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Patient Satisfaction: Ethnic Origin or Explanatory Model?

Elizabeth Ward, St. Thomas' Hospital, London SE1 7EN

Roland Littlewood

Centre for Medical Anthropology, Departments of Psychiatry and Anthropology, University College London, Gower Street, London WC1E 6BT, U.K.

Despite concern over their psychiatric treatment, little is known about black and ethnic minority patient satisfaction with psychiatric services and whether perceived 'ethnicity' or discrepant understanding of illness experience is most relevant. Twenty-one white British and 63 ethnic minority patients were interviewed for their opinions on psychiatric in-patient care, their treatment preferences and their explanatory models of their illness. The most significant association with satisfac tion was not ethnic origin but the patient's explanatory model of their illness which showed little association with ethnicity whether patients were voluntary or involuntary. Satisfaction is most likely when there is concordance between the patient's and psychiatrist's explanatory model.

International Journal of Social Psychiatry, Vol. 44, No. 1, 1-11 (1998)
DOI: 10.1177/002076409804400101


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