Scott Kirstin W, Blendon Robert J, Benson John M
J Healthc Qual. 2016 Nov/Dec;38(6):e39-e51. doi: 10.1097/JHQ.0000000000000060.
Improving the quality of care delivered by the U.S. health care system is a topic of important policy and political debate. Although public opinion surveys have shown concerns regarding the state of quality of care nationally, the majority of Americans are satisfied with the quality of care they personally receive. Studies have shown that Republicans and Democrats may differ in these views.
We used a 2012 national survey of 1,508 American adults that captured perceptions of quality, political party, medical experiences, and self-reported interactions with the health care system due to an illness to examine these differences.
Regardless of having a recent illness or hospitalization, Democrats generally expressed greater concerns about the country's state of health care quality relative to Republicans. Partisan differences also emerged when identifying the most important problems contributing to quality-of-care deficiencies in the nation. However, partisan differences were nonexistent on measures related to self-reported experiences with quality of care.
Although their individual experiences with quality of care do not differ, Republicans and Democrats differ in their views on national quality-of-care issues. This may have implications for efforts to improve quality of care in the current polarized healthcare environment.
提高美国医疗保健系统所提供护理的质量是一个重要的政策和政治辩论话题。尽管民意调查显示全国范围内对护理质量状况存在担忧,但大多数美国人对他们个人所接受的护理质量感到满意。研究表明,共和党人和民主党人在这些观点上可能存在差异。
我们使用了2012年对1508名美国成年人进行的全国性调查,该调查获取了对质量、政党、医疗经历以及因疾病而与医疗保健系统的自我报告互动的认知,以研究这些差异。
无论近期是否患病或住院,与共和党人相比,民主党人通常对国家医疗保健质量状况表达出更大的担忧。在确定导致全国护理质量缺陷的最重要问题时,党派差异也显现出来。然而,在与护理质量自我报告经历相关的指标上不存在党派差异。
尽管共和党人和民主党人在护理质量的个人经历上没有差异,但他们在国家护理质量问题上的观点存在不同。这可能会对当前两极分化的医疗环境中提高护理质量的努力产生影响。