Skinner T J, Price B S, Scott D W, Gorry G A
Am J Public Health. 1977 May;67(5):439-45. doi: 10.2105/ajph.67.5.439.
This study of patients in the outpatient department at an urban hospital revealed that almost all could have reached a neighborhood center in less time and only a small number came to the hospital rather than a neighborhood center out of medical necessity. When the patients were asked about their willingness to obtain treatment at a neighborhood center, 48 per cent were willing, 52 per cent were not. These responses did not vary by demographic or medical characteristics but rather by the patients' stated priorities regarding medical care. Eighty per cent of those willing to change sites stressed convenience of access as a first priority compared with only 17 per ccent of those not willing to change. Emphasis on quality of care (45 per cent) or on familarity with the site (37 per cent) distinguished the group not willing to change. The findings suggest that successful efforts to persuade patients to utilize a neighborhood center must base their appeal on patients' individual priorities.
这项针对一家城市医院门诊部患者的研究表明，几乎所有患者本可以在更短时间内到达社区医疗中心，只有少数患者是出于医疗必需才来医院而非社区医疗中心。当询问患者是否愿意在社区医疗中心接受治疗时，48%的患者表示愿意，52%的患者不愿意。这些回答并非因人口统计学特征或医疗特征而异，而是取决于患者在医疗护理方面所陈述的优先事项。愿意更换就医地点的患者中有80%强调就医便利性是首要优先事项，而不愿意更换的患者中只有17%这样认为。强调医疗护理质量（45%）或对就医地点的熟悉程度（37%）是不愿意更换就医地点的患者群体的特征。研究结果表明，要说服患者利用社区医疗中心，成功的努力必须基于患者的个人优先事项来进行呼吁。
