Evidence map›Paper›PMID 29450599›Full record

ArticleSocial psychiatry and psychiatric epidemiology2018

A typology of satisfaction with mental health services based on Andersen's behavioral model.

Marilyn Fortin, Zhirong Cao, Marie-Josée Fleury

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Article in Social psychiatry and psychiatric epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Marilyn FortinDepartment of Psychiatry, McGill University, Montreal, QC, Canada.
Zhirong CaoDouglas Hospital Research Centre, 6875 LaSalle Blvd., Montreal, QC, H4H 1R3, Canada.
Marie-Josée FleuryDepartment of Psychiatry, McGill University, Montreal, QC, Canada. flemar@douglas.mcgill.ca.

Funding

FRSQ 22367
6 · The paper itself

Abstract

objectivePatients with mental disorders (MDs) form a highly heterogeneous group, whose satisfaction with mental health services (MHS) may vary according to different variables. Identifying patient subgroups with similar levels of satisfaction may help identify variables that contribute to satisfaction or dissatisfaction with services. This study established a typology of patient satisfaction with MHS that revealed variables specific to each group.

methodsThe study included 325 patients with MDs across four health service networks offering integrated and diversified services. Data were collected using five standardized instruments, and participant medical records. A conceptual framework was developed, based on Andersen's Behavioral Model, which integrates socio-demographic, clinical, needs-related and service use variables. Using cluster analysis, a typology of patient satisfaction was created.

resultsAnalyses yielded four patient clusters: two where levels of satisfaction were relatively high and two with lower levels of satisfaction (range 3.74-4.37). Greater care continuity and higher income related to greater patient satisfaction; whereas co-occurring MDs and substance use disorders (SUD), as well as more numerous and severe needs, characterized dissatisfied patients who were frequent users of MHS.

conclusionsResults highlight the need for continuity of care and adequate socio-economic conditions for increasing patient satisfaction with MHS. Lower levels of satisfaction among patients with common MDs and SUDs suggest the importance of addressing their specific needs to enhance satisfaction and MH recovery.

Indexed as

Models, PsychologicalPatient SatisfactionAdolescentAdultFemaleHumansMaleMental DisordersMental Health ServicesMiddle AgedYoung AdultAndersen’s behavioral modelCluster analysisMental health servicesPatient satisfactionTypology

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.