Hope V D, MacArthur C
Department of Public Health & Epidemiology, University of Birmingham, Edgbaston, UK.
Genitourin Med. 1996 Feb;72(1):52-5. doi: 10.1136/sti.72.1.52.
to examine and compare the accessibility and acceptability of a range of genitourinary medicine (GUM) clinics.
five GUM clinics representing different types of locations in the West Midlands Region were selected. All patients attending over the sampling period were included, with data collected by anonymous self completed questionnaire.
297 completed questionnaires were obtained from 360 attendees; 87.4% of attendees had taken 30 minutes or less to get to the clinic, and 66% had used public transport, with variations found between locations. The majority (72.5%) of attendees visited the clinics during their preferred part of the day. Examination of narrower time preferences showed that those wanting to visit in the evening were less likely to be seen during their preferred time than those wanting daytime visits (32% compared with 90%). Of the attendees 98.6% found clinic staff to be friendly and 97.5% did not feel they were being judged because of their sexual activities. The most common reasons for choosing a clinic were recommendation (38.2%) and proximity (36.4%).
the clinics were generally found to be physically accessible, although clinic opening hours need to be reconsidered. Further work is needed on the acceptability of the service in relation to expectations.
考察并比较一系列性健康诊所的可达性与可接受性。
选取了西米德兰兹地区代表不同地点类型的五家性健康诊所。纳入抽样期间就诊的所有患者,通过匿名自填问卷收集数据。
从360名就诊者中获得了297份完整问卷;87.4%的就诊者前往诊所花费了30分钟或更少时间,66%使用公共交通工具,不同地点之间存在差异。大多数(72.5%)就诊者在一天中他们喜欢的时段前往诊所。对更细化的时间偏好进行考察发现,想要在晚上就诊的人在其偏好时间就诊的可能性低于想要在白天就诊的人(分别为32%和90%)。在就诊者中,98.6%认为诊所工作人员友好,97.5%感觉自己没有因其性行为而受到评判。选择诊所最常见的原因是他人推荐(38.2%)和距离近(36.4%)。
总体而言,这些诊所实际可达,但诊所开放时间需要重新考虑。在服务与期望的可接受性方面还需要进一步开展工作。