ArticleBMC health services research2016
Types of health care facilities and the quality of primary care: a study of characteristics and experiences of Chinese patients in Guangdong Province, China.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers.
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Who cites it
57 citing papers in PubMed.
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- Primary care quality of primary healthcare institutions in china: current status and influencing factors.Archives of public health = Archives belges de sante publique · 2025Article
- Patient-centered integration of the treatment and prevention of cardiovascular diseases in the community: a digital intelligence exploration.Frontiers in medicine · 2025Article
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- Early initiation of breastfeeding: Better practiced in primary healthcare facilities? Analysis of the 2019 National Demographic and Family Health Survey in Peru.PLOS global public health · 2025Article
- The association between internet use and the choice of medical institution among Chinese older adults.BMC geriatrics · 2024Article
- Potentially inappropriate prescribing among older adults with hypertension in China: prevalence and related comorbidities across different outpatient settings.Frontiers in pharmacology · 2024Article
- The quality of migrant patients' primary healthcare experiences and patient-centered medical home achievement by community health centers: results from the China greater bay area study.International journal for equity in health · 2023Article
- Behavioral deviations: healthcare-seeking behavior of chronic disease patients with intention to visit primary health care institutions.BMC health services research · 2023Article
- Explaining the intention and behaviours of interinstitutional collaboration in chronic disease management among health care personnel: a cross-sectional study from Fujian Province, China.BMC health services research · 2023Article
- Core competencies of healthcare professionals in Oman: Research and evidence-based practice needs attention.Nursing open · 2023Article
- Associations between Primary Healthcare Experiences and Glycemic Control Status in Patients with Diabetes: Results from the Greater Bay Area Study, China.International journal of environmental research and public health · 2023Article
- A comparative study for accessing primary healthcare between planning assessment and actual utilization for older adults: a case from Dalian City, China.Frontiers in public health · 2023Article
- Positive Impact on Public Perception toward Commune Health Stations (CHSs) in Rural Areas of Tyuen Quang Province, Vietnam, Following the Application of the Development Program for the Capacity-Building of CHSs.International journal of environmental research and public health · 2022Article
- The Agreement Between Virtual Patient and Unannounced Standardized Patient Assessments in Evaluating Primary Health Care Quality: Multicenter, Cross-sectional Pilot Study in 7 Provinces of China.Journal of medical Internet research · 2022Article
- Association between Primary Care Utilization and Emergency Room or Hospital Inpatient Services Utilization among the Middle-Aged and Elderly in a Self-Referral System: Evidence from the China Health and Retirement Longitudinal Study 2011-2018.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn China, most people tend to use hospitals rather than health centers for their primary care generally due to the perception that quality of care provided in the hospital setting is superior to that provided at the health centers. No studies have been conducted in China to compare the quality of primary care provided at different health care settings. The purpose of this study is to compare the quality of primary care provided in different types of health care facilities in China.
methodsA cross-sectional survey with patients was conducted in Guangdong province of China, using the validated Chinese Primary Care Assessment Tool (PCAT). ANOVA was performed to compare the overall and 10 domains of primary care quality for patients in tertiary, secondary, and primary health care settings. Multivariate analyses were used to assess the association between types of facility and quality of primary care attributes while controlling for sociodemographic and health care characteristics.
resultsThe final number of respondents was 864 including 161 from county hospitals, 190 from rural community health centers (CHCs), 164 from tertiary hospitals, 80 from secondary hospitals, and 269 from urban CHCs. Type of health care facilities was significantly associated with total PCAT score and domain scores. CHC was associated with higher total PCAT score and scores for first contact-access, ongoing care, comprehensiveness-services available, and community orientation than secondary and/or tertiary hospitals, after controlling for patients' demographic and health characteristics. Higher PCAT score was associated with greater satisfaction with primary care received. CHC patients were more likely to report satisfactory experiences compared to patients from secondary and tertiary facilities.
conclusionsThe study demonstrated that CHCs provided better quality primary care when compared with secondary and tertiary health care facilities, justifying CHCs as a model of primary care delivery.
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