Peters J, McManus I C, Hutchinson A
Section of Public Health, University of Sheffield, ScHARR, UK.
Med Educ. 2001 Dec;35 Suppl 1:52-9.
To assess the views of the general public and general practitioners (GPs) on the General Medical Council's Good Medical Practice.
A large national consumer survey organization (MORI) was commissioned to conduct a survey of a representative sample of the general public using quota sampling methods with randomly selected sampling points across Great Britain. A similar survey was carried out of GPs across Great Britain. Questions were asked of the general public about their perceptions on medical practitioners keeping their knowledge sufficiently up to date to do their job, on complaints being properly investigated, and about doctors being removed from the General Medical Council register if they failed to perform a specifically defined duty. The GPs were asked the same questions about duties. The general public was also asked whether they worked in the National Health Service (NHS), about any recent experiences as a patient in the NHS and whether they had ever complained about a doctor.
A total of 1949 people were interviewed in their homes along with 199 GPs. Over one-third either worked in the NHS or had friends or relatives who worked in the NHS. Eleven per cent felt they had reason to complain about a doctor although only 6% had made a formal or informal written or verbal complaint. The general public and GPs held similar views on reasons for doctors being removed from the register, although the public's threshold was somewhat lower than the doctors.
GPs and the general public have similar views on good medical practice, although the degree of concern shown by the public is greater than that registered by doctors. Both groups show similar patterns of variation in their perception of the importance of some duties compared with others.
评估普通公众和全科医生(GPs)对英国医学总会《良好医疗行为规范》的看法。
委托一家大型全国性消费者调查机构(MORI),采用配额抽样方法,在英国各地随机选取抽样点,对普通公众的代表性样本进行调查。对英国各地的全科医生也进行了类似调查。向普通公众询问了他们对医生保持足够最新知识以履行职责、投诉得到妥善调查以及医生若未能履行特定界定职责是否应从英国医学总会注册名单中除名等方面的看法。向全科医生询问了关于职责的相同问题。还询问了普通公众是否在国民保健制度(NHS)工作、近期作为NHS患者的任何经历以及他们是否曾投诉过医生。
共对1949人进行了上门访谈,同时访谈了199名全科医生。超过三分之一的人要么在NHS工作,要么有在NHS工作的朋友或亲戚。11%的人觉得他们有理由投诉医生,尽管只有6%的人进行过正式或非正式的书面或口头投诉。普通公众和全科医生对医生被除名的原因看法相似,尽管公众的门槛略低于医生。
全科医生和普通公众对良好医疗行为有相似看法,尽管公众表现出的关注程度高于医生。与其他职责相比,两组在对某些职责重要性的认知上都呈现出相似的变化模式。