在测量医疗保健腐败的调查中对敏感话题的框架
Iva Parvanova1, Mylene Lagarde2
1Department of Political Science, LUISS Guido Carli, Italy.
Social science & medicine (1982)
|November 24, 2024
概括
问题措辞显著影响非正式医疗保健支付的报告. 与腐败相关的语言相比,中立框架增加了报告的流行率,突出了披露的文化差异.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 社会科学 社会科学 社会科学
背景情况:
- 医疗保健腐败,包括非正式支付和,是一个全球性的挑战.
- 准确地衡量医疗保健中的小腐败是很困难的,因为它的敏感和隐藏的性质.
- 了解患者对非正式支付的体验需要敏感和有效的数据收集方法.
研究的目的:
- 调查不同的问题框架如何影响医生与患者关系中非正式支付的报道普遍性.
- 为了比较中立与腐败相关问题措辞对报告非正式支付经验的影响.
- 探讨报告医疗保健腐败的跨国差异,考虑文化和规范因素.
主要方法:
- 分析了关于非正式支付的特别欧巴罗米特397调查 (N=16,051) 的数据.
- 在保加利亚 (N=428) 和英国 (N=424) 进行了一项新的调查实验,比较中性和负载问题框架.
- 在中立和与腐败有关的问题措辞组之间,非正式支付报告率的统计比较.
主要成果:
- 观察到一个显著的框架效应:中立的框架问题产生了更高的非正式支付报告的流行比腐败相关的语言.
- 调查实验结果证实了这一发现,中立框架导致非正式支付的承认显著增加.
- 保加利亚和英国的反应率差异表明,文化和规范因素影响了报告医疗保健腐败的意愿.
结论:
- 关于医疗保健腐败等敏感话题的问题,使用的语言极大地影响了报告的流行率.
- 在文化敏感,特定于背景的术语和跨国比较的通用方法之间存在权衡.
- 调查结果对调查设计,政策制定和理解与非正式医疗保健实践相关的行为规范有影响.
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