Jansen Peter, Bacal Kira, Buetow Stephen
Accident Compensation Corporation, Auckland, New Zealand.
N Z Med J. 2011 Mar 4;124(1330):24-9.
To compare Māori and non-Māori experiences in relation to access to general practice care.
A semi-structured personal questionnaire was administered in telephone surveys of random samples of 651 Māori and 400 non-Māori consumers. Differences in these groups of consumers' experiences of accessing general practice care were compared statistically.
Compared with the non-Māori, the Māori respondents on average were younger and less advantaged in their socioeconomic and health status. Māori were more likely to report needing their last visit urgently. Most respondents reported seeing a GP when they wanted, but non-Māori were more likely than Māori to have this preference met. Fewer Māori said they were offered a choice of appointment times or were seen on time.
Māori still report high health needs and being less likely to be offered choices at their general practice, to be seen on time, or to be seen within their preferred timeframe. Additional work is needed to align Māori and non-Māori experiences of general practice care.
比较毛利人和非毛利人在获得全科医疗服务方面的经历。
通过电话调查对651名毛利人和400名非毛利人消费者的随机样本进行半结构化个人问卷调查。对这些消费者群体在获得全科医疗服务方面的经历差异进行统计学比较。
与非毛利人相比,毛利人受访者平均年龄更小,在社会经济和健康状况方面处于劣势。毛利人更有可能报告上次就诊急需。大多数受访者表示在需要时能见到全科医生,但非毛利人比毛利人更有可能满足这一偏好。较少的毛利人表示他们能选择预约时间或按时就诊。
毛利人仍报告有较高的健康需求,且在全科医疗中获得选择、按时就诊或在他们偏好的时间范围内就诊的可能性较小。需要开展更多工作,使毛利人和非毛利人在全科医疗服务方面的经历保持一致。