Vedsted Peter, Mainz Jan, Lauritzen Torsten, Olesen Frede
Department of General Practice, The Research Unit for General Practice, University of Aarhus, Vennelyst Boulevard 6, DK-8000 Aarhus C, Denmark.
Fam Pract. 2002 Aug;19(4):339-43. doi: 10.1093/fampra/19.4.339.
The aim of the present study was to compare patient and GP priorities for general practice care.
A questionnaire survey was carried out in general practice in Denmark which included 900 consecutive patients aged over 18 years from 15 practices collected in 1995, and 919 randomly sampled GPs in 1999. The postal questionnaire, developed by the EUROPEP group, contained 40 questions about eight aspects of primary care. Participants were asked to state their priorities for each question ranging from "not at all important" to "most important". A reminder questionnaire was sent to non-responders after 2 weeks. Top priority percentages ("very/most important") were calculated for each question as were differences between participant groups.
Questionnaires were answered by 771 (85.7%) patients and 584 (64.2%) GPs. Their priorities were highly correlated (r = 0.754, P < 0.001). Patients gave higher priority than GPs to availability and accessibility of the practice and seeing the same GP. The GP should be capable of providing information on illness, investigations and treatments and patient associations, and should know the patient's history and be regularly updated through courses.
Patient and GP priorities for primary care were highly correlated. The higher priority awarded by patients than by GPs to specific aspects of primary care should be acknowledged when organizing and developing general practice.
本研究旨在比较患者和全科医生对全科医疗服务的优先事项。
在丹麦的全科医疗中进行了一项问卷调查,其中包括1995年从15家诊所连续收集的900名年龄超过18岁的患者,以及1999年随机抽取的919名全科医生。由欧洲初级保健评价小组编制的邮政问卷包含40个关于初级保健八个方面的问题。参与者被要求对每个问题从“一点也不重要”到“最重要”陈述他们的优先事项。两周后向未回复者发送提醒问卷。计算每个问题的最高优先百分比(“非常/最重要”)以及参与者群体之间的差异。
771名(85.7%)患者和584名(64.2%)全科医生回答了问卷。他们的优先事项高度相关(r = 0.754,P < 0.001)。患者比全科医生更优先考虑诊所的可及性和易接近性以及看同一位全科医生。全科医生应能够提供有关疾病、检查和治疗以及患者协会的信息,并且应该了解患者的病史并通过课程定期更新知识。
患者和全科医生对初级保健的优先事项高度相关。在组织和发展全科医疗时,应认识到患者比全科医生对初级保健特定方面给予更高的优先考虑。