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公众对医疗保健的态度:第4部分。全科医生服务。

Attitudes of the public to medical care: Part 4. Generalpractitioner services.

作者信息

Dixon C W, Dodge J S, Spears G F, Emery G M, Salmond G C

出版信息

N Z Med J. 1975 Jan 22;81(532):48-54.

PMID:806860
Abstract

A number of questions were asked concerning general practitioner services. These questions dealt with utilisation, financial arrangements and satisfaction with various aspects of the service, and also with possible changes in the financing of general practitioner services. Nineteen out of 20 respondents had a doctor they recognised as their personal or family doctor and generally members of the same family attended the same doctor. A change of address of doctor or patient was the most common reason for a change of doctor. There appears to be some differences in the pattern of practice between Auckland and Dunedin, house calls being less in Auckland although the total number of patient-doctor contacts in the two cities is much the same. There are some interesting age differences in the distribution of consultations at surgery and at home. There is little enthusiasm for major changes in the financing of the general practitioner services except for some extension of special groups who should receive extra financial assistance from the government. Satisfaction with general practitioners' service is high but there are some specific aspects which could, from the patient's viewpoint, be improved. Reference has already been made to the research philosophy and the survey design (Dixon and others, 1974). In the section of the survey dealing with general practitioner services a total of 20 questions were asked. Five dealt with utilisation of general practitioner services by the respondent and the respondent's household; 12 questions dealt with financing of general practitioner services and three questions with satisfaction with various aspects of general practitioner services.

摘要

关于全科医生服务提出了一些问题。这些问题涉及服务的利用情况、财务安排以及对服务各个方面的满意度,还涉及全科医生服务融资方面可能的变化。20名受访者中有19人有他们认可的私人或家庭医生,并且通常同一个家庭的成员会看同一位医生。医生或患者地址变更,是更换医生最常见的原因。奥克兰和但尼丁的医疗模式似乎存在一些差异,奥克兰的上门问诊较少,尽管两个城市医患接触的总数大致相同。在诊所和家中进行诊疗的分布情况上,存在一些有趣的年龄差异。除了一些应得到政府额外财政援助的特殊群体有所扩大外,人们对全科医生服务融资的重大变革兴趣不大。患者对全科医生服务的满意度较高,但从患者的角度来看,有些具体方面仍有待改进。前文已提及研究理念和调查设计(迪克森等人,1974年)。在调查中关于全科医生服务的部分,总共提出了20个问题。其中5个问题涉及受访者及其家庭对全科医生服务的利用情况;12个问题涉及全科医生服务的融资,3个问题涉及对全科医生服务各个方面的满意度。

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