Thomson W M, Stewart J F, Carter K D, Spencer A J
AIHW Dental Statistics and Research Unit, University of Adelaide, Australia.
Community Dent Health. 1996 Jun;13(2):99-104.
Data on the mobility of dental patients are scarce. The aim of this study was to investigate movement among dentists of a representative sample of the Australian public. A postal questionnaire was completed by a random subsample of 1,010 participants in the 1995 National Dental Telephone Interview Survey. The response rate was 85.2 per cent. Approximately one-third of the 885 dentate respondents reported attending a different dentist to that attended two years previously; this was substantially higher (over half) among those whose last visit was not in the private sector. Most (81.8 per cent) of those who had changed dentist had done so for reasons which were beyond the immediate control of the dental profession, but 15.2 per cent had changed because they were unhappy with the care provided by the previous dentist, and 3.0 per cent had changed because the previous dentist was too expensive. Perceived freedom to change dentist was greater among individuals who used the private sector, spoke English in the home, and who were not holders of health cards. The findings of this study indicate that the Australian public manifests a moderate degree of movement among dental providers, and that such movement is greater among users of public-sector dental services.
关于牙科患者流动性的数据很少。本研究的目的是调查澳大利亚公众代表性样本在不同牙医之间的流动情况。在1995年全国牙科电话访谈调查中,1010名参与者的随机子样本完成了一份邮政问卷调查。回复率为85.2%。在885名有牙的受访者中,约三分之一的人报告称去看的牙医与两年前不同;在最后一次就诊不在私营部门的人群中,这一比例要高得多(超过一半)。大多数(81.8%)更换牙医的人是出于牙科行业无法直接控制的原因,但15.2%的人更换是因为对前一位牙医提供的治疗不满意,3.0%的人更换是因为前一位牙医收费太高。在使用私营部门服务、在家说英语且没有医保卡的人群中,更换牙医的自由度更高。本研究结果表明,澳大利亚公众在牙科服务提供者之间表现出一定程度的流动性,且这种流动性在公共部门牙科服务使用者中更大。