Yu E S, Cypress B K
Med Care. 1982 Aug;20(8):809-20. doi: 10.1097/00005650-198208000-00005.
The purpose of this paper is to disseminate some of the findings from the 1979 National Ambulatory Medical Care Survey (NAMCS) where, for the first time in its history, data are available on the characteristics of visits to office-based physicians by Asian/Pacific Americans. The NAMCS Program is the only source for such data which is based on a national probability sample survey of physician-patient encounters. Among the findings are: 1) no significant difference was observed between Asian/Pacific Islanders and the white majority with regard to the patient's sex, return-visit ratio, or the kinds of diagnostic and therapeutic services rendered by the sampled physicians. 2) Children appear to be the major utilizers of ambulatory medical care among Asian/Pacific Americans. 3) In every age group, the visit rate to office-based physicians is lower for Asian/Pacific Americans when compared with white Americans. 4) A significantly smaller percentage of Asians or Pacific Islanders, in contrast to other specified race/ethnic groups, had visited a physician for injury or poisoning, and a substantial proportion of their visits were apparently made for preventive care. 5) Significantly fewer visits were made by Asian/Pacific Americans to the office of a surgeon or a psychiatrist. The demographic antecedents and cultural underpinnings of these findings are discussed.
本文旨在公布1979年全国门诊医疗调查(NAMCS)的一些研究结果。在该调查历史上,首次有了关于亚太裔美国人就诊于门诊医生情况的相关数据。NAMCS项目是此类基于全国医生与患者诊疗接触概率抽样调查的数据的唯一来源。研究结果如下:1)在患者性别、复诊率或抽样医生提供的诊断和治疗服务种类方面,亚太岛民与白人多数群体之间未观察到显著差异。2)儿童似乎是亚太裔美国人中门诊医疗服务的主要使用者。3)在每个年龄组中,与美国白人相比,亚太裔美国人就诊于门诊医生的比率较低。4)与其他特定种族/族裔群体相比,亚裔或太平洋岛民因受伤或中毒而去看医生的比例明显较小,而且他们的就诊很大一部分显然是为了预防保健。5)亚太裔美国人去外科医生或精神科医生办公室就诊的次数明显较少。本文还讨论了这些研究结果的人口统计学背景和文化基础。