Dickinson N, Slesinger D P, Raftery P R
University of Wisconsin Medical School, USA.
Wis Med J. 1996 Mar;95(3):151-6.
Cashton area residents were queried on past health care experiences and asked their opinions of services that could be provided at the Scenic Bluffs Community Health Center (SBCHC) in Cashton. A questionnaire addressed to both Amish and non-Amish residents featured five main areas: (1) additional services and health care providers that might supplement existing services at SBCHC; (2) opinions on establishing a birthing center; (3) mothers' past history with the birth and care of children, including immunization use; (4) respondents' past use of health care; and (5) perceived barriers to receiving health care. Both Amish and non-Amish respondents agreed that walk-in care, dental care, and 24-hour telephone access to a provider were important services to be added, and that a dentist, chiropractor, and pharmacist would be valuable. While both Amish and non-Amish favored the idea of a birthing center, their reasons for supporting it differed. It was also found that routine preventive care was used much more by the non-Amish than the Amish population. Common barriers to health care for both groups included cost of care, appointment availability, and waiting time for appointments.
研究人员对卡什顿地区的居民就过去的医疗保健经历进行了询问，并询问了他们对卡什顿风景悬崖社区健康中心（SBCHC）可以提供的服务的看法。一份发给阿米什人和非阿米什人的调查问卷主要涉及五个方面：（1）可能补充SBCHC现有服务的额外服务和医疗保健提供者；（2）关于建立一个分娩中心的意见；（3）母亲过去生育和照顾孩子的经历，包括免疫接种情况；（4）受访者过去使用医疗保健的情况；以及（5）接受医疗保健的感知障碍。阿米什人和非阿米什人受访者都认为即时护理、牙科护理以及24小时与医疗服务提供者电话联系是需要增加的重要服务，并且牙医、脊椎按摩师和药剂师会很有价值。虽然阿米什人和非阿米什人都赞成建立一个分娩中心，但他们支持的理由不同。研究还发现，非阿米什人比阿米什人更多地使用常规预防性护理。这两个群体获得医疗保健的常见障碍包括护理费用、预约难易程度以及预约等待时间。
