[Satisfaction with the quality of medical care of the mentally ill patients and its determining factors].

Objective: To study satisfaction with treatment as a predictor of compliance in patients with mental disorders prone to committing socially dangerous acts (SDA).

Material And Methods: The study included 83 patients of a psycho-neurological institution prone to commit SDA. The comparison group consisted of 88 mental patients who were not inclined to commit SDA. The material was collected using the method of anonymous survey according to the «Questionnaire for the Study of Satisfaction of the Population with Inpatient Medical Care». To interpret the data, quantitative and qualitative indicators were calculated.

Results: Satisfaction with treatment in consumers of psychiatric services is high, reaching 96.4% (=80) in the main group and 97.7% (=86) in the comparison group. Doctors' knowledge (95.2%, =79 and 97.7%, =86) and the level of trust in them (86.8%, =72 and 90.9%, =80) received the highest share of positive assessments by the patients. However, patients who are prone to commit SDA rate lower both medical care in general (68.7%, =57 vs. 90.9%, =80) and its individual parameters. Thus, 71.1% (=59) believe that the doctor does not perceive them as an independent person, does not devote enough time to them (41%, =34). In the comparison group, there are fewer such answers (11.4%, =10; 4.5%, =4). Patients highly (89.2%, =74 and 94.3%, =83) rate the living conditions in the hospital.

Unlabelled: The perceived quality of medical care is influenced by three groups of factors: the characteristics of consumers of medical services, the possibilities for using health services, the assessed and perceived need for medical services. Equally important is the study of contextual factors in the use of mental health services.

Conclusion: The formation of a trusting relationship between the patient and the doctor and ensuring the latter maintain medical secrecy contributes to strengthening social interaction and, as a result, reducing the feeling of coercion, increasing internal motivation and satisfaction with the quality of treatment.