Steven I D, Douglas R M
Department of Community Medicine, University of Adelaide.
Med J Aust. 1988 Mar 21;148(6):280-2. doi: 10.5694/j.1326-5377.1988.tb117835.x.
In 31 general practices in Adelaide, approximately 100 consecutive adult patients aged 15-64 years completed a 21-item questionnaire that related to their dissatisfaction with aspects of the care that was provided in the practice. Fourteen of the practices were "solo" practices, five practices were two-person partnerships and 12 practices involved three or more partners. The 21 items divided naturally into five groups: "architecture", "receptionists", "accessibility", "quality" and "communication". Factor analysis of the responses provided support for the idea that "receptionists", "accessibility" and "communication" were independent issues for the respondents and that "quality" was less discrete and was embedded in a factor which we have labelled "mechanics". For nearly all items, the mean dissatisfaction values for the practices were greatest in the larger practices and least in the two-person practices, with solo practices occupying an intermediate position. The main dissatisfaction related to accessibility and communication. These issues are explored in the light of current trends in the organization of primary medical care.
在阿德莱德的31家普通诊所中，约100名年龄在15至64岁之间的成年患者连续完成了一份21项的调查问卷，该问卷涉及他们对诊所所提供医疗服务各方面的不满之处。其中14家诊所为“单人”诊所，5家为两人合伙诊所，12家诊所涉及三名或更多合伙人。这21项自然分为五组：“建筑设施”、“接待员”、“可达性”、“质量”和“沟通”。对这些回答进行的因子分析支持了这样一种观点，即“接待员”、“可达性”和“沟通”对受访者来说是独立的问题，而“质量”则不那么离散，并且包含在我们标记为“运作方式”的一个因子中。几乎对于所有项目，诊所的平均不满值在规模较大的诊所中最高，在两人合伙诊所中最低，单人诊所则处于中间位置。主要的不满与可达性和沟通有关。本文将根据初级医疗保健组织的当前趋势对这些问题进行探讨。
