PATIENT SATISFACTION WITH PSYCHOTHERAPY IN A NIGERIAN TERTIARY HOSPITAL
Keywords:
Psychotherapy, Therapist-patient relationship, Therapy physical environment and Knowledge of psychotherapy.Abstract
 Satisfaction with services from patients’ perspectives is a significant indicator of the quality of services received and it is also a predictor of patients’ health-related behaviours such as compliance and return for follow-up after the initial visit. However, little is known about what constitutes ‘satisfaction with psychotherapy’ from the patients’ point of view. The theories that served as a framework for the study were Desire-fulfilment theory, Stimuli-Organism Response theory, and theory of Alliance. The aim of the study is to evaluate factors that influence patients’ level of satisfaction with psychotherapy in Federal Neuro-Psychiatric Hospital, Yaba, Lagos, Nigeria. This qualitative study utilized Focused Group Discussions and In-Depth Interviews. Thirty-six (20 females and 16 males of age 35.97±10.25) individuals who were being managed for depressive disorder within the health-care facility, selected via purposive sampling, participated in the study. Each interview lasted for an average of fifty minutes in duration; the interviews were conducted in English language, transcribed verbatim and content-analyzed. Emerging overarching themes were: patient working relationship with the Clinical Psychologist, therapy physical environment, knowledge of psychotherapy, change in service personnel, financial constraint and duration of waiting time. It was concluded that evaluating patients’ satisfaction with services received within the healthcare establishment is increasingly becoming important and if managed properly, could be used in educating healthcare services providers, thereby making them more responsive to the expectations of patients. It was therefore recommended that psychotherapy service providers periodically evaluate satisfaction with psychotherapy from patients’ perspectives in order to identify likely areas for service improvement which will be of benefit to service consumers and providers.References
Adamu, H., & Oche, M. (2014). Patient Satisfaction with Services at a General Outpatient Clinic of a tertiary Hospital in Nigeria. British Journal of Medicine and Medical Research, 4(11): 2181-2202.
Adrian, F. (2010). Psychiatric and psychotherapeutic literacy: Attitude to, and knowledge of psychotherapy. International Journal of social psychiatry. Vol 55 (6): 525-537 doi: 10.1177/0020764008094428.
Agency for Healthcare Policy and Research. (1993). Healthcare Quality Improvement and Quality Assurance Research.NIH Guide.
Bodur, S., Ozdemir, Y.E. & Kara, F. (2002). Outpatient Satisfaction with Health Centers in Urban Areas. Turk. J. Med Science 32:409-414.
Bordin, E.S. (1980). The generalizability of the psychoanalytic concepts of the working alliance. Psychotherapy: Theory, Research, and Practice, 16, 252-260. doi:10.1037/h0085885.
Bryman, A. (2012). Social research methods, fourth edition. Oxford: Oxford University Press.
Dijkstra, K., Pieterse, M. E., & Pruyn, A. Th. H. (2008). Individual differences in reactions towards color in simulated healthcare environments: The role of stimulus screening ability. Journal of Environmental Psychology, 28, 268 – 277.
Emergency Medicine Practice Committee (2011). An information paper; emergency department. Patient satisfaction surveys.
Hirsh, A.T., (2004). Patient Satisfaction with Treatment for Chronic Pain: Predictors and Relationship to Compliance. An Online Thesis Presented to the Graduate School of the University Of Florida.
Jefferey, L.J., Chamberlin, J., & Kroenke, K. (2001). Predictors of Patient Satisfaction. Soc. Sci. & Med. 52 (4): 609-20
Lo, SV, H. (2001). Ensuring the quality of health care. HKMJ:7:174-9.
Mehrabian, A., & Russell, J.A. (1974). An approach to environmental psychology. M.I.T. Press, Cambridge, Mass. (Pp. 216 – 217).
Moawad, H. (2016). The key factors that determine patient satisfaction. MD Magazine. https://www.mdmag.com/.../heidi-moawad.../2016/
Murphy, M. (1999) “The Simple Desire-Fulfillment Theory,†33: 247–272.
O’Mahen & Flynn (2008). Preferences and Perceived Barriers to Treatment for Depression during the Perinatal Period. Volume 17, number 8 Journal of women’s health.
Ofilli, A.N. & Ofowve, C.E. (2005). Patient’s Assessment of Efficiency of Services at a Teaching Hospital in a Developing Country. Ann of Afric Med. 4(4): 150 – 153.
Patavegar, B.N., Shelke, C., Adhav, P., & Kamble, M.S. (2012). A cross-sectional study of patient’s satisfaction towards services received at tertiary care hospital on OPD basis. National Journal of Community Medicine. 3(2):232-237.
Rama, M., & Kanagaluru, S. K. (2011). A Study on the Satisfaction of Patients to Hospital Services, International. Journal of Business Economics & Management Research, Vol.:1, NO. 3 [online] available at: http://zenithresearch.org.in.
Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American psychologist, 65,98-109.doi: 10.1037/a0018378.
Sturn, R. & Sherbourne, C.D. (2001). Are barriers to mental health and substance abuse still rising? Journal of Behavioral Health Services and Research, 28(1): 81-88.
Thai, P.L., Briancon, S., Empereur, F., & Guillemin, F. (2002). Factors determining inpatient satisfaction with care. Social Science & Medicine. 2002;54:493-504
Umar, I, Oche, M.O., & Umar, A.S. (2011). Patient waiting time in a tertiary health institution in Northern Nigeria. Journal of Public Health and Epidemiology. 3(2): 78 – 82.
Wampold, B.E (2010). The basic of psychotherapy: An introduction to theory and practice. Washington D.C: America Psychological Association, pp. 49e82.
Watson, A.C., Corrigan, P., Larson, J.E., & Sells, M. (2007). Self-stigma in people with mental illness. Schizophrenia Bulletin vol. 33 no. 6 pp.1312-1318, doi:10.1093/schbul/sb1076.
World Health Organization (2003). Health 21 – Health for all in the 21st century. Geneva: WHO Press (P. 83).
Downloads
Published
Issue
Section
License
Copyright is owned by the journal.
