Effect of Mental Health Care and Shared Decision Making on Patient Satisfaction in a Community Sample of Patients with Depression

This study sought to understand if shared decision making and/or receipt of mental health care was associated with patient satisfaction for patients with depression and to determine whether gender modified this relationship. The data are from the Quality Improvement for Depression study, a national...

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Bibliographic Details
Published in:Medical care research and review 2007-08, Vol.64 (4), p.416-430
Main Authors: Swanson, Karen A., Bastani, Roshan, Rubenstein, Lisa V., Meredith, Lisa S., Ford, Daniel E.
Format: Article
Language:English
Subjects:
Adult
Clinical decision making
Community Mental Health Services - standards
Cross-Sectional Studies
Decision Making
Depressive Disorder, Major - economics
Depressive Disorder, Major - therapy
Female
Gender
Gender relations
Group decision making
Health care
Health care industry
Health education
Health insurance
Health promotion
Humans
Insurance, Psychiatric
Male
Managed care
Managed Care Programs - standards
Medical decision making
Medical personnel
Mental depression
Mental disorders
Mental health
Mental health care
Mental health services
Middle Aged
Patient Participation
Patient satisfaction
Patient Satisfaction - statistics & numerical data
Patients
Physician-Patient Relations
Physicians
Psychometrics
Quality control
Quality management
Quality of care
Quality of Health Care - statistics & numerical data
Questionnaires
Regression analysis
Shared
Surveys and Questionnaires
Teaching
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Summary:This study sought to understand if shared decision making and/or receipt of mental health care was associated with patient satisfaction for patients with depression and to determine whether gender modified this relationship. The data are from the Quality Improvement for Depression study, a national collaborative study of 1,481 patients diagnosed with major depression in managed care settings. The cross-sectional analyses were performed using multiple logistic regression on a sample of 1,317 patients who answered both the baseline and month six questionnaires. Shared decision making and receipt of mental health care were both positively associated with patient satisfaction. Gender was not a moderator of this relationship. Health plans may be able to improve patient satisfaction levels by teaching physicians the importance of shared decision making. Contrary to expectations, patient gender made no difference in the effects of quality of care on patient satisfaction.
ISSN:1077-5587
1552-6801
DOI:10.1177/1077558707299479