• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Scandinavian journal of public health >Does patients' choice of health centre doctor depend on the organization? A comparative study of four municipalities with different forms of service provision in Finland.
【24h】

Does patients' choice of health centre doctor depend on the organization? A comparative study of four municipalities with different forms of service provision in Finland.

机译：患者对健康中心医生的选择是否取决于组织？对芬兰四个提供不同形式服务的城市的比较研究。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

AIMS: The aim of the study was to examine the use of physician services and the willingness to choose an health centre (HC) doctor rather than an alternative (i.e. private, occupational healthcare, other doctor) by the working age population in four municipalities in Finland. In a Southern municipality primary health care was contracted out to a non-profit organization whereas Eastern, Western and South-Western municipalities mainly provided services themselves. METHODS: A mail survey of a random sample of the 15-64-age population was conducted in 2002 (n = 2,000, response rate 62%). Data were analyzed using descriptive statistics as well as bi- and multivariate logistic regression analyses. RESULTS: Of the respondents, 69% had visited an HC doctor during the past year, and of these, more than 40% had also visited another doctor outside the HC. The willingness to choose an HC doctor varied from 40% to 54% and was highest in the Southern municipality. When significantly associated variables - age, working status, perceived stress in life situation, access to an appointment, perceived interpersonal quality, and visits to doctors - were controlled for, the willingness to choose an HC doctor was, compared with the Southern municipality, less popular only in the Western municipality. CONCLUSIONS: The tendency to choose an HC doctor rather than an alternative was quite low, probably reflecting lack of attractiveness of HC to patients. However, contracting out service production did not additionally decrease patients' willingness to choose an HC doctor. More attention should be paid to improving access, interpersonal quality and continuity of care.
机译：目的：该研究的目的是根据四个城市的工作年龄人口，检查医师服务的使用情况以及是否愿意选择保健中心（HC）医生，而不是替代方案（即私人，职业保健，其他医生）。芬兰。在南部城市，初级卫生保健外包给了一个非营利组织，而东部，西部和西南部城市主要提供服务。方法：2002年对15-64岁年龄段人口进行了随机抽样调查（n = 2,000，回复率62％）。使用描述性统计数据以及双变量和多变量逻辑回归分析对数据进行分析。结果：在受访者中，有69％的人在过去的一年中去过HC医生，其中，超过40％的人也去过HC之外的另一位医生。选择HC医生的意愿从40％到54％不等，在南部城市最高。如果控制了显着相关的变量-年龄，工作状态，感知的生活状况，获得约会的机会，感知的人际交往的素质以及看医生的机会，那么与南部城市相比，选择HC医生的意愿就小仅在西方自治市流行。结论：选择HC医生而不是替代医生的趋势非常低，这可能反映出HC对患者缺乏吸引力。但是，外包服务生产并没有额外降低患者选择HC医生的意愿。应该更加注意改善获得机会，人际关系的质量和护理的连续性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号