Hicks N R, Baker I A
Department of Epidemiology and Public Health Medicine, University of Bristol.
BMJ. 1991 Apr 27;302(6783):991-3. doi: 10.1136/bmj.302.6783.991.
To establish a means for general practitioners to express their views about health services available to their patients, to identify services that general practitioners perceive as most in need of improvement, and to establish good working relations between the health authority's purchasing team and local general practitioners.
Postal questionnaire survey of general practitioners.
Bristol and Weston health district.
226 general practitioners, of whom 171 replied.
Scores of quality and quantity of hospital and community services, frequency that services were identified as priorities for improvement, and the nature of written comments received about services.
There was considerable agreement among respondents about which services were adequate and which were inadequate. Most services were perceived as at least adequate in both quality and quantity, but seven services were perceived by more than 60% (102) of doctors as inadequate or worse in quantity and eight by 10% (17) of doctors as poor in quality. Orthopaedics, ophthalmology, care of elderly people, and physiotherapy were the services doctors most wanted improved.
A postal questionnaire is an acceptable and accurate method of obtaining general practitioners' views about services available to their patients. General practitioners' priorities differ from those obtained from hospital medical advisory mechanisms.
建立一种方式，让全科医生能够表达他们对患者可获得的医疗服务的看法，确定全科医生认为最需要改进的服务，并在卫生当局采购团队与当地全科医生之间建立良好的工作关系。
对全科医生进行邮政问卷调查。
布里斯托尔和韦斯顿健康区。
226名全科医生，其中171人回复。
医院和社区服务的质量和数量评分、被确定为优先改进服务的频率以及收到的关于服务的书面评论的性质。
在哪些服务充足以及哪些服务不足方面，受访者之间存在相当大的共识。大多数服务在质量和数量上至少被认为是足够的，但超过60%（102人）的医生认为有7项服务在数量上不足或更差，10%（17人）的医生认为有8项服务质量差。骨科、眼科、老年人护理和物理治疗是医生最希望改进的服务。
邮政问卷调查是获取全科医生对其患者可获得服务看法的一种可接受且准确的方法。全科医生的优先事项与从医院医疗咨询机制中获得的优先事项不同。
