Phillips D, Brooks F
Department of Sociological Studies, University of Sheffield, UK.
Fam Pract. 1998 Dec;15(6):543-7. doi: 10.1093/fampra/15.6.543.
We aimed to investigate general preferences to see a male or female GP either some or all of the time, and specific preferences to see a female primary health care (PHC) worker for individual health issues; to compare these preferences with reported consultation behaviour; and to explore women's evaluations of the quality of PHC services in relation to their preferences and consultation behaviour.
Results are reported on 881 women aged 16-65 years who had consulted their GP in the previous 6 months. Logistical regression analysis was undertaken to evaluate whether a general preference to see another woman is more important than specific women's health issues in determining why some women regularly choose to consult a female GP.
General preference was 2.6 times more important than specific health issues in predicting choice of a female GP in a mixed-sex practice. Nearly a half (49.1 %) of women attending male-only practices stated that they wanted to see a female GP in at least some circumstances, compared with 63.8% of women in mixed-sex practices. In total, 65.5% of the sample stated that there was at least one specific health issue for which they would only want to be seen by a woman PHC worker. The most positive evaluations of the quality of GP services were made by women normally seeing a male GP in mixed-sex practices and the least positive evaluations were given by women in male-only GP practices
In order to meet women's expressed preferences, every GP practice should have at least one female GP available at least some of the time and every GP practice should employ a female PHC worker.
我们旨在调查女性在部分或全部时间里看男全科医生（GP）或女全科医生的总体偏好，以及针对个人健康问题看女初级卫生保健（PHC）工作者的具体偏好；将这些偏好与报告的就诊行为进行比较；并探讨女性根据自身偏好和就诊行为对初级卫生保健服务质量的评价。
报告了881名年龄在16 - 65岁之间、在过去6个月内咨询过全科医生的女性的结果。进行逻辑回归分析，以评估在确定为何有些女性经常选择看女全科医生时，看另一位女性的总体偏好是否比特定的女性健康问题更重要。
在预测男女混合诊所中选择女全科医生时，总体偏好的重要性是特定健康问题的2.6倍。在只看男医生的诊所就诊的女性中，近一半（49.1%）表示她们至少在某些情况下希望看女全科医生，而在男女混合诊所中这一比例为63.8%。总体而言，65.5%的样本表示至少有一个特定的健康问题，她们只想由女初级卫生保健工作者诊治。对全科医生服务质量评价最积极的是在男女混合诊所中通常看男全科医生的女性，评价最不积极的是在只看男全科医生的诊所就诊的女性。
为了满足女性表达的偏好，每个全科医生诊所应至少在部分时间有一名女全科医生坐诊，并且每个全科医生诊所应雇佣一名女初级卫生保健工作者。
