Bowie C, Richardson A, Sykes W
Department of Public Health, Somerset Health Authority, Taunton.
BMJ. 1995 Oct 28;311(7013):1155-8. doi: 10.1136/bmj.311.7013.1155.
Consulting the public is an important component of commissioning health services. Somerset Health Authority has devised a method of consultation using eight focus groups meeting three times a year. Each group consists of 12 people, and together the groups are demographically representative of Somerset's population. The groups are asked about issues that are concerning the health authority, and their views have influenced health authority decisions. Each group is given some background information before the meeting, together with more information at the meeting. The discussions are tape recorded and analysed for qualitative information, but the groups are also asked to score certain priorities. The groups have been found to be representative, valid, and focused on community rather than individual values. Health authorities wanting to know the values people attach to health services should adopt this qualitative approach to consultation.
咨询公众是委托提供医疗服务的一个重要组成部分。萨默塞特郡卫生局设计了一种咨询方法,利用八个焦点小组,每年开会三次。每个小组由12人组成,这些小组加在一起在人口统计学上代表了萨默塞特郡的人口。这些小组被问及卫生局关心的问题,他们的观点影响了卫生局的决策。每个小组在会议前会得到一些背景信息,会议期间还会得到更多信息。讨论内容会被录音,并对定性信息进行分析,但小组也被要求对某些优先事项进行评分。已发现这些小组具有代表性、有效性,且关注社区而非个人价值观。希望了解人们对医疗服务重视程度的卫生局应采用这种定性咨询方法。