European patients' views on the responsiveness of health systems and healthcare providers
European patients' views on the responsiveness of health systems and healthcare providers
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DOI：
10.1093/eurpub/cki004
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发表时间：
2005-08-01
影响因子：
4.4
通讯作者：
Jenkinson, C
中科院分区：
文献类型：
--
作者：
Coulter, A;Jenkinson, C
背景：对病人的反应现在被视为有效的卫生系统的一个关键特征。这项研究旨在更多地了解欧洲人对本国卫生系统和医疗服务提供者的反应能力的看法。研究方法：使用随机数字拨号对德国、意大利、波兰、斯洛文尼亚、西班牙、瑞典、瑞士和英国的人口进行随机抽样的电话调查。结果：从8119名16岁及以上的人中获得了答复。超过一半的受访者表示，医生总是仔细倾听他们的意见，给他们提问的时间并提供明确的解释。来自瑞士和英国的受访者对医生的沟通技巧一直保持较高的满意度，而来自波兰的受访者的满意度明显较低。年轻人比老年人更挑剔。患者参与治疗决策的期望很高，特别是在年轻人中，74%的人表示希望积极参与。大多数受访者认为，他们应该有一个选择的初级保健医生，专科医生和医院，但不到一半的人认为，他们有足够的信息作出知情的选择。各国在报告的参与程度和对选择机会的满意程度方面有很大差异。结论：结果表明，许多欧洲患者希望在医疗保健决策中发挥更自主的作用。政策制定者和临床医生应该考虑如何缩小公众期望和患者体验之间的差距。
Background: Responsiveness to patients is now seen as a key characteristic of effective health systems. This study aimed to learn more about European people's views on the responsiveness of their country's health systems and healthcare providers. Methods: Telephone survey with random samples of the populations in Germany, Italy, Poland, Slovenia, Spain, Sweden, Switzerland and the UK using random digit dialling. Results: Responses were obtained from 8119 people aged 16 and over. Just over half the respondents said that doctors always listened carefully to them, gave them time for questions and provided clear explanations. Respondents from Switzerland and the UK reported consistently high rates of satisfaction with doctors' communication skills, while respondents from Poland were significantly less satisfied. Younger people were more critical than older people. Expectations of patient involvement in treatment decisions were high, particularly among younger people, with 74% indicating a desire to be actively involved. Most respondents felt they should have a choice of primary care doctor, specialist doctor and hospital, but less than half felt they had sufficient information to make an informed choice. There were significant variations between the countries in reported levels of involvement and in satisfaction with opportunities for choice. Conclusions: The results suggest that many European patients want a more autonomous role in health care decision-making. Policy-makers and clinicians should consider how to narrow the gap between public expectations and patients' experience.