Blendon R J, Donelan K, Leitman R, Epstein A, Cantor J C, Cohen A B, Morrison I, Moloney T, Koeck C
Department of Health Policy and Management, Harvard School of Public Health.
Health Aff (Millwood). 1993 Fall;12(3):194-203. doi: 10.1377/hlthaff.12.3.194.
To explore the concerns of practicing physicians as a way to inform the health reform debate, the authors conducted a survey of physicians in the United States, Canada, and Germany. Survey results indicate that U.S. physicians are most likely to view affordability as the greatest barrier to access to care for their patients. However, unavailability of services and long waiting times were cited most often by Canadian physicians. German physicians did not cite access problems as frequently as Canadian physicians did; other measures of satisfaction were closer to U.S. levels, suggesting fewer trade-offs if the United States were to adopt aspects of the German health care system.
为了探究执业医师所关心的问题，以此为医疗改革辩论提供参考依据，作者对美国、加拿大和德国的医师进行了一项调查。调查结果显示，美国医师最有可能将可负担性视为其患者获得医疗服务的最大障碍。然而，加拿大医师最常提到的是服务不可得以及候诊时间长的问题。德国医师提及医疗服务可及性问题的频率不像加拿大医师那么高；其他满意度指标则更接近美国的水平，这表明如果美国采用德国医疗体系的某些方面，所需要做出的权衡会更少。
