Nystad Tove, Melhus Marita, Lund Eiliv
Centre for Sami Health Research, Institute of Community Medicine, University of Tromsø, Norway.
Int J Circumpolar Health. 2008 Feb;67(1):114-21.
The government's Action Plan for Health and Social Services states as a goal that the Sami population's encounter with health and social services should be just as good as what the rest of the population experiences. The goal of this study is to investigate patient satisfaction with the municipal GP service in areas with both a Sami and Norwegian population.
A cross-sectional population study using questionnaires.
The data were taken from the population based study of health and living conditions in areas with both Sami and Norwegian populations (SAMINOR) in which respondents were asked about their satisfaction with GP services in their municipalities. This population survey was carried out in the period 2002-2004. The analyses include 15,612 men and women aged 36-79.
The Sami-speaking patients were less satisfied with the municipal GP service as a whole than were the Norwegian speakers; RR 2.4 (95% CI 2.1-2.7). They were less satisfied with the physicians' language skills; RR 5.8 (95% CI 4.8-7.0); and they felt that misunderstandings between physician and patient due to language problems were more frequent; RR 3.8 (95% CI 3.3-4.3). One-third expressed that they did not wish to use an interpreter.
The results indicate that it is necessary to place greater emphasis on the physicians' language competency when hiring GPs in municipalities within the Administrative Area for the Sami Language. This could improve satisfaction with the physicians' services.
政府的《健康与社会服务行动计划》设定了一个目标,即萨米族民众接受健康与社会服务的体验应与其他民众一样良好。本研究的目的是调查在有萨米族和挪威族人口的地区,患者对市政全科医生服务的满意度。
采用问卷调查的横断面人群研究。
数据取自对有萨米族和挪威族人口地区的健康与生活状况进行的基于人群的研究(SAMINOR),其中受访者被问及对所在市全科医生服务的满意度。这项人群调查于2002年至2004年期间开展。分析纳入了15,612名年龄在36至79岁之间的男性和女性。
讲萨米语的患者对市政全科医生服务总体上不如讲挪威语的患者满意;相对风险为2.4(95%置信区间2.1 - 2.7)。他们对医生的语言技能不太满意;相对风险为5.8(95%置信区间4.8 - 7.0);并且他们觉得由于语言问题导致医患之间的误解更频繁;相对风险为3.8(95%置信区间3.3 - 4.3)。三分之一的人表示他们不想使用口译员。
结果表明,在萨米语行政区内的各市招聘全科医生时,有必要更加强调医生的语言能力。这可能会提高对医生服务的满意度。