Brinker M R, Elliott M N, Murray R W, Tovar A K
Research and Education Committee, Texas Orthopaedic Association, Austin, USA.
Am J Orthop (Belle Mead NJ). 1999 Aug;28(8):451-6; discussion 456-7.
To determine the satisfaction of orthopedic patients in regards to their health care plan, a four-page questionnaire was designed, pilot tested, and sent to 200 orthopedic surgeons randomly selected from members of the American Academy of Orthopaedic Surgeons in Texas. Fifty-seven orthopedic surgeons were not eligible to participate; our eligible cohort was 143 orthopedic surgeons. These surgeons were asked to administer the questionnaire to 20 randomly selected patients. Fifty-six of the 143 orthopedic surgeons participated, and surveys were completed by 939 patients. Patients were asked to rate their satisfaction with their health insurance, access to primary care physicians, and access to orthopedic surgeons. Although satisfaction was generally high, the patients with a gate-keeper (no direct access to specialists) were significantly less satisfied with their access to primary care physicians and orthopedic surgeons than those without a gatekeeper.
为了确定骨科患者对其医疗保健计划的满意度，设计了一份四页的问卷，进行了预测试，并发送给从德克萨斯州美国骨科医师学会成员中随机挑选的200名骨科外科医生。57名骨科外科医生不符合参与条件；我们符合条件的队列是143名骨科外科医生。这些外科医生被要求向20名随机挑选的患者发放问卷。143名骨科外科医生中有56名参与了，939名患者完成了调查。患者被要求对他们对健康保险、获得初级保健医生的机会以及获得骨科外科医生的机会的满意度进行评分。尽管总体满意度较高，但有看门人制度（无法直接看专科医生）的患者对获得初级保健医生和骨科外科医生的机会的满意度明显低于没有看门人制度的患者。
