Smith Karly B, Humphreys John S, Lenard Yuliya, Jones Judith A, Prince Vanessa, Han Gil Soo
School of Rural Health, Monash University, PO Box 42, North Bendigo, VIC 3550.
Med J Aust. 2004 Jul 19;181(2):91-5. doi: 10.5694/j.1326-5377.2004.tb06182.x.
To evaluate whether rural consumer preferences for health services have changed over time or vary across communities with different models of health service delivery.
Questionnaire survey replicating a 1989 study, with ranking of seven different healthcare services.
Adult occupants from a 20% sample of private residences, in towns and on farms, in the rural shires of Bogan and Warren in north-west New South Wales. The survey was conducted in September 2002.
Rank order of preferences for different healthcare services; preference structure intervals showing relative "distance" between preferences.
Response rates were 68% (Nyngan town), 78% (Nyngan farms) and 59% (Warren town). The doctor was the most valued health service in rural communities, followed by the hospital. These preferences occurred regardless of age, sex or place of residence, persisted over time, and were similar for residents of towns with different models of healthcare service provision.
Rural people, both in towns and on farms, rate acute primary healthcare services provided by the doctor and hospital as the two most important services. These preferences have not changed substantially after a decade of restructuring rural health services and reorienting them towards a primary healthcare approach. The stability of rural consumer preferences may reflect a bias towards the status quo.
评估农村消费者对医疗服务的偏好是否随时间变化，或在不同医疗服务提供模式的社区间存在差异。
重复1989年研究的问卷调查，对七种不同医疗服务进行排序。
新南威尔士州西北部博根和沃伦农村郡城镇及农场中20%私人住宅的成年居住者。调查于2002年9月进行。
不同医疗服务的偏好排序；显示偏好之间相对“距离”的偏好结构区间。
应答率分别为68%（宁甘镇）、78%（宁甘农场）和59%（沃伦镇）。在农村社区，医生是最受重视的医疗服务，其次是医院。这些偏好不受年龄、性别或居住地点影响，长期存在，且在不同医疗服务提供模式的城镇居民中相似。
城镇和农场的农村居民都将医生和医院提供的急性初级医疗服务视为最重要的两项服务。经过十年农村卫生服务的重组并使其转向初级医疗保健方法后，这些偏好并未发生实质性变化。农村消费者偏好的稳定性可能反映了对现状的偏向。
