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Urban versus rural populations' views of health care in Scotland

机译:苏格兰城市与农村人口对医疗保健的看法

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Objectives: To compare satisfaction with, and expectations of, health care of people in rural and urban areas of Scotland. nnMethods: Questions were included in the 2002 Scottish Social Attitudes Survey (SSAS). The Scottish House-hold Survey urban-rural classification was used to categorize locations. A random sample of 2707 people was contacted to participate in a face-to-face interview and a self-completion questionnaire survey. SPSS (v.10) was used to analyse the data. Relationships between location category and responses were explored using logistic regression analysis. nnResults: In all, 1665 (61.5%) interviews were conducted and 1507 (56.0%) respondents returned self-completion questionnaires. Satisfaction with local doctors and hospital services was higher in rural locations. While around 40% of those living in remote areas thought A&E services too distant, this did not rank as a top priority for health service improvement. This could be due to expectations that general practitioners would assist in out-of-hours emergencies. Most Scots thought services should be good in rural areas even if this was costly, and that older people should not be discouraged from moving to rural areas because of their likely health care needs. In all, 79% of respondents thought that care should be as good in rural as urban areas. Responses to many questions were independently significantly affected by rural/urban location. nnConclusions: Most Scots want rural health care to continue to be good, but the new UK National Health Service (NHS) general practitioner contract and service redesign will impact on provision. Current high satisfaction, likely to be due to access and expectations about local help, could be affected. This study provides baseline data on attitudes and expectations before potential service redesign, which should be monitored at intervals in future.
机译:目的:比较苏格兰农村和城市地区人们对医疗保健的满意度和期望。 nn方法:问题已包含在2002年苏格兰社会态度调查(SSAS)中。苏格兰家庭调查的城乡分类被用来对地点进行分类。我们随机抽取了2707人作为样本,进行了面对面的访问和自我完成的问卷调查。 SPSS(v.10)用于分析数据。使用逻辑回归分析探索位置类别与响应之间的关系。 nn结果:总共进行了1665(61.5%)个访谈,而1507(56.0%)个受访者返回了自我完成调查表。农村地区对当地医生和医院服务的满意度较高。虽然居住在偏远地区的人中约40%认为急诊服务距离太远,但这并不是改善卫生服务的重中之重。这可能是由于期望全科医生会在非工作时间紧急情况中提供帮助。大多数苏格兰人认为,即使这很昂贵,农村地区的服务也应该很好,而且不应因为老年人的医疗保健需求而劝阻老年人迁往农村地区。总共有79%的受访者认为农村地区应与城市地区一样好。对许多问题的回答独立地受到农村/城市位置的显着影响。 nn结论:大多数苏格兰人希望农村医疗保健继续保持良好状态,但是新的英国国家卫生服务(NHS)全科医生合同和服务重新设计将影响其提供。当前的高满意度可能会受到影响,这可能是由于对本地帮助的获取和期望。这项研究提供了在潜在服务重新设计之前有关态度和期望的基线数据,应在以后的间隔中对其进行监视。

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