Marcinowicz Ludmiła, Górska Anna, Chlabicz Sławomir
Zakład Medycyny Rodzinnej i Pielegniarstwa Srodowiskowego, Akademia Medyczna w Białymstoku.
Przegl Lek. 2007;64(9):559-62.
The current study is based on questionnaire surveys investigating the quality of the family doctor care from the patient's perspective, conducted in Bialystok. The aim of this study was to identify the causes of patients' dissatisfaction with family doctor care. The object of analysis was written responses to two open-ended questions included in the questionnaires. Content analysis was used. All the written responses were stored in the computer database and then grouped into categories. Of 361 respondents who answered the first open-ended question--128 (35.5%) gave negative comments, while among 166 respondents who replied to the second question--110 were dissatisfied (66.3%). Overall, 340 negative statements on the family doctor care were recorded. Three main categories of patient dissatisfaction were identified: 1. deficiencies in the primary health care system (81 statements); 2. deficiencies in organization and quality of services (80 statements); 3. deficiencies in care providers' attitudes, skills and work (179 statements). The analysis of responses has revealed situations in which patients are not satisfied with care. This information can be useful for improving the quality of the family doctor care.
本研究基于在比亚韦斯托克进行的问卷调查，从患者角度调查家庭医生护理的质量。本研究的目的是确定患者对家庭医生护理不满的原因。分析对象是对问卷中两个开放式问题的书面回答。采用了内容分析法。所有书面回答都存储在计算机数据库中，然后进行分类。在回答第一个开放式问题的361名受访者中，128人（35.5%）给出了负面评价，而在回答第二个问题的166名受访者中，110人不满意（66.3%）。总体而言，记录了340条关于家庭医生护理的负面陈述。确定了患者不满的三大类：1. 初级卫生保健系统的缺陷（81条陈述）；2. 服务组织和质量的缺陷（80条陈述）；3. 护理提供者态度、技能和工作的缺陷（179条陈述）。对回答的分析揭示了患者对护理不满意的情况。这些信息有助于提高家庭医生护理的质量。
