Breslau N, Novack A H
Med Care. 1979 Aug;17(8):859-67. doi: 10.1097/00005650-197908000-00008.
This study examined public attitudes toward the delegation of medical tasks to nonphysician health workers. Data were obtained in household interviews of a probability sample of the adult residents of Cuyahoga County, Ohio (N = 808). The proportions of the sample giving approval to care from nonphysicians varied widely among the 18 tasks on which opinions were elicited. The results of the public survey were compared to those from an earlier national survey of physicians. Physicians' responses paralleled the responses of the lay public regarding most tasks. However, with respect to regular checkups on babies and prenatal checkups, markedly higher proportions of the physicians than the public were willing to delegate to nonphysicians. The analysis indicated that public attitudes toward task delegation in medical practice do not bear strong relationships to social status indicators, political self-designations, or preceived health status.
本研究调查了公众对将医疗任务委托给非医生卫生工作者的态度。数据来自对俄亥俄州凯霍加县成年居民概率样本的家庭访谈(N = 808)。在引发意见的18项任务中,样本中批准非医生护理的比例差异很大。将公众调查的结果与早期全国医生调查的结果进行了比较。在大多数任务上,医生的回答与普通公众的回答相似。然而,在婴儿定期检查和产前检查方面,愿意将其委托给非医生的医生比例明显高于公众。分析表明,公众对医疗实践中任务委托的态度与社会地位指标、政治自我认定或感知的健康状况没有密切关系。