Patient-reported experience measures (PREMs) in outpatient psychiatry – is there an association to perceived discrimination and devaluation?

Patient-Reported Experience Measures (PREMs) are gaining significance in the field of psychiatry, with patient satisfaction being a key measure. However, it is unclear if patient satisfaction in psychiatry is influenced by variables outside the treatment setting. This brief report thus examines the...

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Main Authors: Janina Billian, Lukas Imfeld, Carl B. Roth, Julian Moeller, Undine E. Lang, Christian G. Huber
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1378487/full
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author Janina Billian
Janina Billian
Lukas Imfeld
Lukas Imfeld
Carl B. Roth
Julian Moeller
Julian Moeller
Undine E. Lang
Christian G. Huber
author_facet Janina Billian
Janina Billian
Lukas Imfeld
Lukas Imfeld
Carl B. Roth
Julian Moeller
Julian Moeller
Undine E. Lang
Christian G. Huber
author_sort Janina Billian
collection DOAJ
description Patient-Reported Experience Measures (PREMs) are gaining significance in the field of psychiatry, with patient satisfaction being a key measure. However, it is unclear if patient satisfaction in psychiatry is influenced by variables outside the treatment setting. This brief report thus examines the possible impact of perceived discrimination and devaluation (PDD) on patient satisfaction in the psychiatric outpatient setting. Data from 1,126 individuals who were undergoing or had recently completed treatment at 15 outpatient centers of the Psychiatric University Clinic in Basel, Switzerland, was analyzed. Patient satisfaction was assessed using the Münsterlingen Patient Satisfaction Questionnaire (MüPF), and perceived stigma was measured with the Perceived Discrimination Devaluation Scale. The results revealed a positive small effect size relationship between MüPF and PDD, suggesting that patients who perceived less stigma report higher treatment satisfaction. This relationship may affect most ratings, with the total MüPF score remaining relatively robust against this potential influence. Linear regression analysis indicated that a one-unit increase in PDD score could lead to a maximum change of 1.8 points on the 7-point Likert scale for the MüPF item correlating highest with PDD and 0.4 points on the total MüPF score. These findings highlight the importance of considering perceived stigma when evaluating patient satisfaction with psychiatric outpatient treatment. Future research should investigate associations between stigma, patient satisfaction, treatment outcome, as well as other external factors that may influence patient satisfaction in psychiatric settings.
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spelling doaj.art-af451b647184406a8324e147bc5b5c6f2024-04-17T05:00:00ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-04-011510.3389/fpsyt.2024.13784871378487Patient-reported experience measures (PREMs) in outpatient psychiatry – is there an association to perceived discrimination and devaluation?Janina Billian0Janina Billian1Lukas Imfeld2Lukas Imfeld3Carl B. Roth4Julian Moeller5Julian Moeller6Undine E. Lang7Christian G. Huber8Universitäre Psychiatrische Kliniken (UPK) Basel, Klinik für Erwachsene, University of Basel, Basel, SwitzerlandFaculty of Psychology, Division of Clinical Psychology and Epidemiology, University of Basel, Basel, SwitzerlandUniversitäre Psychiatrische Kliniken (UPK) Basel, Klinik für Erwachsene, University of Basel, Basel, SwitzerlandInstitute for Evaluation Research, Basel, Universitäre Psychiatrische Kliniken (UPK) Basel, University of Basel, Basel, SwitzerlandUniversitäre Psychiatrische Kliniken (UPK) Basel, Klinik für Erwachsene, University of Basel, Basel, SwitzerlandUniversitäre Psychiatrische Kliniken (UPK) Basel, Klinik für Erwachsene, University of Basel, Basel, SwitzerlandFaculty of Psychology, Division of Clinical Psychology and Epidemiology, University of Basel, Basel, SwitzerlandUniversitäre Psychiatrische Kliniken (UPK) Basel, Klinik für Erwachsene, University of Basel, Basel, SwitzerlandUniversitäre Psychiatrische Kliniken (UPK) Basel, Klinik für Erwachsene, University of Basel, Basel, SwitzerlandPatient-Reported Experience Measures (PREMs) are gaining significance in the field of psychiatry, with patient satisfaction being a key measure. However, it is unclear if patient satisfaction in psychiatry is influenced by variables outside the treatment setting. This brief report thus examines the possible impact of perceived discrimination and devaluation (PDD) on patient satisfaction in the psychiatric outpatient setting. Data from 1,126 individuals who were undergoing or had recently completed treatment at 15 outpatient centers of the Psychiatric University Clinic in Basel, Switzerland, was analyzed. Patient satisfaction was assessed using the Münsterlingen Patient Satisfaction Questionnaire (MüPF), and perceived stigma was measured with the Perceived Discrimination Devaluation Scale. The results revealed a positive small effect size relationship between MüPF and PDD, suggesting that patients who perceived less stigma report higher treatment satisfaction. This relationship may affect most ratings, with the total MüPF score remaining relatively robust against this potential influence. Linear regression analysis indicated that a one-unit increase in PDD score could lead to a maximum change of 1.8 points on the 7-point Likert scale for the MüPF item correlating highest with PDD and 0.4 points on the total MüPF score. These findings highlight the importance of considering perceived stigma when evaluating patient satisfaction with psychiatric outpatient treatment. Future research should investigate associations between stigma, patient satisfaction, treatment outcome, as well as other external factors that may influence patient satisfaction in psychiatric settings.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1378487/fullsocial stigmapatient satisfactionself reportmental healthcommunity mental health servicesambulatory care
spellingShingle Janina Billian
Janina Billian
Lukas Imfeld
Lukas Imfeld
Carl B. Roth
Julian Moeller
Julian Moeller
Undine E. Lang
Christian G. Huber
Patient-reported experience measures (PREMs) in outpatient psychiatry – is there an association to perceived discrimination and devaluation?
Frontiers in Psychiatry
social stigma
patient satisfaction
self report
mental health
community mental health services
ambulatory care
title Patient-reported experience measures (PREMs) in outpatient psychiatry – is there an association to perceived discrimination and devaluation?
title_full Patient-reported experience measures (PREMs) in outpatient psychiatry – is there an association to perceived discrimination and devaluation?
title_fullStr Patient-reported experience measures (PREMs) in outpatient psychiatry – is there an association to perceived discrimination and devaluation?
title_full_unstemmed Patient-reported experience measures (PREMs) in outpatient psychiatry – is there an association to perceived discrimination and devaluation?
title_short Patient-reported experience measures (PREMs) in outpatient psychiatry – is there an association to perceived discrimination and devaluation?
title_sort patient reported experience measures prems in outpatient psychiatry is there an association to perceived discrimination and devaluation
topic social stigma
patient satisfaction
self report
mental health
community mental health services
ambulatory care
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1378487/full
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