Mental health service satisfaction among adults with mental illness attending a psychiatric outpatient clinic: a cross-sectional study
BackgroundPatient 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 i...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1471297/full |
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| author | Wondale Getinet Alemu Wondale Getinet Alemu Lillian Mwanri Clemence Due Telake Azale Anna Ziersch |
| author_facet | Wondale Getinet Alemu Wondale Getinet Alemu Lillian Mwanri Clemence Due Telake Azale Anna Ziersch |
| author_sort | Wondale Getinet Alemu |
| collection | DOAJ |
| description | BackgroundPatient 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.MethodsA 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.ResultsThe 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 recommendationOne-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. |
| format | Article |
| id | doaj-art-8ba6eaf36cc04e028a11d3da5f3a61fb |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-8ba6eaf36cc04e028a11d3da5f3a61fb2025-01-23T05:10:28ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011310.3389/fpubh.2025.14712971471297Mental health service satisfaction among adults with mental illness attending a psychiatric outpatient clinic: a cross-sectional studyWondale Getinet Alemu0Wondale Getinet Alemu1Lillian Mwanri2Clemence Due3Telake Azale4Anna Ziersch5Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University Adelaide, Adelaide, SA, AustraliaDepartment of Psychiatry, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaResearch Centre for Public Health, Equity, and Human Flourishing, Torrens University Australia, Adelaide, SA, AustraliaSchool of Psychology, The University of Adelaide, Adelaide, SA, AustraliaInstitute of Public Health, College of Medicine, and Health Sciences, University of Gondar, Gondar, EthiopiaFlinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University Adelaide, Adelaide, SA, AustraliaBackgroundPatient 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.MethodsA 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.ResultsThe 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 recommendationOne-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.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1471297/fullservice satisfactionmental health service satisfactionfactorsoutpatientEthiopia |
| spellingShingle | Wondale Getinet Alemu Wondale Getinet Alemu Lillian Mwanri Clemence Due Telake Azale Anna Ziersch Mental health service satisfaction among adults with mental illness attending a psychiatric outpatient clinic: a cross-sectional study Frontiers in Public Health service satisfaction mental health service satisfaction factors outpatient Ethiopia |
| title | Mental health service satisfaction among adults with mental illness attending a psychiatric outpatient clinic: a cross-sectional study |
| title_full | Mental health service satisfaction among adults with mental illness attending a psychiatric outpatient clinic: a cross-sectional study |
| title_fullStr | Mental health service satisfaction among adults with mental illness attending a psychiatric outpatient clinic: a cross-sectional study |
| title_full_unstemmed | Mental health service satisfaction among adults with mental illness attending a psychiatric outpatient clinic: a cross-sectional study |
| title_short | Mental health service satisfaction among adults with mental illness attending a psychiatric outpatient clinic: a cross-sectional study |
| title_sort | mental health service satisfaction among adults with mental illness attending a psychiatric outpatient clinic a cross sectional study |
| topic | service satisfaction mental health service satisfaction factors outpatient Ethiopia |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1471297/full |
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