Kasteler J, Kane R L, Olsen D M, Thetford C
J Health Soc Behav. 1976 Dec;17(4):329-39.
Data were collected on all persons within a sample of upper-and lower-income households who had seen physicians for illness episodes within a year prior to the interview. Forty-eight percent of upper-and 37 percent of lower-income families in the sample had changed doctors because of dissatisfaction with some aspect of the care. Factors related to tendency to shop for doctors in both upper-and lower-income groups were a lack of confidence in doctors' competence, unwillingness of doctors to spend time talking with patients, hostile feelings toward doctors, high cost of services, inconvenience of location and hours, and unfavorable attitudes toward doctors' personal qualities. Hypochondriasis was related to doctorshopping in the upper-income group. Results of this investigation suggest that patients may be becoming more discriminating in their choice of physicians.
我们收集了样本中高收入和低收入家庭里所有在访谈前一年因疾病去看过医生的人的数据。样本中48%的高收入家庭和37%的低收入家庭因对医疗护理的某些方面不满意而更换了医生。高收入和低收入群体中与更换医生倾向相关的因素包括对医生能力缺乏信心、医生不愿花时间与患者交谈、对医生怀有敌意、服务费用高、就诊地点和时间不方便，以及对医生个人品质的负面态度。疑病症与高收入群体更换医生有关。这项调查结果表明，患者在选择医生时可能变得更加挑剔。
