ArticleInternational journal for equity in health2015
Contribution of primary care to health: an individual level analysis from Tibet, China.
Article in International journal for equity in health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Three-medical linkage in China: trend evolution and obstacle identification.BMC health services research · 2025Article
- Primary care functional features and their health impact on patients enrolled in the Shanghai family doctor service: a mixed-methods study.Journal of global health · 2025Article
- Positive association between patient experience of primary care with chronic disease and self-rated health in a Japanese rural area: A cross-sectional questionnaire survey using the Japanese primary care assessment tool short form.Journal of general and family medicine · 2024Article
- Income-related equity in inpatient care utilization and unmet needs between 2013 and 2018 in Tibet, China.International journal for equity in health · 2023Article
- Factors associated with self-rated health in primary care in the South-Western health zone of Malawi.BMC primary care · 2022Article
- Associations Between Obesity, Physical Inactivity, Healthcare Capacity, and the Built Environment: Geographic Information System Analysis.Journal of multidisciplinary healthcare · 2022Article
- Multimorbid Patient Experiences With Primary Care at Community Health Centers in Shanghai, China.Frontiers in public health · 2021Article
- Association of primary care physician supply with maternal and child health in China: a national panel dataset, 2012-2017.BMC public health · 2020Article
- Patient-centered primary care and self-rated health in 6 Latin American and Caribbean countries: Analysis of a public opinion cross-sectional survey.PLoS medicine · 2018Article
- The impacts of implementation of National Essential Medicines Policies on primary healthcare institutions: a cross-sectional study in China.BMC health services research · 2017Article
- Interventions in Primary Care and their contributions to improving equity in health.International journal for equity in health · 2015Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThere have been significant improvements in health outcomes in Tibet, health disparities between Tibet and the rest of China has been greatly reduced. This paper tests whether there was a positive association between good primary care and better health outcomes in Tibet.
methodA validated Tibetan version of the Primary Care Assessment Tool (PCAT-T) was used to collect data on 1386 patients aged over 18 years old accessing primary care. Self-rated health (SRH) was employed to measure health outcomes. A multiple binary logistic regression model was used to explore the association between primary care quality and self-rated health status after controlling for socio-demographic and lifestyle variables.
resultsThis study found that primary care quality had a significant positive association with self-rated health status. Among the nine domains of PCAT-T, family centeredness domain had the highest Odds Ratio (OR = 1.013) with SRH. Patients located in rural area, with higher education levels, without depression, and less frequent drinking were more likely to self-rate as "good health" compared with the reference group.
conclusionsIn Tibet, higher quality primary care was associated with better self-rated health status. Primary care should be much strengthened in future health system reform in Tibet.
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