Annandale E, Hunt K
Department of Sociology, Warwick University, Coventry, UK.
Soc Sci Med. 1998 Jan;46(1):119-29. doi: 10.1016/s0277-9536(97)00149-4.
Patients' perceptions of health care, particularly as they relate to disagreements of various kinds, have emerged as a particular topic of interest to practitioners and social scientists since the mid-1980s in Great Britain. Most research, however, has concentrated upon disagreements that have turned into formal complaints to health authorities and community and hospital trusts. This means that the focus has been upon the strong end of disagreements where action has already been taken to redress a grievance. This is likely to leave many aspects of the relationship between felt disagreement and disagreement action unexplored. Why, for example, when they feel dissatisfied with the health care that they, or a relative has received, do some people take action and others not? And, if they do take action, what is involved? Are there any associations between the kind of action taken--for example, doing nothing, verbally challenging the doctor, seeking a second opinion, or discontinuing treatment and the nature of the felt disagreement, the kind of health problem being treated, or the social characteristics of the patient concerned? In this paper we explore some of these questions through data collected as part of a community sample of individuals in the West of Scotland.
自20世纪80年代中期以来，患者对医疗保健的看法，尤其是与各类分歧相关的看法，已成为英国从业者和社会科学家特别感兴趣的话题。然而，大多数研究都集中在那些已向卫生当局、社区和医院信托机构提出正式投诉的分歧上。这意味着重点一直放在分歧的严重程度较高的一端，即已经采取行动来纠正冤情的地方。这很可能使感知到的分歧与分歧行动之间关系的许多方面未被探索。例如，为什么当人们对自己或亲属所接受的医疗保健感到不满时，有些人会采取行动而另一些人却不采取行动？而且，如果他们采取行动，会涉及哪些方面？所采取的行动类型（例如，什么都不做、口头质疑医生、寻求第二种意见或停止治疗）与感知到的分歧的性质、所治疗的健康问题的类型或相关患者的社会特征之间是否存在任何关联？在本文中，我们通过作为苏格兰西部个人社区样本的一部分收集的数据来探讨其中一些问题。
