Delgado A, Lopez-Fernandez L A, Luna J D
Family and Community Medicine Education Unit, Health Service of Andalucia, Granada, Spain.
Med Care. 1993 Sep;31(9):795-800. doi: 10.1097/00005650-199309000-00004.
This study was carried out in the framework of a wider research project concerning the degree of patient satisfaction with the various types of primary health care. We have studied the relationship among the gender of the doctor, the gender of the patient and the type of primary health care center involved. In 1 type of primary care center (health centers) the medical staff work as a team, whereas in the other (ambulatory care services), the doctor works alone. The survey was conducted among 86 doctors and 860 patients from urban areas in Andalusia, Spain. The degree of patient satisfaction was tested on Likert scales. Both male and female patients attended by female doctors were more satisfied than those attended by male doctors (P < 0.005). Both male and female patients were attended in equal proportions by both male and female doctors (P > 0.20). Overall patient satisfaction values were not affected by the patient's gender (P > 0.40). In comparing overall satisfaction among patients according with the doctor's gender and type of primary health care center, there was a greater degree of satisfaction with female doctors working in health centers (P < 0.01) and no difference existed in ambulatory care services in this area.
本研究是在一个更广泛的研究项目框架内进行的,该项目关注患者对各类初级卫生保健的满意度。我们研究了医生性别、患者性别与所涉及的初级卫生保健中心类型之间的关系。在一种初级保健中心(健康中心),医务人员团队协作开展工作;而在另一种(门诊护理服务中心),医生单独工作。调查在西班牙安达卢西亚城市地区的86名医生和860名患者中进行。患者满意度程度通过李克特量表进行测试。由女医生诊治的男性和女性患者比由男医生诊治的患者更满意(P < 0.005)。男性和女性医生诊治的男性和女性患者比例相同(P > 0.20)。患者总体满意度值不受患者性别的影响(P > 0.40)。在根据医生性别和初级卫生保健中心类型比较患者总体满意度时,在健康中心工作的女医生的患者满意度更高(P < 0.01),在该领域门诊护理服务中心不存在差异。