Mathews Maria, Barnsley Jan
Division of Community Health, Memorial University of Newfoundland, Health Science Centre, St John's.
Can Fam Physician. 2003 Nov;49:1498-503.
To identify factors that predict whether patients prefer seeing their regular physicians and whether they do see their regular physicians during acute illness.
Cross-sectional, population-based telephone survey.
Urban areas in southern Ontario.
Random sample of 304 people who had regular physicians, insurance coverage, and had last seen a physician for acute illness. Of the 304, 256 (84.2%) preferred seeing their regular physicians during acute illness, and 48 (15.8%) did not. Of those who preferred seeing their regular physicians, 131 (51.2%) did see their regular physicians, 125 (48.8%) did not
Preference for seeing regular physician and seeing regular physician during acute illness.
Multiple logistic regression found that believing continuity of care was important and traveling further increased, while recent hospitalization and difficulty seeing physicians during or after office hours decreased, the likelihood of actually seeing their regular physicians.
Almost half the patients who preferred seeing their regular physicians for acute illness did not actually see their regular physicians. Improving access to regular physicians might encourage patients to always try to see them.
确定能够预测患者是否更倾向于看其常规医生以及在急性病期间是否确实看了常规医生的因素。
基于人群的横断面电话调查。
安大略省南部的城市地区。
对304名有常规医生、有保险且最近因急性病看过医生的人进行随机抽样。在这304人中，256人（84.2%）在急性病期间更倾向于看其常规医生，48人（15.8%）则不然。在那些更倾向于看常规医生的人中，131人（51.2%）确实看了常规医生，125人（48.8%）没有看。
急性病期间看常规医生的偏好及实际看常规医生的情况。
多因素逻辑回归分析发现，认为连续性医疗很重要以及路途更远会增加实际看常规医生的可能性，而近期住院以及在办公时间内或之后看医生困难则会降低这种可能性。
几乎一半在急性病期间更倾向于看常规医生的患者实际上并未看常规医生。改善看常规医生的便利性可能会鼓励患者总是尽量去看他们。
