Vick S, Scott A
Department of Management and Social Sciences, Queen Margaret College, Edinburgh, Scotland, UK.
J Health Econ. 1998 Oct;17(5):587-605. doi: 10.1016/s0167-6296(97)00035-0.
Recently, some health economists have re-examined the nature of the agency relationship in health care. This paper presents a study conducted to establish the relative value to patients of various attributes of the general practice consultation. In the sample of patients recruited, the most important attribute was 'being able to talk to the doctor', whilst 'who chooses your treatment' was the least important. Although patients preferred more information to less, only females and highly qualified respondents preferred to choose the treatment themselves. The results of this study have implications for the education of doctors in communication skills and for further research into the agency relationship in health care.
最近，一些卫生经济学家重新审视了医疗保健中委托代理关系的本质。本文介绍了一项旨在确定全科医疗咨询中各种属性对患者的相对价值的研究。在所招募的患者样本中，最重要的属性是“能够与医生交谈”，而“谁选择你的治疗方案”则是最不重要的。尽管患者更喜欢获得更多信息而非更少信息，但只有女性和高学历受访者更倾向于自己选择治疗方案。这项研究的结果对医生沟通技巧的教育以及对医疗保健中委托代理关系的进一步研究具有启示意义。
