Nash D B, Freeborn D K, Barker W H
J Community Health. 1982 Summer;7(4):239-49. doi: 10.1007/BF01318957.
The purpose of this study was to determine HMO physicians' receptivity to special organized programs dealing with sociomedical and behavioral problems. The study population consisted of full-time physicians in a large prepaid group practice HMO, and the data were obtained in 1977 by means of a self-administered structured questionnaire. Most physicians favored special organized services for alcoholism, drug abuse, obesity, disturbances in sexual relations, and the like. Except for alcohol and drug abuse, favoring organized services for one problem did not correlate highly across problem areas. Specialty, AMA membership, and political orientation were the main characteristics that differentiated physicians on their receptivity to organized programs for sociomedical problems. Social background and professional training and experience may be more important than the practice setting in influencing physicians' receptivity to these types of services.
本研究的目的是确定健康维护组织（HMO）的医生对处理社会医学和行为问题的特殊组织项目的接受程度。研究对象为一家大型预付费团体医疗HMO中的全职医生，数据于1977年通过自行填写的结构化问卷获得。大多数医生赞成针对酗酒、药物滥用、肥胖、性关系紊乱等问题提供特殊的组织服务。除了酗酒和药物滥用外，对一个问题赞成组织服务与其他问题领域的相关性并不高。专业、美国医学协会（AMA）会员资格和政治倾向是区分医生对社会医学问题组织项目接受程度的主要特征。在影响医生对这类服务的接受程度方面，社会背景、专业培训和经验可能比执业环境更重要。
