RESUMEN
OBJECTIVE: Development of an instrument to assess patient satisfaction with inpatient psychiatric treatment as one component of quality of care. METHODS AND RESULTS: The TUBB 2000 has been developed in four steps (n = 80; n = 111; n = 104; n = 135) and covers the inpatients' satisfaction with 22 areas of psychiatric care. Three factors were extracted: "atmosphere", "quality of treatment", "autonomy". The relationship to the therapeutic staff was especially important for the patients. Intervention variables had no significant impact on patients' satisfaction. Answers to change oriented questions have been less variable than to a state oriented questions. CONCLUSION: The construct patients' satisfaction implies many methodological pitfalls. The TUBB 2000 can provide useful change sensitive data of patients' satisfaction with the quality of care in a psychiatric unit. It may help to increase quality of inpatient care in psychiatry.