O'Malley Ann S, Forrest Christopher B
Georgetown University Medical Center, Division of Cancer Prevention, Lombardi Cancer Center, Washington, DC, USA.
Womens Health Issues. 2002 Jul-Aug;12(4):191-203. doi: 10.1016/s1049-3867(02)00138-x.
Socioeconomic disparities in women's primary care experiences have been described previously. To better understand whether these disparities reflect personal preferences for primary care, rather than insurance or other access barriers, we conducted a telephone survey of a community-based sample of 1,205 women in Washington, DC. The study found that women of lower socioeconomic status had poorer primary care experiences compared with higher income counterparts, despite similarly high preferences for primary care. The poorer primary care experiences of lower socioeconomic status women were attenuated by better access to primary care. Differences in primary care attainment are not solely a matter of personal preferences; rather, they appear to be more strongly related to barriers to obtaining care.
先前已有关于女性初级保健体验中社会经济差异的描述。为了更好地理解这些差异是否反映了对初级保健的个人偏好，而非保险或其他获取障碍，我们对华盛顿特区一个基于社区的1205名女性样本进行了电话调查。研究发现，社会经济地位较低的女性与高收入女性相比，初级保健体验较差，尽管她们对初级保健的偏好同样强烈。社会经济地位较低女性较差的初级保健体验因更好地获得初级保健而有所缓解。初级保健获取方面的差异并非仅仅是个人偏好的问题；相反，它们似乎与获得医疗服务的障碍更密切相关。
