Light H K, Solheim J S, Hunter G W
Am J Obstet Gynecol. 1976 Jul 15;125(6):827-31. doi: 10.1016/0002-9378(76)90858-9.
Societal attitudes toward the medical profession are apparently undergoing a change from awe and total respect to a more critical assessing of accountability and credibility. Based on mass media reports and the increasing number of malpractice suits, it would appear that a rational, unbiased review of medical doctors, hospital personnel, and care received is in order. This review should be concerned with technical aspects of medicine as determined by highly competent professionals and the consumer's view of the medical care he receives. The latter review should logically be taken directly to the consumers of medical care to determine their satisfaction with the care they received. Because of the varied areas of specialty within the medical profession, there are different types of relationships between doctors and their patients. The obstetrician, for instance, is usually associated with pregnancy as a joyful event, in contrast to a surgeon whose diagnosis may seldom be accompanied by joy. Satisfaction with medical care could thus be expected to vary according to the area of specialty and may be related to factors over which doctors have no control, factors which initially bring the patient to the doctor for care. The degree of anxiety related to the patient's condition could also be expected to contribute to the degree of satisfaction expressed by the patient.
社会对医疗行业的态度显然正在经历转变,从敬畏和完全尊重转向对责任感和可信度进行更批判性的评估。基于大众媒体报道以及医疗事故诉讼数量的增加,似乎有必要对医生、医院工作人员以及所接受的护理进行理性、公正的审视。这种审视应涉及由高素质专业人员确定的医学技术层面以及消费者对其所接受医疗护理的看法。后一种审视从逻辑上讲应直接针对医疗护理的消费者,以确定他们对所接受护理的满意度。由于医疗行业内专业领域各不相同,医生与患者之间存在不同类型的关系。例如,产科医生通常与作为喜事的怀孕相关联,而外科医生的诊断则很少会带来喜悦。因此,可以预期对医疗护理的满意度会因专业领域而异,并且可能与医生无法控制的因素有关,这些因素最初促使患者寻求医生的治疗。与患者病情相关的焦虑程度也可能影响患者表达的满意度。