Evidence map›Paper›PMID 30530585›Full record

ArticleBMJ open2018

Inpatients' assessment of outcome at psychiatric institutions: an analysis of predictors following a national cross-sectional survey in Norway.

Oyvind Bjertnaes, Hilde Hestad Iversen

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Oyvind BjertnaesDepartment for health services research, Norwegian Institute of Public Health, Oslo, Norway.ORCID 0000-0002-4261-5455
Hilde Hestad IversenDepartment for health services research, Norwegian Institute of Public Health, Oslo, Norway.
Norwegian Institute of Public Health · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objective was to assess the importance of different types of predictors for patient-reported outcome, both background factors at the patient level and healthcare predictors related to structure and processes of healthcare.

designCross-sectional patient experience survey.

settingAll 280 secondary care institutions in Norway providing inpatient care for adult psychiatric patients.

participants1683 inpatients responded to the questionnaire on-site (73.4%). PRIMARY OUTCOME MEASURES: The outcome scale of the Psychiatric Inpatient Patient Experience Questionnaire-On-Site was the primary dependent variable. The scale consists of five items relating to overall patient satisfaction, benefit of treatment and patient enablement. Regressions were used to assess predictors, for all patients and for five different patient groups reported by the patients including anxiety/depression, drug-related problems and eating disorders.

resultsMultilevel linear regression for all patients showed that background factors related to overall current state, self-perceived mental health before admission and admission type were the most important predictors for patient-assessed outcome. Poor current state was associated with poor assessment of outcome (estimate: 8.64, p<0.001), poor health before admission was associated with better outcome (estimate: -6.89, p<0.001) and patients with urgent admission had poorer scores on the outcome scale (estimate: 4.40, p<0.001). A range of structure and healthcare variables were related to patient-assessed outcome, the most important being clinicians/personnel understanding your situation, treatment adjusted to your situation and adequate information about mental health condition.

conclusionsSelf-perceived mental health before admission, current overall state and type of admission were the most important background factors for patient-assessed outcome. The most important structure and process variables were related to patient-centred interaction. The background factors should be considered in case-mix adjustments of quality indicators, while the process variables could be used as focus areas in work aiming to improve patients' assessment of outcome.

Indexed as

Hospitals, PsychiatricOutcome Assessment, Health CareSurveys and QuestionnairesCross-Sectional StudiesFemaleHospitalizationHumansInpatientsLength of StayLinear ModelsMaleMental DisordersMultivariate AnalysisNorwayPatient AdmissionPatient Satisfactionadult psychiatryquality In health care

Identifiers

PMID30530585
PMCPMC6303571
OpenAlexW2904188182

What OpenQuestion holds

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LicenceCC BY-NC
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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.