Choosing a doctor: an exploratory study of factors influencing patients' choice of a primary care doctor
Choosing a doctor: an exploratory study of factors influencing patients' choice of a primary care doctor
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DOI：
10.1046/j.1365-2753.2000.00256.x
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发表时间：
2000-08-01
影响因子：
2.4
通讯作者：
Cassidy, W
中科院分区：
文献类型：
--
作者：
Bornstein, BH;Marcus, D;Cassidy, W
我们评估了医疗保健消费者在选择初级保健医生（PCD）时对各种因素的相对重要性。三个调查地点使用：医生的办公室，公共购物区，和妇女组织的会议。共有636名社区居民参加了调查，他们的主要人口类别各不相同。参与者完成了一项23项调查，旨在评估消费者认为哪些因素与选择PCD最相关。参与者认为专业相关因素（例如医生是否获得董事会认证，办公室外观）和管理实践（例如预约时间，晚上和周末时间）比医生的个人特征（种族，年龄，性别等）更重要。参与者自身的特征与医生特征的重要性关系不大。患者认为对他们选择PCD最重要的因素也是对他们将接受的医疗保健质量影响最大的因素。然而，他们并不总是能够获得这些信息。更好地了解影响人们选择PCD的因素可以有助于努力为他们提供资源，以便在医疗保健选项中做出明智的决定。
We assessed the relative importance healthcare consumers attach to various factors in choosing a primary care doctor (PCD) in a cross-sectional, in-person survey. Three survey locations were used: doctors' offices, a public shopping area, and meetings of a women's organization. A total of 636 community residents, varying across major demographic categories, participated. Participants completed a 23-item survey, designed to assess which factors consumers perceive as most relevant in choosing a PCD. Participants perceived professionally relevant factors (e.g. whether the doctor is board certified, office appearance) and management practices (e.g. time to get an appointment, evening and weekend hours) as more important than the doctor's personal characteristics (race, age, gender, etc.). Participants' own characteristics bore little relationship to the perceived importance of doctor characteristics. Factors patients perceive as most important to their choice of a PCD are also those that have the greatest effect on the quality of healthcare they will receive. However, they do not always have access to this information. A better understanding of the factors that influence people's choice of a PCD can contribute to efforts to provide them with the resources to make well-informed decisions in selecting among healthcare options.