Roberts P J
Br J Gen Pract. 1995 Feb;45(391):79-81.
A general practice-based hormone replacement therapy clinic was set up in one practice following the introduction of the 1990 contract for general practitioners. The funding for this clinic was withdrawn in 1993.
A study was undertaken to measure reported satisfaction with care among women receiving hormone replacement therapy in the dedicated clinic and among those receiving treatment in normal general practice consultations.
Questionnaires were sent to all women in the practice who were currently using or who had used hormone replacement therapy in the last 12 months. The questionnaire sought biographical details, and asked whether the women had had a hysterectomy, and whether they attended the clinic for their hormone replacement therapy. Women's satisfaction with their care was assessed by scoring 12 statements using a five-point Likert-type scale.
One hundred and thirty seven women replied (80%), of whom 60% had attended the practice's clinic. Analysis of the ratings of the 12 statements revealed a significant difference between those attending the clinic for their hormone replacement therapy and those attending normal general practice consultations, suggesting that those attending the clinic rated their care more highly than those who received their hormone replacement therapy from elsewhere in the practice.
Patient satisfaction with care was higher among women who attended the hormone replacement therapy clinic than among those who did not. Possible reasons for this difference are discussed. Research in other practices may determine whether this finding is more widespread. General practitioners are having to balance the short- and long-term benefits of running such clinics against the resources available for them. Information about measurable benefits, such as patient satisfaction, might help with future decisions about the organization of care within general practice.
1990年引入全科医生合同后，在一家诊所设立了一家基于全科医疗的激素替代疗法诊所。该诊所的资金于1993年被撤回。
进行一项研究，以衡量在专门诊所接受激素替代疗法的女性以及在普通全科医疗咨询中接受治疗的女性对护理的满意度。
向该诊所所有目前正在使用或在过去12个月内使用过激素替代疗法的女性发送问卷。问卷询问了个人信息细节，并询问女性是否进行过子宫切除术，以及她们是否在该诊所接受激素替代疗法。通过使用五点李克特量表对12项陈述进行评分来评估女性对护理的满意度。
137名女性回复（80%），其中60%曾在该诊所就诊。对这12项陈述评分的分析显示，在诊所接受激素替代疗法的女性与在普通全科医疗咨询中接受治疗的女性之间存在显著差异，这表明在诊所就诊的女性对护理的评价高于在诊所其他地方接受激素替代疗法的女性。
参加激素替代疗法诊所的女性对护理的满意度高于未参加的女性。讨论了这种差异的可能原因。其他诊所的研究可能会确定这一发现是否更普遍。全科医生必须在运营此类诊所的短期和长期益处与可用资源之间取得平衡。关于可衡量益处（如患者满意度）的信息可能有助于未来关于全科医疗中护理组织的决策。
