Philips H, Mahr D, Remmen R, Weverbergh M, De Graeve D, Van Royen P
Faculty of Medicine, Department of Primary and Interdisciplinary Care, Centre for General Practice, University of Antwerp, Antwerp, Belgium.
Qual Saf Health Care. 2010 Dec;19(6):e3. doi: 10.1136/qshc.2007.024299. Epub 2010 Apr 29.
In many countries, a reassessment of after-hours primary care has become necessary. In particular, centralised general practitioner deputizing services (GPDS) have emerged. In this study, consumers' preferences for after-hours medical care were obtained and the use of the new GPDS was predicted.
On the basis of the Theory of Reasoned Action, a survey was developed that was used at the Free Newborn and Child health care services in Antwerp. Consumers were asked about their knowledge, experience and perceptions concerning the performance of different medical services.
350 questionnaires were used for analysis. 98.6% of the respondents knew about the existence of the emergency department, whereas the GPDS was known by 81.7% of the respondents. The main reasons for preferring emergency department over the other services were an easy access, good explanation by the doctor and a late due time of the payment. Respondents preferred the GPDS mainly because of an expected shorter waiting time. Experience had a strong positive influence on choosing a particular after-hours medical service.
In our study, the consumers' preferences concerning after-hours medical care were assessed. The following items are crucial for choosing after-hours care: experience with the services, easy access to the service, explanation by the doctor about the illness and the treatment and waiting time.
在许多国家，重新评估非工作时间的初级医疗护理已成为必要。特别是，集中式全科医生代理服务（GPDS）应运而生。在本研究中，获取了消费者对非工作时间医疗护理的偏好，并预测了新GPDS的使用情况。
基于理性行动理论，开发了一项调查，该调查在安特卫普的免费新生儿和儿童保健服务中使用。询问消费者关于他们对不同医疗服务表现的了解、经验和看法。
350份问卷用于分析。98.6%的受访者知道急诊科的存在，而81.7%的受访者知道GPDS。比起其他服务，选择急诊科的主要原因是就诊方便、医生解释清晰以及缴费截止时间晚。受访者选择GPDS主要是因为预计等待时间较短。经验对选择特定的非工作时间医疗服务有强烈的积极影响。
在我们的研究中，评估了消费者对非工作时间医疗护理的偏好。以下因素对于选择非工作时间护理至关重要：服务体验、服务获取便利性、医生对病情和治疗的解释以及等待时间。
