Twaddle A C
Department of Sociology, University of Missouri, Columbia 65211.
Soc Sci Med. 1988;26(7):761-8. doi: 10.1016/0277-9536(88)90067-6.
This paper reports the results of focused interviews in 1978-1979 with Swedish physicians in private practice about the public system of medical care in Sweden. They were asked about the system as a work environment for physicians and as a system of care for patients. Respondents, who were outside the public system (although financed mainly by public mechanisms) said the public system as a place to work had advantages in its high technical quality, facilities for research and training, and the capacity to treat complicated disease; its disadvantages were said to be inefficiency, lack of communication, poor patient care, and blocked mobility for physicians without doctorates. As a system of care, its one advantage was said to be that it provided care at less out-of-pocket cost to patients; its reported disadvantages were poor quality care and a tendency to be overly comprehensive. These perspectives are discussed with respect to their structural and historical contexts.
本文报告了1978年至1979年对瑞典私人执业医生就瑞典公共医疗体系进行的焦点访谈结果。他们被问及该体系作为医生的工作环境以及作为患者护理体系的情况。受访者处于公共体系之外（尽管主要由公共机制提供资金），他们表示，作为一个工作场所，公共体系在技术质量高、研究和培训设施以及治疗复杂疾病的能力方面具有优势；其缺点据说是效率低下、缺乏沟通、患者护理不佳，以及没有博士学位的医生职业发展受限。作为一个护理体系，其一个优势据说是为患者提供了自付费用较低的护理；其报告的缺点是护理质量差和过于全面的倾向。本文结合其结构和历史背景对这些观点进行了讨论。
