Leenaars P E, Rombouts R, Kok G
Department of Health Sciences and Epidemiology, Faculty of Medicine, University of Utrecht, The Netherlands.
Soc Sci Med. 1994 Jan;38(2):363-71. doi: 10.1016/0277-9536(94)90406-5.
This article examines choice for STD health services among patients suspecting a STD. A total of 825 patients who sought medical treatment at an STD clinic, a Family Planning Clinic or a General Practitioner participated in this study. Special STD clinics are not well known among patients visiting their GP or a Family Planning Clinic. Both perceived unprofessionality and embarrassment were reasons for not asking a GP for medical treatment and for not being loyal to their GP after a first visit. Most respondents evaluate the 16 service attributes as important and/or annoying. Differences in beliefs and evaluations about the separate service attributes existed between the three choice behavior groups. The results of this study may be useful in making persuasive arguments for the existence of special STD clinics, especially when competing for limited resources. However, attitudes to service attributes and social norms explained only 24% of the variance in scores between the three choice behavior groups. This means that other factors (have to) play a role in actual choice behavior. Future research should take into account factors, such as: personality traits, perceived behavioral control and confidentiality.
本文探讨了疑似性传播疾病（STD）患者对STD健康服务的选择。共有825名在STD诊所、计划生育诊所或全科医生处寻求治疗的患者参与了这项研究。特殊的STD诊所在去看全科医生或计划生育诊所的患者中并不广为人知。感知到的不专业性和尴尬感都是患者不向全科医生寻求治疗以及首次就诊后不再忠诚于其全科医生的原因。大多数受访者认为这16项服务属性既重要又/或令人烦恼。三个选择行为组在对各单独服务属性的信念和评价上存在差异。本研究结果可能有助于为设立特殊STD诊所提供有说服力的论据，尤其是在争夺有限资源时。然而，对服务属性的态度和社会规范仅解释了三个选择行为组之间得分差异的24%。这意味着其他因素在实际选择行为中（必定）发挥了作用。未来的研究应考虑诸如个性特征、感知行为控制和保密性等因素。
