ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 292
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
A
B
C
D
E
F
G
H
I
J
K
Associations between patients’ primary healthcare
experiences and service quality of community health
centres: Results from the Greater Bay Area Study
Miss Yongjun Huo, Ruwei Hu Hu
Department of Health Management Sun Yat-sen University School of Public Health
Background
In China, community health centres (CHCs) provide primary healthcare (PHC); improving the quality
of PHC services and patients’ healthcare experience is China’s initiative. We examined potential
associations between patients’ PHC experiences and the quality of CHC services in China.
Methods
Between September 2021 and October 2021, 847 patients were recruited from four CHCs in China’s
Greater Bay Area. We evaluated CHC service quality using the National Committee for Quality
Assurance Patient-Centered Medical Home (NCQA-PCMH) questionnaire. We additionally assessed
patients’ PHC experiences using the Primary Care Assessment Tools (PCAT). General linear models
(GLM) were used to examine associations between patients’ experiences and CHC service quality.
Results
After adjusting for age, sex, education, resident status, annual family income, self-perceived health
status, chronic condition, times of visiting doctors and medical insurance, the PCAT total scores of
patients in Level 3 CHCs were significantly higher than those in Level 1 CHCs (β = 0.103; 95% CI:
0.038, 0.169). Patients in Level 3 CHCs had significantly better scores than those in Level 1 in first
contact utilisation (β = 0.109; 95% CI: 0.021, 0.195), ongoing care (β = 0.118; 95% CI: 0.022, 0.213),
coordination of information systems (β = 0.127; 95% CI: 0.047, 0.026), family-centredness (β = 0.096;
95% CI: 0.015, 0.177) and comprehensiveness of services available (β = 0.214; 95% CI: 0.120, 0.307).
Conclusion
Primary care experiences of patients in Level 3 CHCs were significantly better than those in Level 1,
indicating that CHCs could achieve high-quality service by improving both institutional health service
quality based on NCQA-PCMH assessment and patient experiences based on PCAT scales. These
findings can help inform patient-centred PHC policy and management.
290