scholarly journals Consultation length, process quality and diagnosis quality of primary care in rural China: A cross-sectional standardized patient study

2021 ◽  
Author(s):  
Qingzhi Wang ◽  
Sasmita Poudel Adhikari ◽  
Yuju Wu ◽  
Thankam S. Sunil ◽  
Yuping Mao ◽  
...  
Keyword(s):  
Primary Care ◽  
Rural China ◽  
Process Quality ◽  
Standardized Patient ◽  
Cross Sectional ◽  
Patient Study ◽  
Quality Of Primary Care

scholarly journals The quality of primary care and correlates among grassroots providers in rural China: a cross-sectional standardised patient study

The Lancet ◽  
2017 ◽  
Vol 390 ◽  
pp. S16 ◽  
Author(s):  
Yaojiang Shi ◽  
Hongmei Yi ◽  
Huan Zhou ◽  
Chengchao Zhou ◽  
Hao Xue ◽  
...  
Keyword(s):  
Primary Care ◽  
Rural China ◽  
Cross Sectional ◽  
Patient Study ◽  
Quality Of Primary Care ◽  
Standardised Patient

scholarly journals Effect of family practice contract services on the quality of primary care in Guangzhou, China: a cross-sectional study using PCAT-AE

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e021317 ◽  
Author(s):  
Lina Li ◽  
Chenwen Zhong ◽  
Jie Mei ◽  
Yuan Liang ◽  
Li Li ◽  
...  
Keyword(s):  
Primary Care ◽  
Family Practice ◽  
Assessment Tool ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Quality Of Primary Care ◽  
Care Assessment ◽  
First Contact

ObjectiveCurrent healthcare reform in China has an overall goal of strengthening primary care and establishing a family practice system based on contract services. The objective of this study was to determine whether contracting a general practitioner (GP) could improve quality of primary care.DesignA cross-sectional study using two-stage sampling conducted from June to September 2014. Propensity score matching (PSM) was employed to control for confounding between patients with and without contracted GP.SettingThree community health centres in Guangzhou, China.Participants698 patients aged 18–89 years.Main outcome measuresThe quality of primary care was measured using a validated Chinese version of primary care assessment tool (PCAT). Eight domains are included (first contact utilisation, accessibility, continuity, comprehensiveness, coordination, family-centredness, community orientation and cultural competence from patient’s perceptions).ResultsA total of 692 effective samples were included for data analysis. After PSM, 94 pairs of patients were matched between the patients with and without contracted GPs. The total PCAT score, continuity (3.12 vs 2.68, p<0.01), comprehensiveness (2.31 vs 2.04, p<0.01) and family-centredness (2.11 vs 1.79, p<0.01) were higher in patients who contracted GPs than those did not. However, the domains of first contact utilisation (2.74 vs 2.87, p=0.14) and coordination (1.76 vs 1.93, p<0.05) were lower among patients contracted with GPs than in those who did not.ConclusionOur findings demonstrated that patients who had a contracted GP tend to experience higher quality of primary care. Our study provided evidence for health policies aiming to promote the implementation of family practice contract services. Our results also highlight further emphases on the features of primary care, first contact services and coordination services in particular.

scholarly journals Municipal Management, Infrastructure And Perception Of Users: A Description Of National Program For Improving Access And Quality Of Primary Care In The Brazilian Semiarid

10.3823/2515 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Marília Gomes De Sousa Bezerra ◽  
Roseanne De Sousa Nobre ◽  
Artemizia Francisca De Sousa ◽  
Maísa De Lima Claro
Keyword(s):  
Primary Care ◽  
Cross Sectional ◽  
Unified Health System ◽  
Quality Of Primary Care ◽  
Brazilian Semiarid ◽  
Municipal Management ◽  
Access And Quality ◽  
Objective Description

Introduction: The Ministry of Health with the aim of improving the service provided by the Unified Health System has been creating work tools to identify which points need to receive more attention to be optimized. Objective: Description of the role of municipal management, infrastructure assessment and perception of users of primary care. Method: Cross-sectional and descriptive study, conducted with Basic Units of Piauí municipality in 2015. The data were represented by tables. Results: 90% of the units reported receiving support for the planning and organization of the work process. Only 14, 81% of the units have equipment and supplies for proper operation. Users recommend the service in 92,62% of the cases. Conclusion: despite the precarious structure of the basic units of the county, the population still recognizes them as the best care.

scholarly journals The Quality of Primary Care Performance in Private Sector Facilities in Nairobi, Kenya: A Cross-Sectional Descriptive Survey

2021 ◽  
Author(s):  
Gulnaz Mohamoud ◽  
Robert Mash
Keyword(s):  
Primary Care ◽  
Poor Performance ◽  
Cross Sectional ◽  
Community Orientation ◽  
Quality Of Primary Care ◽  
Overall Performance ◽  
Ongoing Care ◽  
First Contact ◽  
Care Performance

Abstract BackgroundIntegrated health services with an emphasis on primary care are needed for effective primary health care and achievement of universal health coverage. The key elements of high quality primary care are first-contact access, continuity, comprehensiveness, coordination, and person-centredness. In Kenya, there is little information on these key elements and such information is needed to improve service delivery. This study aimed to evaluate the quality of primary care performance in a group of private sector clinics in Nairobi, Kenya.Methods A cross-sectional descriptive study adapted the Primary Care Assessment Tool for the Kenyan context and surveyed 412 systematically sampled primary care users, from 13 PC clinics. Data was analysed to measure 11 domains of primary care performance and two aggregated primary care scores using the Statistical Package for Social Sciences.Results Mean primary care score was 2.64 (SD=0.23) and the mean expanded primary care score was 2.68 (SD=0.19), implying poor overall performance. The domains of first contact-utilisation, coordination (information system), family-centredness and cultural competence had mean scores of >3.0 (acceptable to good performance). The domains of first contact (access), coordination, comprehensiveness (provided and available), ongoing care and community-orientation had mean scores of < 3.0 (poor performance). Older respondents (p=0.05) and those with higher affiliation to the clinics (p=0.01) were more likely to rate primary care as acceptable to good.Conclusion These primary care clinics in Nairobi had a poor overall performance. There was a report of acceptable-to-good performance in first-contact utilisation, the information systems, family centredness and cultural competence. However, patients rated first-contact access, ongoing care, coordination of care, comprehensiveness of services, community orientation and availability of a complete primary health care team, as poor. Performance could be improved by deploying family physicians, increasing the scope of practice to become more comprehensive, improving access after-hours and marketing the use of the clinics to the practice population.

scholarly journals Performance of primary care in different healthcare facilities: a cross-sectional study of patients’ experiences in Southern Malawi

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e029579
Author(s):  
Luckson Dullie ◽  
Eivind Meland ◽  
Øystein Hetlevik ◽  
Thomas Mildestvedt ◽  
Stephen Kasenda ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Facilities ◽  
Cross Sectional ◽  
Public Health Facilities ◽  
Quality Of Primary Care ◽  
Care Assessment ◽  
Health Centres ◽  
Care Performance

ObjectiveIn most African countries, primary care is delivered through a district health system. Many factors, including staffing levels, staff experience, availability of equipment and facility management, affect the quality of primary care between and within countries. The purpose of this study was to assess the quality of primary care in different types of public health facilities in Southern Malawi.Study designThis was a cross-sectional quantitative study.SettingThe study was conducted in 12 public primary care facilities in Neno, Blantyre and Thyolo districts in July 2018.ParticipantsPatients aged ≥18 years, excluding the severely ill, were selected to participate in the study.Primary outcomesWe used the Malawian primary care assessment tool to conduct face-to-face interviews. Analysis of variance at 0.05 significance level was performed to compare primary care dimension means and total primary care scores. Linear regression models at 95% CI were used to assess associations between primary care dimension scores, patients’ characteristics and healthcare setting.ResultsThe final number of respondents was 962 representing 96.1% response rate. Patients in Neno hospitals scored 3.77 points higher than those in Thyolo health centres, and 2.87 higher than those in Blantyre health centres in total primary care performance. Primary care performance in health centres and in hospital clinics was similar in Neno (20.9 vs 19.0, p=0.608) while in Thyolo, it was higher at the hospital than at the health centres (19.9 vs 15.2, p<0.001). Urban and rural facilities showed a similar pattern of performance.ConclusionThese results showed considerable variation in experiences among primary care users in the public health facilities in Malawi. Factors such as funding, policy and clinic-level interventions influence patients’ reports of primary care performance. These factors should be further examined in longitudinal and experimental settings.

scholarly journals A Cross-Sectional Comparison of Perceived Quality of Primary Care by Hypertensive Patients in Shanghai and Shenzhen, China

Medicine ◽  
2015 ◽  
Vol 94 (34) ◽  
pp. e1388 ◽  
Author(s):  
Haitao Li ◽  
Xiaolin Wei ◽  
Martin Chi-Sang Wong ◽  
Samuel Yeung-Shan Wong ◽  
Nan Yang ◽  
...  
Keyword(s):  
Primary Care ◽  
Perceived Quality ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Quality Of Primary Care
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