Abstract
The paper discusses the satisfaction with the service of general practitioners (GP) in the primary health care of Kaunas city. The performance of instruction of GP without any questions is the crucial criteria of different biomedical and biopsychosocial pattern of health. Most part of the patients strictly follow the requirements of GP and they are satisfied with service of GP. They interact with GP on the ground of the biomedical pattern of health. On the other hand, some patients didn’t follow the requirements of GP and they are not satisfied with service. We concluded that dissatisfied patients ground their interaction with GP on the biopsychosocial pattern of health. Both patterns reflect to the different types of society. Biomedical pattern characterizes society with strong institutional constraints and biopsychosocial model of interaction is a feature individualistic society.
Highlights
Kadangi biopsichosocialinis sveikatos modelis bendrosios praktikos gydytojø (BPG)-paciento santykyje pabrëþia paciento centriðkumà, tai sveikatos prieþiûros paslaugø kokybës vertinimas yra susijæs ir su paciento pasitenkinimu paslauga
Kauno Vytauto Didþiojo universiteto Sociologijos katedra K.Donelaièio g. 52, Kaunas
Summary
Straipsnyje nagrinëjamas BPG-paciento santykis, remiantis apklausos duomenimis apie pasitenkinimà bendrosios praktikos gydytojø (BPG) paslaugomis Kauno pirminës sveikatos prieþiûros institucijose. Kad dauguma pacientø, sutinkanèiø su tuo, kad neklausinëdami vykdo visus BPG nurodymus ir kartu yra patenkinti gauta informacija, BPG dëmesiu, jiems skirtu laiku, labiau toleruoja BPG-paciento santykius, pagrástus biomedicininiu sveikatos modeliu. Sovietiniu laikotarpiu iki pat 1990-øjø metø Lietuvoje buvo sukurta plati ir iðplëtota stacionariniø sveikatos prieþiûros ástaigø sistema, o pirmine sveikatos prieþiûra (PSP) rûpinosi poliklinikos, kuriose dirbo ávairiø srièiø specialistai. Kadangi sovietinë centralizuota ir hierarchinë biurokratija apëmë ir sveikatos prieþiûros sistemà, tai atkûrus nepriklausomybæ ðios sistemos bûklës bei visø sveikatingumo ir mirtingumo rodikliø pablogëjimas buvo potencialiai uþprogramuotas, nes ankstesnë PSP buvo konstruojama derinantis prie visuotinës socialinës kontrolës, visuotinio uþimtumo, visuotinio vaikø átraukimo á ðvietimo ástaigas. Straipsnio tikslai – nustatyti pacientø pasitenkinimà bendrosios praktikos gydytojø (BPG) teikiamomis paslaugomis, keièiantis PSP sistemai; atskleisti pacientø pasitenkinimo PSP paslaugomis ryðá su BPG-pacientø santykio tipu, iðsiaiðkinti jo ryðá su sveikatos modeliu
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