Gribben B
Department of General Practice, Auckland Medical School.
N Z Med J. 1992 Nov 11;105(945):453-5.
To describe basic features of access to general practitioner services in south Auckland, and to examine the effect of different factors on utilisation of general practitioner services with particular attention to access issues.
A random population survey of relatively established residents was undertaken with the sample drawn from electoral rolls. A questionnaire was administered face-to-face by trained interviewers.
Ninety-eight percent of respondents claimed to have a regular family doctor. The median travelling time to a respondent's general practitioner was 10 minutes. Ninety-five percent of respondents' general practitioners operated appointment systems. The median waiting time was 20 minutes, 30% felt the doctors fees stopped them going to the doctor sometimes. The average reported visiting rate was 6.9 visits per year. Poor perceived health, longer times with a given doctor and long waiting times were associated with decreased utilisation. Demographic factors were not associated with utilisation. Patient fees were not associated with utilisation in the sample. Only 23% of the variation in utilisation could be explained by the model.
Long waiting times are associated with decreased utilisation in this population. Although there is significant dissatisfaction with general practitioner fees, this does not manifest itself in decreased utilisation. Only a small proportion of the variation in utilisation can be explained by linear models of the variables studied.
描述奥克兰南部地区获得全科医生服务的基本特征，并研究不同因素对全科医生服务利用情况的影响，尤其关注就医便利性问题。
对相对常住居民进行随机抽样调查，样本从选民名册中抽取。由经过培训的访员进行面对面问卷调查。
98%的受访者称有固定的家庭医生。受访者前往全科医生处的中位出行时间为10分钟。95%的受访者的全科医生实行预约制度。中位等待时间为20分钟，30%的人认为医生费用有时会阻碍他们就医。报告的平均就诊率为每年6.9次。自我感觉健康状况差、与某位医生相处时间长以及等待时间长与就诊率降低有关。人口统计学因素与就诊率无关。样本中患者费用与就诊率无关。该模型只能解释就诊率变化的23%。
在这一人群中，等待时间长与就诊率降低有关。尽管对全科医生费用存在显著不满，但这并未表现为就诊率下降。所研究变量的线性模型只能解释就诊率变化的一小部分。
