Correlates of Satisfaction and Dissatisfaction with Medical Care: A Community Perspective
Correlates of Satisfaction and Dissatisfaction with Medical Care: A Community Perspective
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对医疗保健满意度和不满意的相关性：社区视角
DOI：
10.1097/00005650-197508000-00004
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发表时间：
1975
期刊：
影响因子：
3
通讯作者：
F. Schoen
中科院分区：
文献类型：
--
作者：
B. Hulka;L. Kupper;M. Daly;J. Cassel;F. Schoen
公众对医生和医疗服务的态度是当前关注和争论的问题。为了解决这个问题，开发了一种仪器，该仪器使用瑟斯通标度方法，结合Likert格式和改进的计分技术。在对患者和人群样本进行预测试后，在一个拥有20万人口的城市中，对家庭的概率样本的居民进行了调查。这份态度问卷由1112个家庭的1713名成年人完成。总体而言，对医生的专业能力和个人素质的态度是有利的。可获得性，包括成本和便利性，则不那么受重视。男性的满意度低于女性，黑人的满意度低于白人。年轻的黑人对医生的个人素质表现出特别负面的态度，而在60岁以上的黑人中，负面影响是成本和便利性。定期看医生和长时间看医生与积极的态度相关。没有定期护理来源的妇女表达了最负面的情绪。社会的很大一部分人正在寻求和获得医疗服务，但老年人、低社会阶层人士、大家庭成员和黑人的费用和可接受性问题仍然存在。
The attitude of the public toward physicians and medical services is an issue of current concern and debate. To address this problem, an instrument was developed using Thurstone scaling methods in conjunction with a Likert format and a modified scoring technique. Following pretesting of the instrument among both patient and population samples, a survey was conducted among the residents of a probability sample of households in a city of 200,000 people. The attitude questionnaire was completed by 1,713 adults in 1,112 households. Overall, attitudes were favorable toward the professional competency and the personal qualities of physicians. Accessibility, including costs and convenience, were less highly regarded. Men were less satisfied than women and blacks less satisfied than whites. Particularly negative attitudes were expressed toward the personal qualities of physicians by young blacks, whereas among blacks over 60 the negative effect was toward costs and convenience. Having a regular physician and long attendance with that physician were correlated with positive attitudes. The most negative sentiment was expressed by women without a regular source of care. Medical services are being sought and obtained by a large segment of society, but problems of costs and acceptability for the elderly, low social class persons, members of large families, and for blacks still remain.