Is general practitioner decision making associated with patient socio-economic status?
Is general practitioner decision making associated with patient socio-economic status?
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DOI：
10.1016/0277-9536(95)00063-1
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发表时间：
1996-01-01
影响因子：
5.4
通讯作者：
King, M
中科院分区：
文献类型：
--
作者：
Scott, A;Shiell, A;King, M
本文提出了一个初步的探讨全科医生（GP）和患者的社会经济地位（SES）的决定之间的关系。有大量的文献对SES之间的关联，健康状况和卫生服务的使用，但相对较少的SES和临床医生的决定之间的关联，一旦病人在卫生系统中发表。使用合法分析来检查全科医生决策与患者的SES、健康状况、性别和保险状况之间的关联。三套二元选择进行了分析：决定跟进;规定;和执行或命令诊断测试。使用关于检查/检查咨询的次要数据来探讨这些关系。结果表明，SES是独立相关的决定，以测试和决定开处方，但不与决定跟进。在其他条件不变的情况下，与低SES患者相比，高SES患者更有可能接受检查，更不可能接受处方。妇女比男子更有可能接受检查和接受处方。这些发现对追求公平作为卫生服务政策的目标具有影响。
This paper presents a preliminary exploration into the relationship between decisions made by general practitioners (GPs) and the socio-economic status (SES) of patients. There is a large literature on the association between SES, health state and the use of health services, but relatively little has been published on the association between SES and decisions by clinicians once a patient is in the health system. The associations between GP decision making and the patient's SES, health status, gender and insurance status are examined using legit analysis. Three sets of binary choices are analysed: the decision to follow up; to prescribe; and to perform or to order a diagnostic test. Secondary data on consultations for a check up/examination were used to explore these relationships. The results suggest that SES is associated independently with the decision to test and the decision to prescribe but not with the decision to follow up. Patients of high SES are, ceteris paribus, more likely to be tested and less likely to receive a prescription compared with patients of low SES. Women are more likely to be tested and to receive a prescription than men. These findings have implications for the pursuit of equity as a goal of health services policy.