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E-Thesis 209 views 117 downloads

The utilization of, and the attitudes of the public to, general practitioner services: A geographical study in West Glamorgan. / David R Phillips

Swansea University Author: David R Phillips

Abstract

This thesis is a study of public attitudes to and utilisation of general practitioner medical services in West Glamorgan, A review was undertaken of geographical and social scientific approaches to the study of health service consumer behaviour and recent trends in the organisation of primary medica...

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Published: 1978
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
URI: https://cronfa.swan.ac.uk/Record/cronfa42463
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first_indexed 2018-08-02T18:54:46Z
last_indexed 2018-08-03T10:10:13Z
id cronfa42463
recordtype RisThesis
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spelling 2018-08-02T16:24:29.3377956 v2 42463 2018-08-02 The utilization of, and the attitudes of the public to, general practitioner services: A geographical study in West Glamorgan. 784bca709e9528a93af4e4b053f9066e NULL David R Phillips David R Phillips true true 2018-08-02 This thesis is a study of public attitudes to and utilisation of general practitioner medical services in West Glamorgan, A review was undertaken of geographical and social scientific approaches to the study of health service consumer behaviour and recent trends in the organisation of primary medical care were examined. These were identified as chiefly the centralisation of general practitioners into group practices with various administrative arrangements. An approach combining social geographic and social scientific methods was developed to investigate use of and attitudes to general practitioner services in the study area. An areal sampling framework based upon census data analysed by principal components analysis was employed to designate areas of known social composition with access to defined general practice facilities. In the empirical-behavioural section of the study, four pairs of survey sites were chosen and approximately fifty questionnaires conducted in each site. In three areas, high and low status sites were juxtaposed to examine the influences upon service utilisation behaviour of differences in social status and in the fourth area, two low status sites at different distances from surgery were chosen to examine the effects of accessibility. The effects of other factors identified during the literature review were also investigated, these being the age of respondents, personal mobility and previous residence. It was recognised that utilisation behaviour has spatial aspects, relating to which facility is used and behavioural aspects, relating to how frequently general practitioner services are used. Public attitudes to the distance and journey for medical care, to the recent developments in primary medical care and to the physician's 'affective behaviour' were also examined to determine levels of satisfaction with, and any differential class attitudes to, the service. Finally, certain implications of the research for planning of general practitioner services were developed. E-Thesis Public health.;Health care management. 31 12 1978 1978-12-31 COLLEGE NANME Geography COLLEGE CODE Swansea University Doctoral Ph.D 2018-08-02T16:24:29.3377956 2018-08-02T16:24:29.3377956 Faculty of Science and Engineering School of Biosciences, Geography and Physics - Geography David R Phillips NULL 1 0042463-02082018162456.pdf 10798171.pdf 2018-08-02T16:24:56.4830000 Output 23032291 application/pdf E-Thesis true 2018-08-02T16:24:56.4830000 false
title The utilization of, and the attitudes of the public to, general practitioner services: A geographical study in West Glamorgan.
spellingShingle The utilization of, and the attitudes of the public to, general practitioner services: A geographical study in West Glamorgan.
David R Phillips
title_short The utilization of, and the attitudes of the public to, general practitioner services: A geographical study in West Glamorgan.
title_full The utilization of, and the attitudes of the public to, general practitioner services: A geographical study in West Glamorgan.
title_fullStr The utilization of, and the attitudes of the public to, general practitioner services: A geographical study in West Glamorgan.
title_full_unstemmed The utilization of, and the attitudes of the public to, general practitioner services: A geographical study in West Glamorgan.
title_sort The utilization of, and the attitudes of the public to, general practitioner services: A geographical study in West Glamorgan.
author_id_str_mv 784bca709e9528a93af4e4b053f9066e
author_id_fullname_str_mv 784bca709e9528a93af4e4b053f9066e_***_David R Phillips
author David R Phillips
author2 David R Phillips
format E-Thesis
publishDate 1978
institution Swansea University
college_str Faculty of Science and Engineering
hierarchytype
hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Biosciences, Geography and Physics - Geography{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Biosciences, Geography and Physics - Geography
document_store_str 1
active_str 0
description This thesis is a study of public attitudes to and utilisation of general practitioner medical services in West Glamorgan, A review was undertaken of geographical and social scientific approaches to the study of health service consumer behaviour and recent trends in the organisation of primary medical care were examined. These were identified as chiefly the centralisation of general practitioners into group practices with various administrative arrangements. An approach combining social geographic and social scientific methods was developed to investigate use of and attitudes to general practitioner services in the study area. An areal sampling framework based upon census data analysed by principal components analysis was employed to designate areas of known social composition with access to defined general practice facilities. In the empirical-behavioural section of the study, four pairs of survey sites were chosen and approximately fifty questionnaires conducted in each site. In three areas, high and low status sites were juxtaposed to examine the influences upon service utilisation behaviour of differences in social status and in the fourth area, two low status sites at different distances from surgery were chosen to examine the effects of accessibility. The effects of other factors identified during the literature review were also investigated, these being the age of respondents, personal mobility and previous residence. It was recognised that utilisation behaviour has spatial aspects, relating to which facility is used and behavioural aspects, relating to how frequently general practitioner services are used. Public attitudes to the distance and journey for medical care, to the recent developments in primary medical care and to the physician's 'affective behaviour' were also examined to determine levels of satisfaction with, and any differential class attitudes to, the service. Finally, certain implications of the research for planning of general practitioner services were developed.
published_date 1978-12-31T03:53:01Z
_version_ 1763752627350274048
score 11.01353

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