Lo A Y, Hedley A J, Pei G K, Ong S G, Ho L M, Fielding R, Cheng K K, Daniel L
Department of Community Medicine, University of Hong Kong.
Int J Qual Health Care. 1994 Dec;6(4):371-81. doi: 10.1093/intqhc/6.4.371.
Doctor-shopping is defined as the changing of doctors without professional referral in the same illness episode. Two surveys on samples of patients attending Government Out-Patient Departments (GOPDs) in Hong Kong in 1989 (n = 869) and 1990 (n = 901) estimated the prevalence of shopping at nearly 40%, the main reason being a persistence of symptoms. Doctor-shoppers were likely to be younger with higher expectations of health care and who expressed dissatisfaction about aspects of the present service. In Hong Kong, patients perceive western medicine to be more effective and have high expectations of the effects of western drugs, in particular, in their administration by injection. Patients should be warned about iatrogenic health risks incurred from doctor-shopping; health education programmes are needed to modify unrealistic views about quality care. Health care providers in a mixed care system should promote greater continuity of care between doctors and both the public and private sectors, and identify and resolve problems which may be responsible for discontinuity of care.
“医生跳槽”被定义为在同一次患病期间未经专业转诊就更换医生。1989年（n = 869）和1990年（n = 901）对香港政府门诊部门就诊患者样本进行的两项调查估计，“跳槽”的发生率近40%，主要原因是症状持续。“医生跳槽者”可能更年轻，对医疗保健的期望更高，并且对当前服务的某些方面表示不满。在香港，患者认为西医更有效，对西药的效果，尤其是注射给药的效果期望很高。应警告患者“医生跳槽”带来的医源性健康风险；需要开展健康教育项目，以改变对优质护理的不切实际看法。混合医疗体系中的医疗服务提供者应促进医生之间以及公共和私营部门之间更大的护理连续性，并识别和解决可能导致护理中断的问题。
