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A cross-sectional descriptive study to assess the impact of the “open door” policy on patient satisfaction

INTRODUCTION: Since the beginning of the modern psychiatry the acute units have established a “locked door” policy. Some studies show that this condition may increase patient’s discomfort and affect the perception of health quality of care (Boyer L, 2009, Eur Psychiatry Dec;24(8):540-9). Lately, sev...

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Autores principales: Campillo, M., Marti, J., Rius, L., Garcia Fernandez, S., Olivero, M., Sanchez Tomico, G., Brusco-Passalaqua, G., Pechuan, E., Vates, T., Sanchez, R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10496818/
http://dx.doi.org/10.1192/j.eurpsy.2023.1927
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author Campillo, M.
Marti, J.
Rius, L.
Garcia Fernandez, S.
Olivero, M.
Sanchez Tomico, G.
Brusco-Passalaqua, G.
Pechuan, E.
Vates, T.
Sanchez, R.
author_facet Campillo, M.
Marti, J.
Rius, L.
Garcia Fernandez, S.
Olivero, M.
Sanchez Tomico, G.
Brusco-Passalaqua, G.
Pechuan, E.
Vates, T.
Sanchez, R.
author_sort Campillo, M.
collection PubMed
description INTRODUCTION: Since the beginning of the modern psychiatry the acute units have established a “locked door” policy. Some studies show that this condition may increase patient’s discomfort and affect the perception of health quality of care (Boyer L, 2009, Eur Psychiatry Dec;24(8):540-9). Lately, several European countries such as Germany, Switzerland and Spain are starting to implement the “open-door” policy but its impact on patient’s satisfaction is still unknown (Hochstrasser, L, Frontiers in Psychiatry, 9(57). https://doi.org/10.3389/fpsyt.2018.00057) . OBJECTIVES: To help characterize the advantages of the “open-door” policy implemented in an acute inpatient psychiatric unit in order to assess the patient’s view of it. METHODS: This is a descriptive observational study carried out at an inpatient psychiatric unit. Data were collected after the implementation of the open door policy on June 2019, assessing the patient satisfaction of 31 subjects who completed the SATISPSY-22 scale at the time of discharge. Results are described using the average and its standard deviation. RESULTS: Results show scores in all items above 50 points, being the care team and the quality of care the most valued ones with 82 and 79 points respectively. The overall score is above 65 points (Fig. 1). Image: CONCLUSIONS: In line with previous studies, our data suggests that the main impact of the “open-door” policy implementation is on patients’ perception of the care, being Quality of care and satisfaction with the Staff the items with highest scores. This could be explained by patients trusting more in the Care team, which would help enhance the therapeutic relationship improving therapeutic adherence, treatment adequacy and the outcome. Nevertheless, the Feeling related to hospitalisation was found to be the item with the lowest score. This could mean strategies should focus on improving patient’s insight regarding their clinical state and their need to be admitted. Our study supports the hypothesis that open-door policy in acute psychiatric units is seen positively by patients and that further research should be carried. DISCLOSURE OF INTEREST: None Declared
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spelling pubmed-104968182023-09-13 A cross-sectional descriptive study to assess the impact of the “open door” policy on patient satisfaction Campillo, M. Marti, J. Rius, L. Garcia Fernandez, S. Olivero, M. Sanchez Tomico, G. Brusco-Passalaqua, G. Pechuan, E. Vates, T. Sanchez, R. Eur Psychiatry Abstract INTRODUCTION: Since the beginning of the modern psychiatry the acute units have established a “locked door” policy. Some studies show that this condition may increase patient’s discomfort and affect the perception of health quality of care (Boyer L, 2009, Eur Psychiatry Dec;24(8):540-9). Lately, several European countries such as Germany, Switzerland and Spain are starting to implement the “open-door” policy but its impact on patient’s satisfaction is still unknown (Hochstrasser, L, Frontiers in Psychiatry, 9(57). https://doi.org/10.3389/fpsyt.2018.00057) . OBJECTIVES: To help characterize the advantages of the “open-door” policy implemented in an acute inpatient psychiatric unit in order to assess the patient’s view of it. METHODS: This is a descriptive observational study carried out at an inpatient psychiatric unit. Data were collected after the implementation of the open door policy on June 2019, assessing the patient satisfaction of 31 subjects who completed the SATISPSY-22 scale at the time of discharge. Results are described using the average and its standard deviation. RESULTS: Results show scores in all items above 50 points, being the care team and the quality of care the most valued ones with 82 and 79 points respectively. The overall score is above 65 points (Fig. 1). Image: CONCLUSIONS: In line with previous studies, our data suggests that the main impact of the “open-door” policy implementation is on patients’ perception of the care, being Quality of care and satisfaction with the Staff the items with highest scores. This could be explained by patients trusting more in the Care team, which would help enhance the therapeutic relationship improving therapeutic adherence, treatment adequacy and the outcome. Nevertheless, the Feeling related to hospitalisation was found to be the item with the lowest score. This could mean strategies should focus on improving patient’s insight regarding their clinical state and their need to be admitted. Our study supports the hypothesis that open-door policy in acute psychiatric units is seen positively by patients and that further research should be carried. DISCLOSURE OF INTEREST: None Declared Cambridge University Press 2023-07-19 /pmc/articles/PMC10496818/ http://dx.doi.org/10.1192/j.eurpsy.2023.1927 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstract
Campillo, M.
Marti, J.
Rius, L.
Garcia Fernandez, S.
Olivero, M.
Sanchez Tomico, G.
Brusco-Passalaqua, G.
Pechuan, E.
Vates, T.
Sanchez, R.
A cross-sectional descriptive study to assess the impact of the “open door” policy on patient satisfaction
title A cross-sectional descriptive study to assess the impact of the “open door” policy on patient satisfaction
title_full A cross-sectional descriptive study to assess the impact of the “open door” policy on patient satisfaction
title_fullStr A cross-sectional descriptive study to assess the impact of the “open door” policy on patient satisfaction
title_full_unstemmed A cross-sectional descriptive study to assess the impact of the “open door” policy on patient satisfaction
title_short A cross-sectional descriptive study to assess the impact of the “open door” policy on patient satisfaction
title_sort cross-sectional descriptive study to assess the impact of the “open door” policy on patient satisfaction
topic Abstract
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10496818/
http://dx.doi.org/10.1192/j.eurpsy.2023.1927
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