反政府情绪与对全民医疗服务的支持：二者是否相互矛盾？
Antigovernment sentiment and support for universal access to care: are they incompatible?
作者信息
Goldsteen R L, Goldsteen K, Kronenfeld J J, Hann N E
机构信息
Masters in Public Health Program, Wichita State University, Kan 67260-0043, USA.
出版信息
Am J Public Health. 1997 Jan;87(1):25-8. doi: 10.2105/ajph.87.1.25.
OBJECTIVES
Attitudes toward universal access to medical care were examined to determine whether support for it among people opposed to government involvement in health care was modified by three proxy measures of self-interest: being uninsured, in poor health, or a high user of medical care.
METHODS
Data on support for universal access, attitudes toward government involvement in health care, and the indicators of self-interest were obtained from a representative sample of adult Oklahomans (n = 1547) surveyed between October 1992 and December 1994. Forced-order multiple regression with interaction terms was the data analysis technique.
RESULTS
People opposed to government involvement in health care were found to be less likely to favor universal access to medical care, but poor health, lack of insurance, and high usage of medical care moderated this effect.
CONCLUSIONS
The findings support the view that antigovernment sentiment need not foreclose the public option for health policymakers. Other considerations such as self-interest may modify the effect of unfavorable attitudes toward government.
目的
研究人们对全民医疗保健的态度，以确定在反对政府参与医疗保健的人群中，对全民医疗保健的支持是否会因三种自身利益的替代指标而改变：未参保、健康状况差或医疗保健高使用率。
方法
1992年10月至1994年12月期间，从俄克拉荷马州成年人的代表性样本（n = 1547）中获取了关于全民医疗保健支持度、对政府参与医疗保健的态度以及自身利益指标的数据。采用带交互项的强制顺序多元回归作为数据分析技术。
结果
发现反对政府参与医疗保健的人不太可能支持全民医疗保健，但健康状况差、未参保和医疗保健高使用率缓和了这种影响。
结论
研究结果支持这样一种观点，即反政府情绪不一定会使卫生政策制定者无法选择公共选项。诸如自身利益等其他因素可能会改变对政府不利态度的影响。
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