Zander Nicole, van den Berg Neeltje, Augustin Jobst
Competenzzentrum Versorgungsforschung in der Dermatologie (CVderm), Institut für Versorgungsforschung in der Dermatologie und bei Pflegeberufen (IVDP), Universitätsklinikum Hamburg-Eppendorf (UKE), Hamburg.
Institut für Community Medicine, Universitätsmedizin Greifswald, Greifswald.
Gesundheitswesen. 2019 Nov;81(11):e192-e198. doi: 10.1055/s-0043-121697. Epub 2018 Jan 17.
There is only little knowledge about the influence of individual and sociodemographic characteristics determining patients' choice of their physicians. Furthermore, the role of patients' mobility is not clear. The primary aim of this study was the analysis of patients' decision patterns when choosing a physician. Patients' mobility as well as sociodemographic aspects were included in the analysis.
A multicenter cross-sectional study was conducted. Data were assessed at office-based dermatologists and at the University Medical Center Hamburg-Eppendorf. Patients with psoriasis and chronic wounds were interviewed about their behaviour when choosing a physician. Data analysis was performed using descriptive and multivariate methods.
Data on 309 patients (50.5% male, mean age 58.3 years) were analysed. 211 patients were recruited at the outpatient unit of the university clinic, 98 at office-based physicians. The decision to visit a physician is primarily influenced by the physicians' competence, his range of service and the physician-patient relationship. The perspective of a better therapy as well as worsening of quality of life are responsible for a higher motivation to travel a longer distance to the physician.
The results show a complex behaviour pattern of patients when choosing a physician. The physician's competence and his range of services are crucial for the patients' decision. The results also show that patients are willing to travel longer distances than necessary.
关于决定患者选择医生的个人及社会人口学特征的影响，人们了解甚少。此外，患者流动的作用尚不清楚。本研究的主要目的是分析患者选择医生时的决策模式。分析中纳入了患者流动情况以及社会人口学方面。
开展了一项多中心横断面研究。在门诊皮肤科医生处以及汉堡-埃彭多夫大学医学中心收集数据。对银屑病和慢性伤口患者就其选择医生时的行为进行了访谈。采用描述性和多变量方法进行数据分析。
分析了309例患者的数据（男性占50.5%，平均年龄58.3岁）。211例患者在大学诊所门诊招募，98例在门诊医生处招募。决定就医主要受医生能力、服务范围以及医患关系的影响。对更好治疗效果的期望以及生活质量变差会促使患者更愿意长途就医。
结果显示患者在选择医生时存在复杂的行为模式。医生的能力和服务范围对患者的决策至关重要。结果还表明患者愿意长途跋涉就医。
