Abstract
BackgroundThe purpose of this study was to assess what is associated with health service satisfaction among adults with a substance use disorder receiving services provided within different municipalities in Norway. An additional aim was to examine demographic and municipality characteristics, mental health, and types of substance use associated with health service satisfaction.MethodA cross-sectional partial explorative study was executed in 2017 among 491 service users with substance use disorders from 20 randomly selected municipalities. The sample consisted of 70% males. The sample majority were single and unemployed, and their main sources of healthcare were the general practitioner (78%), The Norwegian Labor and Welfare Administration (72%), and addiction counsellors (62%).ResultsOverall satisfaction was negatively associated with age, size of municipality, Global Severity Index (GSI) and illicit substance use during the last 12 months. Satisfaction with practical help, such as housing, economy, work and education, was negatively associated with GSI and positively associated with onset of first alcohol intoxication. Satisfaction with personnel was positively associated with onset of first alcohol intoxication and negatively associated with municipality size, GSI and illicit use the last 12 months. The results showed that more than half of the respondents (54%) to a large or great extent were satisfied with the overall services provided. The services they were less satisfied with were related to housing, economy, getting started with exercise and establishing a social network.ConclusionThe results show areas associated with satisfaction and domains where the municipalities can improve their services to meet the users’ needs and increase service satisfaction.
Highlights
The purpose of this study was to assess what is associated with health service satisfaction among adults with a substance use disorder receiving services provided within different municipalities in Norway
The results show areas associated with satisfaction and domains where the municipalities can improve their services to meet the users’ needs and increase service satisfaction
Satisfaction with substance use disorder (SUD) services within the municipalities was negatively associated with age, Global severity index (GSI), municipality size, onset of first alcohol intoxication and illicit use last year
Summary
The purpose of this study was to assess what is associated with health service satisfaction among adults with a substance use disorder receiving services provided within different municipalities in Norway. Investigating user satisfaction within health services is of high importance and is increasingly recognised as an indicator of service quality since satisfaction may be a feasible indicator of whether patients’ needs are properly met [5, 27, 50]. Such evaluation can highlight aspects of care that need improvement and give an idea of future service needs. Municipality programmes and treatment clinics differ in continuity of care, treatment duration and the extent that they help with housing, economic issues and social relationships [6, 16, 18, 23]
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