Zemencuk J K, Feightner J W, Hayward R A, Skarupski K A, Katz S J
Department of Internal Medicine, The University of Michigan, Department of Veterans Affairs Medical Center, Ann Arbor 48109-0376, USA.
J Gen Intern Med. 1998 Apr;13(4):273-6. doi: 10.1046/j.1525-1497.1998.00080.x.
To explore whether patients' desires for and expectations of medical care differ between the United States and Canada, we surveyed 652 patients and 105 physicians at primary care sites in Michigan and Ontario. Patient desires were similar at both sites, but expectations were higher in Michigan. Michigan physicians gave higher estimates of patient desire than physicians in Ontario. Physicians at both sites, however, similarly underestimated patients' desires. These between-site differences in expectation may reflect differences both in general cultural factors and in patient exposure to different clinical policies within the medical systems.
为探究美国和加拿大患者对医疗护理的期望和愿望是否存在差异,我们对密歇根州和安大略省基层医疗点的652名患者和105名医生进行了调查。两个地区患者的愿望相似,但密歇根州患者的期望更高。密歇根州的医生对患者愿望的估计高于安大略省的医生。然而,两个地区的医生都同样低估了患者的愿望。这种期望上的地区差异可能既反映了一般文化因素的不同,也反映了医疗系统中患者接触不同临床政策的差异。