Medical and socio-demographic characteristics associated with patient-perceived continuity of primary care: A cross-sectional survey in Hangzhou, China.

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ID: 81200
2019
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摘要
This study measured the perceived continuity of general practitioner (GP) care from the patient's perspective and identified the associated factors.A cross-sectional survey was carried out on 624 patients in community health care centres in Hangzhou, China. A self-designed Likert scale was used to measure patients' perceptions on informational, managerial, and relational continuity of GP care. An average score for three types of continuity ranging from 0 to 100 was calculated. Linear regression models were developed to determine the factors influencing continuity.Average rating scores of 57.73 (±15.31), 50.74 (±17.18), 61.61 (±18.07), and 63.57 (±17.40) were found for total, informational, managerial, and relational continuity of care, respectively. Older patients reported a more positive rating on all types of continuity. Income was negatively associated with managerial continuity. The factors affecting informational, relational, and total continuities included chronic diseases, walking distance to nearest community health centres, signing a contract with a GP, and knowing the names of contracted GPs.Patients' perception of continuity of GP care remains at a low level, especially for informational continuity. The varied association between continuity of care and identified factors suggests that targeted actions should be considered for improving the quality of GP services.
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zhang2019medicalthe 使用此键在稿件中自动引用，同时使用 SciMatic 稿件管理器或论文管理器
作者 Zhang, Tao;Ren, Jianping;Zhang, Xinyu;Max, Wendy;
期刊 the international journal of health planning and management
年份 2019
DOI
10.1002/hpm.2967
URL
关键词
china primary health care continuity of care general practitioners quality of health services

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