ADOLESCENTS PERCEPTIONS OF FACTORS AFFECTING THEIR DECISIONS TO SEEK HEALTH-CARE
ADOLESCENTS PERCEPTIONS OF FACTORS AFFECTING THEIR DECISIONS TO SEEK HEALTH-CARE
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DOI：
10.1001/jama.273.24.1913
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发表时间：
1995-06-28
影响因子：
120.7
通讯作者：
ROUSELLE, DM
中科院分区：
文献类型：
--
作者：
GINSBURG, KR;SLAP, GB;ROUSELLE, DM
客观。-要有青少年，而不是成年人，确定影响他们决定寻求护理的卫生保健提供者和网站的特点。设计。在10个月的时间内进行五个阶段：（1）焦点小组来制定研究问题;（2）名义小组技术来生成学生答案;（3）三项调查来评估答案的重要性;（4）一项调查将最重要的答案与寻求护理的决定联系起来;（5）焦点小组解释与寻求护理的决定相关的变量。设置。-费城（宾夕法尼亚州）学区。研究人群包括费城42所公立高中中39所的所有九年级学生。返回最终调查的6821名学生组成了研究样本（占在校青年的69%）。在最后的调查中，学生们使用李克特量表（1到5）来描述31个想法对他们寻求护理的决定的影响。最重要的特征是提供者洗手，清洁的仪器，诚实，尊重青少年，清洁，专业知识，细心，经验，人类免疫缺陷病毒血清阴性，平等对待所有患者，保密。项目的顺序在性别、种族或社会经济地位方面几乎没有变化。因子分析显示，四个潜在因素中最重要的因素与感染控制和医疗服务提供者能力有关。影响青少年寻求护理决定的十大特征中有四个涉及清洁和感染控制。这些发现为提供者和规划者提供了青少年认为影响他们寻求护理的决定的直接，可修改的因素。
Objective.-To have adolescents, rather than adults, identify characteristics of health care providers and sites that affect their decision to seek care.Design.-Five stages conducted over a 10-month period: (1) focus groups to frame the study questions; (2) nominal group technique to generate student responses; (3) three surveys to assess response importance; (4) one survey to link the most important responses with the decision to seek care; and (5) focus groups to explain the variables associated with the decision to seek care.Setting.-The Philadelphia (Pa) School District.Participants.-The study population consisted of all ninth graders from 39 of Philadelphia's 42 public high schools. The 6821 students who returned the final survey comprised the study sample (69% of in-school youth).Results.-In the final survey, students used a Likert scale (1 to 5) to describe the impact of 31 ideas on their decision to seek care. The most important characteristics were provider hand washing, clean instruments, honesty, respect toward teens, cleanliness, know-how, carefulness, experience, seronegativity for the human immunodeficiency virus, equal treatment of all patients, and confidentiality. There was little variation in the order of the items by sex, race, or socioeconomic status. Factor analysis showed that the most important of four identified latent factors related to infection control and provider competency.Conclusion.-Four of the top 10 characteristics that affect an adolescent's decision to seek care involve cleanliness and infection control. These findings offer providers and planners straightforward, modifiable factors that teens believe influence their decision to seek care.