Murphy A W
Fam Pract. 1995 Sep;12(3):318-23. doi: 10.1093/fampra/12.3.318.
This study set out to establish patients' attitudes towards GP trainees and to determine if patient age, sex, a history of having previously attended a GP trainee and practice location affected these attitudes. Two hundred questionnaires were distributed to each of the 10 training practices of the 1991-1992 Dublin GP Vocational Training Scheme. The questionnaires, which were completed anonymously, consisted of six statements regarding trainees which were answered on a five point Likert scale. A further question enquired about patient preference regarding type of doctor for six clinical scenarios. A total of 1510 completed questionnaires were returned (75%). More than three-quarters of patients expect the usual standard of care when seeing a trainee and 91% consider it advantageous for a practice to have a trainee. A third consider home visits by trainees to be less satisfactory than those performed by the usual doctor. A third would not feel as comfortable with the trainee as with their usual doctor and 41% would prefer to see their usual doctor after seeing the trainees. Few expressed a preference to see the trainee for five out of the six clinical scenarios. The exception was consultations regarding gynaecological problems. Negative attitudes towards trainees were sigificantly increased amongst urban practices, patients over 40 and those who had not previously attended a trainee. Patients have definite attitudes towards trainees. These attitudes are negatively affected by patient age greater than 40, a history of not previously attending a trainee and an urban practice location. These results have implications for the training of future general practitioners. How they can be best addressed merits further discussion.
本研究旨在确定患者对全科医生培训生的态度，并探究患者的年龄、性别、是否有过看全科医生培训生的经历以及就诊地点是否会影响这些态度。1991 - 1992年都柏林全科医生职业培训计划的10个培训诊所，每个诊所分发了200份问卷。问卷采用匿名方式填写，包含6条关于培训生的陈述，采用五点李克特量表作答。另一个问题询问了患者在六种临床场景下对医生类型的偏好。共收回1510份完整问卷（回收率75%）。超过四分之三的患者期望看培训生时能得到与往常一样的医疗标准，91%的患者认为诊所有培训生是有益的。三分之一的患者认为培训生进行家访不如普通医生。三分之一的患者觉得面对培训生不如面对他们的普通医生自在，41%的患者在看过培训生后更愿意去看他们的普通医生。在六种临床场景中，很少有人表示愿意看培训生，只有妇科问题咨询例外。城市诊所的患者、40岁以上的患者以及之前没看过培训生的患者对培训生的负面态度明显增加。患者对培训生有明确的态度。这些态度受到患者年龄大于40岁、之前没看过培训生的经历以及城市就诊地点的负面影响。这些结果对未来全科医生的培训有启示意义。如何最好地解决这些问题值得进一步讨论。
