Buchanan Robert J, Kaufman Michael, Zhu Li, James Wesley
Department of Political Science and Public Administration, Mississippi State University, Mississippi State, MS 39762, USA.
NeuroRehabilitation. 2008;23(3):267-72.
Do people with multiple sclerosis who receive the majority of their care from neurologists perceive access to and quality of their care differently than people receiving their care from medical internists, family/general practitioners, and other types of physicians? The objective of this study is to identify any patient-identified differences in MS-related care by the practice specialty of the principal care physician, as well as differences by practice specialty in satisfaction with access to physician services and differences in patient perceptions of quality. Data were collected by surveying 1,518 people with MS throughout the United States and grouped by practice specialty of principal care physician (neurologist, internal medicine, family/general practice, and other physicians). Significant differences were observed by practice specialty of the principal care physician in physician understanding of various aspects of MS, satisfaction with access to MS-focused care, and quality of MS-focused care, with neurologists associated with better patient perceptions. Patients consider MS-related care superior when it is delivered by neurologists compared to MS patients receiving care from medical internists, family/general practitioners, and other physicians.
与从内科实习医生、家庭/全科医生及其他类型医生处接受治疗的多发性硬化症患者相比，主要从神经科医生处接受大部分治疗的多发性硬化症患者对医疗服务的可及性和质量的认知是否有所不同？本研究的目的是确定患者所指出的、由主要护理医生的执业专科所导致的与多发性硬化症相关护理方面的差异，以及因执业专科不同而在对医生服务可及性的满意度方面的差异和患者对质量的认知差异。通过对美国各地1518名多发性硬化症患者进行调查来收集数据，并按主要护理医生的执业专科（神经科医生、内科、家庭/全科及其他医生）进行分组。主要护理医生的执业专科在医生对多发性硬化症各方面的理解、对专注于多发性硬化症护理的可及性的满意度以及专注于多发性硬化症护理的质量方面存在显著差异，神经科医生与更好的患者认知相关。与从内科实习医生、家庭/全科医生及其他医生处接受治疗的多发性硬化症患者相比，患者认为由神经科医生提供的与多发性硬化症相关的护理更优质。
