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对信德省民众庸医倾向相关因素的一些实证观察。

Some empirical observations on the correlates of quackery propensity in Sindh's populace.

机构信息

Sindh Healthcare Commission, Karachi, Pakistan.

出版信息

J Pak Med Assoc. 2023 Sep;73(9):1887-1890. doi: 10.47391/JPMA.8053.

Abstract

The current research provides an insight into what are the factors that influence people in Sindh to seek medical treatment from a quack. For this purpose an observational qualitative study was carried out between December 1, 2020 and June 30, 2022. The study used a purposive sampling technique, and the sample size was measured using data from anti-quackery campaigns run in 29 Sindh districts. To identify and collect data on quacks, a quackery- regulatory-intervention-induced questionnaire was used. The public's propensity for quacks is due to a number of factors, including: (1) simple and compounding ignorance among those seeking medical care; (2) quacks are more persuasive than doctors, (3) low doctor-to-patient ratios result in less interaction between the two, which dissatisfies the patients; (4) in urban areas, the general public is complacent and frequently consults the proximity facility without first verifying the qualifications of the healthcare provider; and (5) patients in rural areas consult a quack to avoid travelling long distances to access a functioning medical facility, the scarcity of doctors in those areas, and the high overall cost of doctor visits. However, people end up paying more for healthcare services from quacks for whatever reason because they receive incorrect treatment for non-existent health conditions.

摘要

当前的研究深入探讨了影响信德省民众选择庸医就医的因素。为此,本研究于 2020 年 12 月 1 日至 2022 年 6 月 30 日期间进行了一项观察性定性研究。本研究采用了目的性抽样技术,样本量通过在信德省 29 个地区开展的反庸医运动的数据进行测量。为了识别和收集庸医相关数据,使用了庸医监管干预诱导问卷。公众倾向于选择庸医主要有以下原因:(1)寻求医疗服务的人普遍存在简单和复杂的无知;(2)庸医比医生更有说服力;(3)医生与患者的比例低导致两者之间的互动减少,从而使患者不满意;(4)在城市地区,公众往往自满,经常光顾就近的医疗机构,而不先核实医疗服务提供者的资质;(5)农村地区的患者选择庸医是为了避免长途跋涉去寻求功能正常的医疗设施,以及这些地区医生的短缺和医生就诊的总体费用较高。然而,无论出于何种原因,人们最终都会因庸医的医疗服务而支付更多费用,因为他们会因不存在的健康状况而接受不正确的治疗。

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