Farmer Jane, Iversen Lisa, Campbell Neil C, Guest Clare, Chesson Rosemary, Deans George, MacDonald John
University of Aberdeen Business School, Edward Wright Building, Dunbar Street, Old Aberdeen AB24 3QY, UK.
Health Place. 2006 Jun;12(2):210-21. doi: 10.1016/j.healthplace.2004.11.007.
In the UK, patients in urban areas consult primary health care more than rural patients for both trivial and serious conditions. This study, involving focus groups and interviews, examined rural/urban differences in accounts of patients' intentions around initial decisions to consult general practice. Findings suggest 'relationships' between doctors and patients and easier access to appointments could affect consulting in rural areas, while decision-making for urban patients tended to be more consumerist. Perceptions about access to different health services meant rural patients' decision-making in out-of-hours emergencies was complex. Rural/urban differences in demand could be affected by change in UK primary care provision.
在英国，无论是轻微病症还是严重病症，城市地区的患者向初级医疗保健机构咨询的次数都多于农村患者。这项研究通过焦点小组和访谈，调查了农村和城市地区患者在决定首次咨询全科医生时的意图差异。研究结果表明，医生与患者之间的“关系”以及更便捷的预约渠道可能会影响农村地区的咨询行为，而城市患者的决策则更倾向于消费主义。对不同医疗服务可及性的认知意味着农村患者在非工作时间紧急情况中的决策较为复杂。英国初级医疗服务提供情况的变化可能会影响农村和城市地区的需求差异。
