TOWARDS A CONCEPTUAL-FRAMEWORK OF LAY EVALUATION OF HEALTH-CARE

TOWARDS A CONCEPTUAL-FRAMEWORK OF LAY EVALUATION OF HEALTH-CARE
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DOI:
10.1016/0277-9536(88)90283-3
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发表时间:
1988-01-01
影响因子:
5.4
通讯作者:
CALNAN, M
CALNAN, M
中科院分区:
医学2区
文献类型:
--
作者:
CALNAN, M

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本文件指出,有关市民及病人对医护服务是否足够的看法的实证研究,大部分都存在概念上的弱点。此外,也许由于这些弱点,这项研究出现了一种相互矛盾的结果模式。为了克服其中的一些问题,它建议,调查外行评价医疗保健应进行的概念框架内,其中包括以下要素。 我 在每个具体情况下寻求医疗保健的人的目标。 II 使用医疗保健的经验水平。 III 特定卫生保健制度所依据的社会政治价值观。 IV 外行人对健康的看法。 这些要素中的每一个都与其他要素相互关联,它们的影响将通过服务用户的社会人口特征来调节。
—It is argued in this paper that much of the empirical research into the public’s and patients’ perceptions of the adequacy of health care has suffered from conceptual weaknesses. In addition, and maybe as a result of these weaknesses, a contradictory pattern of findings has emerged from this research. To overcome some of these problems it is suggested that an investigation of lay evaluation of health care should be carried out within a conceptual framework which incorporates the following elements. i The goals of those seeking health care in each specific instance. ii The level of experience of use of health care. iii The socio-political values upon which the particular health care system is based. iv The images of health held by the lay population. Each of these elements interrelates with the others and their influence will be mediated through socio-demographic characteristics of the service users.