Objective: The aim of this paper is to report on patient satisfaction with the Black Dog Institute Depression Clinic, a tertiary referral service providing assessment and treatment advice to patients with mood disorders.
Method: Patients who attended the Depression Clinic over the period 2006–2007 received questionnaires in the mail assessing satisfaction with the services received. Of the 321 patients attending, 114 (35%) replied. Results from 110 patients were subsequently analysed.
Results: Overall, patients were very satisfied with the services received. However, a number of priority areas were identified including provision of information about diagnosis, causal factors and treatment options; managing patient expectations about services offered; the need for improvement of communication between patient and psychiatrist; and the need for adequate de-briefing for those who receive an unexpected or differing diagnosis.
Conclusions: Patient satisfaction is a central component in shaping clinical service development to ensure delivery of effective health care. Findings from this study have implications for the improved delivery of psychiatric services.
PressI. Patient Satisfaction: Defining, Measuring and Improving the Experience of Care. Health Administration Press, Chicago2002.
2.
KitamuraT. Stress-reductive effects of information disclosure to medical and psychiatric patients. Psychiatry and Clinical Neurosciences2005; 59: 627–633.
3.
ParkerGFletcherKBarrettMManicavasagarV. The Black Dog Institute Depression Clinic: a subtyping model in practice. Australasian Psychiatry2006; 14: 300–303.
4.
ParkerG. Classifying depression: Should paradigms lost be regained?. American Journal of Psychiatry2000; 157: 1195–1203.
5.
MalhiGParkerGGreenwoodJ. Structural and functional models of depression: from sub-types to substrates. Acta Psychiatrica Scandinavica2005; 111: 94–105.
6.
ParkerGHiltonTBainsJHadzi-PavlovicD. Cognitive-based measures screening for depression in the medically ill: the DMI-10 and the DMI-18. Acta Psychiatrica Scandinavica2002; 105: 419–426.
7.
EyersKBrodatyHRoyK. Patient satisfaction with a mood disorders unit: elements and components. Australian and New Zealand Journal of Psychiatry1994; 28: 279–287.
8.
MerinderLBViuffAGLaugesenHDClemmensenKMisfeltSEspensenB. Patient and relative education in community psychiatry: a randomized controlled trial regarding its effectiveness. Social Psychiatry and Psychiatric Epidemiology1999; 34: 287–294.
9.
MullenPD. Compliance becomes concordance: making a change in terminology produces a change in behavior. British Medical Journal1997; 314: 691.
10.
KleinmanAMExplanatory models in health care relationships. In:Proceedings of the 1974 International Health Conference on Health of the Family. Washington, DC: National Council for International Health; 159–172.
11.
MazorKMClauserBEFieldTYoodRAGurwitzJH. A demonstration of the impact of response bias on the results of patient satisfaction surveys. Health Services Research2002; 37: 1403–1417.
12.
AvisMBondMArthurA. Questioning patient satisfaction: an empirical investigation in two outpatient clinics. Social Science and Medicine1997; 44: 85–92.
13.
RuggeriM. Satisfaction with psychiatric services. Mental Health Outcome Measures, ThornicroftGTansellaM. Springer, Berlin1996; 27–51.
14.
SitziaJWoodN. Response rate in patient satisfaction research: an analysis of 210 published studies. International Journal for Quality in Health Care1998; 10: 311–317.
15.
ParkerGBrotchieHFletcherKHyettMBarrettM. Outcome in a specialist referral clinic for mood disorders: a qualitative and quantitative review. Australasian Psychiatry2007; 15: 125–129.
