ArticleBulletin of the World Health Organization2015
Assessing the potential for improvement of primary care in 34 countries: a cross-sectional survey.
Article in Bulletin of the World Health Organization, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.
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Who cites it
39 citing papers in PubMed.
- Patients and Healthcare Providers' Perspectives on Patient Experience Factors and a Model of Patient-Centered Care Communication: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Social concordance and patient reported experiences in countries with different gender equality: a multinational survey.BMC primary care · 2024Article
- Case-mix adjustments for patient reported experience and outcome measures in primary care: an empirical approach to identify patient characteristics as case-mix adjusters based on a secondary analysis of an international survey among patients and their general practitioners in 34 countries.Journal of patient-reported outcomes · 2023Article
- Physicians' Self-Perceived Competence on Breaking Bad News to Parents of Children with Neurodisabilities.Children (Basel, Switzerland) · 2023Article
- Essential Skills for Health Communication, Barriers, Facilitators and the Need for Training: Perceptions of Healthcare Professionals from Seven European Countries.Healthcare (Basel, Switzerland) · 2023Article
- "To Be Treated as a Person and Not as a Disease Entity"-Expectations of People with Visual Impairments towards Primary Healthcare: Results of the Mixed-Method Survey in Poland.International journal of environmental research and public health · 2022Article
- Reframing Patient Experience Approaches and Methods to Achieve Patient-Centeredness in Healthcare: Scoping Review.International journal of environmental research and public health · 2022Article
- Macro-contextual determinants of cancer screening participation and inequalities: A multilevel analysis of 29 European countries.SSM - population health · 2021Article
- Good communication was valued as more important than accessibility according to 707 Nordic primary care patients: a report from the QUALICOPC study.Scandinavian journal of primary health care · 2021Article
- A comparative case study of prescribing and non-prescribing physiotherapists and podiatrists.BMC health services research · 2020Article
- The association between the workload of general practitioners and patient experiences with care: results of a cross-sectional study in 33 countries.Human resources for health · 2020Article
- Communication between general practitioners and medical specialists in the referral process: a cross-sectional survey in 34 countries.BMC family practice · 2020Article
- Integrated Care Programs for People with Multimorbidity in European Countries: eHealth Adoption in Health Systems.BioMed research international · 2020Article
- Discussing issues of health promotion and research in the context of primary care during the ongoing austerity period: an exploratory analysis from two regions in Greece.Medicine and pharmacy reports · 2020Article
- Patients' perception of communication at the interface between primary and secondary care: a cross-sectional survey in 34 countries.BMC health services research · 2019Article
- The ecology of medical care: access points to the health care system in Austria and other developed countries.Scandinavian journal of primary health care · 2019Article
- The influence of general practitioners on access points to health care in a system without gatekeeping: a cross-sectional study in the context of the QUALICOPC project in Austria.Croatian medical journal · 2019Article
- The establishment and functioning of the PRIMORE (European PRImary care MultiprOfessional REsearcher network) Project.Primary health care research & development · 2019Article
- Are people's health care needs better met when primary care is strong? A synthesis of the results of the QUALICOPC study in 34 countries.Primary health care research & development · 2019Article
- Development and validation of measurement tools for user experience evaluation surveys in the public primary healthcare facilities in Greece: a mixed methods study.BMC family practice · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate patients' perceptions of improvement potential in primary care in 34 countries.
methodsWe did a cross-sectional survey of 69 201 patients who had just visited general practitioners at primary-care facilities. Patients rated five features of person-focused primary care - accessibility/availability, continuity, comprehensiveness, patient involvement and doctor-patient communication. One tenth of the patients ranked the importance of each feature on a scale of one to four, and nine tenths of patients scored their experiences of care received. We calculated the potential for improvement by multiplying the proportion of negative patient experiences with the mean importance score in each country. Scores were divided into low, medium and high improvement potential. Pair-wise correlations were made between improvement scores and three dimensions of the structure of primary care - governance, economic conditions and workforce development.
findingsIn 26 countries, one or more features of primary care had medium or high improvement potentials. Comprehensiveness of care had medium to high improvement potential in 23 of 34 countries. In all countries, doctor-patient communication had low improvement potential. An overall stronger structure of primary care was correlated with a lower potential for improvement of continuity and comprehensiveness of care. In countries with stronger primary care governance patients perceived less potential to improve the continuity of care. Countries with better economic conditions for primary care had less potential for improvement of all features of person-focused care.
conclusionIn countries with a stronger primary care structure, patients perceived that primary care had less potential for improvement.
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