Walton V A, Romans-Clarkson S E, Mullen P E
Department of Psychological Medicine, University of Otago Medical School, Dunedin.
N Z Med J. 1988 Feb 24;101(840):80-2.
This study asked 2000 women randomly selected from the community to comment on their health services. Three-quarters did so; one-quarter were satisfied with currently available services but 45% specified changes they would like to see. The criticisms fell into three broad groups: (a) hospital services where delays, centralisation and referral paths were criticised; (b) general practice where doctor-patient communication was mentioned; and (c) cost of certain health services. Women who criticised currently available services tended to be younger, better educated with higher socioeconomic status, to be in paid employment and to have more often poor health or a close relative with poor health than the women who made no comment. These findings are seen as constructive comments from a thoughtful and informed group of health consumers.
该研究邀请了从社区中随机挑选的2000名女性对她们所接受的医疗服务发表意见。四分之三的女性参与了评价;四分之一的女性对现有服务感到满意,但45%的女性明确提出了她们希望看到的改进之处。批评意见主要分为三大类:(a)医院服务,其中延迟、集中化和转诊流程受到批评;(b)全科医疗,提到了医患沟通问题;(c)某些医疗服务的费用。与未发表意见的女性相比,对现有服务提出批评的女性往往更年轻、受教育程度更高、社会经济地位更高,有带薪工作,且自身健康状况较差或有近亲健康状况不佳。这些发现被视为一群有思想、有见识的医疗消费者提出的建设性意见。