Umeh J C, Freeman R A, Garner D D, Blevins D E
Soc Sci Med. 1986;23(7):701-8. doi: 10.1016/0277-9536(86)90118-8.
Despite efforts to improve health services in Nigeria, considerable problems in distribution and access persist. At present, the health care system in Nigeria is organized and financed at the states' level rather than at the national level. A severe maldistribution of resources exists, as does a lack of coordination among states. An alternative system, albeit expensive, is a National Health Service (NHS). The purpose of this research is to quantify physicians' attitudes towards the concept of NHS. Although physicians in Nigeria are mandated to provide government-funded support, a substantial private practice thrives. Accordingly, physicians' attitudes that may be transferred into behavior are a major determinate of a potential NHS' long term success. In summary, Hausa physicians from the north tended to be more favorable to NHS than did others. Also, younger physicians and those who believed Nigeria's present system to be inadequate favored NHS. There was no association between a physician's gender, locus of medical education, and source of support for medication education and attitude. Finally, physicians in private practice and those in urban areas held more negative attitudes. In spite of Nigeria's present difficulties, a NHS may become a viable alternative. At this point, the overall concept is not opposed by physicians.
尽管尼日利亚努力改善医疗服务，但在医疗资源分配和获取方面仍存在相当大的问题。目前，尼日利亚的医疗体系是在州一级而非国家层面进行组织和筹资的。资源严重分配不均，各州之间也缺乏协调。另一种体系，尽管成本高昂，是国家医疗服务体系（NHS）。本研究的目的是量化医生对国家医疗服务体系概念的态度。尽管尼日利亚的医生被要求提供政府资助的支持，但大量的私人医疗业务仍蓬勃发展。因此，可能转化为行为的医生态度是潜在的国家医疗服务体系长期成功的主要决定因素。总之，来自北方的豪萨族医生比其他医生更倾向于国家医疗服务体系。此外，年轻医生以及那些认为尼日利亚现行体系不完善的医生更支持国家医疗服务体系。医生的性别、医学教育地点以及药物教育支持来源与态度之间没有关联。最后，从事私人医疗业务的医生和城市地区的医生持更消极的态度。尽管尼日利亚目前面临困难，但国家医疗服务体系可能成为一个可行的选择。在这一点上，总体概念并未遭到医生们的反对。
