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Mental health service satisfaction among adults with mental illness attending a psychiatric outpatient clinic

A cross-sectional study

Dados Bibliográficos

ID22067600
AutoresWondale Getinet Alemu (0000-0001-7628-7405, Flinders University, autor correspondente), Lillian Mwanri (0000-0002-5792-7785, Torrens University Australia), Clemence Due (0000-0001-6485-6076, The University of Adelaide), Telake Azale (University of Gondar), Anna Ziersch (0000-0001-6600-2568, Flinders University)
Ano2025
Volume13
Páginas1471297-1471297
Data de publicação2025-01-23
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Public Health (JOURNAL)
Identificadores do periódicoISSN: 2296-2565 • E-ISSN: 2296-2565
EditoraFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1471297
PMID39916709
OpenAlexW4406777833
IdiomaEN
Referências citadas67

Background Patient satisfaction with services is both a direct and indirect indicator of healthcare quality. It influences healthcare outcomes, patient retention, and the likelihood of medical malpractice claims. However, there is limited evidence on patient satisfaction with mental health services in Africa. Therefore, we aimed to assess mental health service satisfaction and its determinants in adult patients with mental illness in an outpatient clinic in Northwest Ethiopia. Methods A hospital-based cross-sectional study was conducted from October to March 2023. Participants were selected using systematic random sampling with a sample interval of three, resulting in a total sample size of 638 invited to participate. Service satisfaction was measured using the interviewer-administered Client Satisfaction Questionnaire-8 (CSQ-8). Data entry, coding, and analysis were performed using SPSS-28. To examine the association of sociodemographic, clinical, social support, and substance use factors, bivariate and multivariate logistic regression analyses were applied. Statistical significance was declared at a p -value of <0.05 and 95% CI. Results The rate of low mental health service satisfaction among people with mental illness in this study was 24.7%. According to our multivariate logistic regression analysis, people with urban residence 1.77 (1.15, 2.72), poor self-reported health 3.62(1.97, 6.67), having episodic illness ≥2/yr. 0.48 (0.32, 0.74), having relapse 1.75 (1.12, 2.73), and poor drug adherence 2.28 (1.20, 4.35) were more likely to have low mental health service satisfaction than their counterparts. Conclusions and recommendation One-quarter of patients with mental illness in the outpatient clinic reported low satisfaction with mental health services. Factors associated with lower satisfaction included urban residency, episodic illness, relapse, poor self-reported health, and poor drug adherence. To enhance patient satisfaction, the clinic should prioritize targeted support for patients facing these challenges

Cross-sectional study · Family medicine · Logistic regression · Mental health · Mental illness · Patient satisfaction · Psychiatry · Medicine · Mental Health Treatment and Access · Nursing · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes

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