sami ;
Rimpela, Matti ;
Kaltiala, Riittakerttu .
NORDIC JOURNAL OF PSYCHIATRY, 2022, 76 (02) :120-128
[32]   Psychiatry and psychiatric patients: A study of the adherence after psychiatric inpatient treatment at the department of psychiatry and psychotherapy at the Clinicum Klagenfurt am Wörthersee. [J].
Oberlerchner H. ;
Findenig K. ;
Liechtenecker O. ;
Mörtl-Kessler B. ;
Reiter M. ;
Riess U. ;
Suppan S. ;
Walcher I. ;
Senft B. .
neuropsychiatrie, 2017, 31 (1) :17-23
[33]   Motivation to Change in the Course of a Pilot Study of a Step-Down Treatment Approach of Inpatient and Anorexia Nervosa-Specific Home Treatment and Its Effects on Treatment Outcome [J].
Heider, Kathrin Sophie ;
Dempfle, Astrid ;
Altdorf, Sophie ;
Herpertz-Dahlmann, Beate ;
Dahmen, Brigitte .
FRONTIERS IN PSYCHIATRY, 2021, 12
[34]   Satisfaction with inpatient treatment for first-episode psychosis among different ethnic groups: A report from the UK SOP study [J].
Boydell, Jane ;
Morgan, Craig ;
Dutta, Rina ;
Jones, Barry ;
Alemseged, Fana ;
Dazzan, Paola ;
Morgan, Kevin ;
Doody, Gillian ;
Harrison, Glynn ;
Leff, Julian ;
Jones, Peter ;
Murray, Robin ;
Fearon, Paul .
INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY, 2012, 58 (01) :98-105
[35]   Twelve months effect of self-referral to inpatient treatment on patient activation, recovery, symptoms and functioning: A randomized controlled study [J].
Moljord, I. E. O. ;
Lara-Cabrera, M. L. ;
Salvesen, O. ;
Rise, M. B. ;
Bjorgen, D. ;
Antonsen, D. O. ;
Olso, T. M. ;
Evensen, G. H. ;
Gudde, C. B. ;
Linaker, O. M. ;
Steinsbekk, A. ;
Eriksen, L. .
PATIENT EDUCATION AND COUNSELING, 2017, 100 (06) :1144-1152
[36]   Patient satisfaction and treatment environment: A 20-year follow-up study from an acute psychiatric ward [J].
Rossberg, J. I. ;
Melle, I. ;
Opjordsmoen, S. ;
Friis, S. .
NORDIC JOURNAL OF PSYCHIATRY, 2006, 60 (02) :176-180
[37]   Implementation and Stakeholders' Experiences with Home Treatment in Germany's Integrative and Flexible Psychiatric Care Models - A Mixed-Methods Study [J].
Schwarz, Julian ;
Zeipert, Manfred ;
Ignatyev, Yuriy ;
Indefrey, Sonja ;
Rehr, Burkhard ;
Timm, Juergen ;
Heinze, Martin ;
von Peter, Sebastian .
PSYCHOTHERAPIE PSYCHOSOMATIK MEDIZINISCHE PSYCHOLOGIE, 2020, 70 (02) :65-71
[38]   Implementation, efficacy, costs and processes of inpatient equivalent home-treatment in German mental health care (AKtiV): protocol of a mixed-method, participatory, quasi-experimental trial [J].
Johanna Baumgardt ;
Julian Schwarz ;
Andreas Bechdolf ;
Konstantinos Nikolaidis ;
Martin Heinze ;
Johannes Hamann ;
Martin Holzke ;
Gerhard Längle ;
Janina Richter ;
Peter Brieger ;
Reinhold Kilian ;
Jürgen Timm ;
Constance Hirschmeier ;
Sebastian Von Peter ;
Stefan Weinmann .
BMC Psychiatry, 21
[39]   Evaluation of Flexible and Integrative Psychiatric Treatment Models in Germany - A Mixed-Method Patient and Staff-Oriented Exploratory Study [J].
von Peter, Sebastian ;
Ignatyev, Yuriy ;
Johne, Jakob ;
Indefrey, Sonja ;
Kankaya, Onur Alp ;
Rehr, Burkhard ;
Zeipert, Manfred ;
Bechdolf, Andreas ;
Birkner, Thomas ;
Deister, Arno ;
Duve, Annette ;
Rout, Sandeep ;
Scherk, Harald ;
Schulz-Dubois, Anna ;
Wilms, Bettina ;
Zedlick, Dyrk ;
Grollich, Peter ;
Braun, Bernard ;
Timm, Jurgen ;
Heinze, Martin .
FRONTIERS IN PSYCHIATRY, 2019, 9
[40]   Patient Satisfaction With a Coach-Guided, Technology-Based Mental Health Treatment: Qualitative Interview Study and Theme Analysis [J].
Smith, Ashley Helm ;
Touchett, Hilary ;
Chen, Patricia ;
Fletcher, Terri ;
Arney, Jennifer ;
Hogan, Julianna ;
Wassef, Miryam ;
Cloitre, Marylene ;
Lindsay, Jan A. .
JMIR MENTAL HEALTH, 2024, 11