Stamps P L
J Community Health. 1979 Spring;4(3):232-41. doi: 10.1007/BF01322968.
This paper presents the results of an evaluation of a family practice that focuses on changes in patient perceptions over five years. The evaluation includes an analysis of patient attitudes as well as behavior. Patient attitudes are measured by means of a personal interview and behavior is analyzed by creation of a Family Utilization Index. Significant changes are noted in the areas of both reported and actual utilization, with fewer changes in the areas relating to patients' perceptions of health and illness or in attitudes toward either the model of family practice of the specific site of obtaining care. This is not a definitive model for evaluation of family practice, but it is one of the few empirical studies available and suggests the need for more documentation of the effectiveness of family practice as a model for delivering primary care services.
本文介绍了一项针对家庭医疗实践的评估结果，该评估聚焦于患者五年间认知的变化。评估涵盖了对患者态度以及行为的分析。患者态度通过个人访谈来衡量，行为则通过创建家庭利用指数进行分析。在报告利用和实际利用方面均发现了显著变化，而在患者对健康与疾病的认知领域或对特定医疗点家庭医疗模式的态度方面变化较少。这并非评估家庭医疗实践的权威模式，但却是为数不多的实证研究之一，表明需要更多关于家庭医疗实践作为提供初级保健服务模式有效性的记录。
