Suppr超能文献

连续性个人护理与自由选择医生是否兼容?患者对看同一位医生的看法。

Is personal continuity of care compatible with free choice of doctor? Patients' views on seeing the same doctor.

作者信息

Freeman G K, Richards S C

机构信息

University of Southampton.

出版信息

Br J Gen Pract. 1993 Dec;43(377):493-7.

Abstract

While much has been written about the benefits of personal continuity of care there has been little research about the views of patients. In this cross sectional study 111 patients from three group practices (one of which ran a personal list system) were interviewed at home within a week of consulting a general practitioner. Patients were selected randomly from a systematic series of consulting sessions and a semi-structured interview was administered. Patients receiving more personal continuity of care were likely to be older, to have booked their most recent appointment further in advance, to desire personal continuity of care, to have an external health locus of control and to have a lower extroversion score. In the practice with a personal list, patients had a high level of continuity of care, were satisfied and showed little interest in having a choice of doctor. In the combined list practices patients valued their choice of doctor but often could not exercise it enough and they were more critical. They made more suggestions for change than those in the practice with a personal list system, mostly about receptionists and appointments. It is concluded that most patients like to see the same doctor, but they may not be willing to wait two days for this if there is a quicker option. It may be difficult to deliver both personal continuity of care and choice in group practice.

摘要

尽管已有大量关于连续性个人医疗护理益处的著述,但针对患者观点的研究却很少。在这项横断面研究中,来自三家团体诊所(其中一家采用个人名单系统)的111名患者在咨询全科医生后的一周内接受了家访。患者是从一系列系统的咨询会诊中随机选取的,并接受了半结构化访谈。接受更多连续性个人医疗护理的患者可能年龄更大,最近一次预约的时间更早,渴望连续性个人医疗护理,具有外部健康控制点,且外向性得分较低。在采用个人名单的诊所中,患者享有高水平的医疗护理连续性,感到满意,对选择医生兴趣不大。在联合名单诊所中,患者重视选择医生的权利,但往往无法充分行使这一权利,他们更为挑剔。与采用个人名单系统的诊所患者相比,他们提出了更多关于改进的建议,大多涉及接待员和预约安排。研究得出结论,大多数患者希望看同一位医生,但如果有更快的选择,他们可能不愿意为此等待两天。在团体诊所中,提供连续性个人医疗护理和选择可能存在困难。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验