Steckler A, Dawson L, Dellinger N, Williams A
J Community Health. 1981 Spring;6(3):181-93. doi: 10.1007/BF01323009.
Consumer participation and influence were studied in one Health Systems Agency in the southeastern United States over a 20-month period (July 1976--February 1978). Consumer board members were found to be significantly less influential in agency decision making than were provider board members. This difference in influence existed even though virtually no difference existed between consumers' and providers' levels of participation. Consumer board members, while representing minority and nonminority, and both rural and nonrural groups, tended nevertheless also to be middle-class, middle-income individuals. Low-income and working-class groups were underrepresented on the board of the Health Systems Agency. Furthermore, consumer representatives tended to be satisfied with and have access to health care.
在美国东南部的一个卫生系统机构中，对20个月期间（1976年7月至1978年2月）的消费者参与和影响进行了研究。结果发现，消费者董事会成员在机构决策中的影响力明显低于提供者董事会成员。即使消费者和提供者的参与程度几乎没有差异，这种影响力的差异仍然存在。消费者董事会成员虽然代表了少数群体和非少数群体，以及农村和非农村群体，但他们往往也是中产阶级、中等收入的个人。低收入和工人阶级群体在卫生系统机构董事会中的代表性不足。此外，消费者代表往往对医疗保健感到满意并有机会获得医疗保健。
