Radecki S E, Bernstein G S
Department of Family Medicine, University of Southern California School of Medicine, Los Angeles 90033.
Am J Public Health. 1989 Jun;79(6):692-7. doi: 10.2105/ajph.79.6.692.
Use of private physicians versus public family planning facilities by poverty level and near poverty level women was examined by means of a sample survey conducted in low-income areas of Los Angeles County. Utilization differed by race/ethnicity, with Hispanics more likely to go to federally subsidized family planning clinics (primarily county-run), Whites and Blacks to private physicians. Private family planning offers easier access, greater convenience, and higher satisfaction, albeit at almost double the cost. Clinic usage is influenced by lack of a regular source of medical care and lack of insurance coverage more than poverty level per se. Clinic patients report greater patient education regarding contraceptive methods, but less general medical care during clinic visits. They are more likely than private patients to express a desire for a different source of family planning care.
通过在洛杉矶县低收入地区进行的抽样调查，研究了贫困水平和接近贫困水平的女性对私人医生和公共计划生育机构的使用情况。利用率因种族/族裔而异，西班牙裔更有可能前往联邦补贴的计划生育诊所（主要是县办诊所），白人和黑人则更倾向于选择私人医生。私人计划生育服务提供了更便捷的途径、更大的便利性和更高的满意度，尽管费用几乎是两倍。诊所的使用更多地受到缺乏常规医疗保健来源和缺乏保险覆盖的影响，而不是贫困水平本身。诊所患者报告说，在避孕方法方面接受了更多的患者教育，但在诊所就诊期间接受的一般医疗护理较少。与私人患者相比，他们更有可能表示希望更换计划生育护理的来源。
