Cordes S M
Public Health Rep. 1978 Jul-Aug;93(4):362-8.
In a study in the State of Washington during 1971-73, 41 general practitioners in rural areas were asked their opinions about (a) their present practices, (b) the medical care needs of their communities, and (c) rural medical care in general. The most frequently mentioned enjoyable aspects of their practices were the variety and challange of medical problems confronted, the favorable working conditions of the practices, and the types of communities in which the practices were located. The most frequently mentioned sources of frustration to the physicians were the "excess work, responsibility, demands and expectations by patients and community." The physicians were more reluctant to criticize the care received by the residents of their communities than they were to criticize the care that patients received in other rural areas. Suggestions made by the physicians for improving medical care in rural Washington focused on ways to increase the number of resources used to produce medical care, rather than on structural changes in the way medical care is organized, delivered, and financed.
在1971年至1973年期间于华盛顿州开展的一项研究中，41名农村地区的全科医生被问及他们对以下方面的看法：(a) 他们目前的行医方式；(b) 他们所在社区的医疗需求；以及 (c) 总体上的农村医疗服务。他们行医过程中最常提到的令人愉快的方面是所面临医疗问题的多样性和挑战性、行医的良好工作条件以及所在社区的类型。医生们最常提到的挫折来源是 “工作量过大、责任过重、患者和社区的要求及期望过高”。与批评其他农村地区患者所接受的医疗服务相比，医生们更不愿意批评他们所在社区居民所接受的医疗服务。华盛顿州农村地区的医生们提出的改善医疗服务的建议集中在增加用于提供医疗服务的资源数量的方法上，而不是医疗服务的组织、提供和融资方式的结构性变革。
