ArticleAnnals of family medicine2020
Comparison of Primary Care Experience in Hospital-Based Practices and Community-Based Office Practices in Japan.
Article in Annals of family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 21 citations in OpenAlex.
- Patient Experience of Primary Care in One Small Hospital and One Non-Bedded Clinic in a Mountainous Rural Area of Japan.Journal of general and family medicine · 2026Article
- Redesigning the model for providing primary healthcare in Iran: a grounded theory study in rural settings.Primary health care research & development · 2026Article
- Changes in primary health care service experiences and urban-suburban disparities among Shanghai residents: a two-year comparative study.International journal for equity in health · 2025Article
- Prevalence and Associated Risk Factors of Self-Harm Among Health Care Workers: Protocol for Systematic Review and Meta-Analysis.JMIR research protocols · 2025Article
- Primary care experiences of family caregivers using the same medical facility as their care recipient or a different facility.Journal of general and family medicine · 2025Article
- Strengthening primary health care service competency: a scoping review of challenges, influencing factors, and enhancement strategies.Frontiers in public 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
- Validation and Clinical Application of the Japanese Version of the Patient-Reported Experience Measures for Intermediate Care Services: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Role of primary care for individuals with childhood-onset neurologic conditions.Health care transitions · 2024Article
- Factors associated with the status of usual source of care during the COVID-19 pandemic: a nationwide survey in Japan.BMC primary care · 2023Article
- A Cohort Study of the Relationship between Active Collaboration and Operational Efficiency in Japanese Public Health Institutions.JMA journal · 2022Article
- Patient experience (PX) among individuals with disabilities in Japan: a mixed-methods study.BMC primary care · 2022Observational
- Patient experience of residents with restricted primary care access during the COVID-19 pandemic.Family medicine and community health · 2022Article
- Association between resident status and patients' experiences of primary care: a cross-sectional study in the Greater Bay Area, China.BMJ open · 2022Article
- Obstacles to access to community care in urban senior-only households: a qualitative study.BMC geriatrics · 2022Article
- Article
- Multimorbidity and patient-reported diagnostic errors in the primary care setting: multicentre cross-sectional study in Japan.BMJ open · 2020Article
- Impact of Primary Care Attributes on Hospitalization During the COVID-19 Pandemic: A Nationwide Prospective Cohort Study in Japan.Annals of family medicineArticle
- Patient Experience Performance at a Primary Cancer Center Versus Affiliated Community Facilities.Advances in radiation oncologyArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe quality of health care, including primary care, is influenced by the context in which care is delivered. We investigated the association between primary care practice location and patient experience with a focus on differences between hospital-based practices and community-based office practices.
methodsWe conducted a cross-sectional study in a primary care practice-based research network in Japan among 25 participating facilities: 6 small and medium-sized hospitals and 19 community-based offices. We assessed patient experience of primary care using a Japanese version of Primary Care Assessment Tool (JPCAT), which comprises 6 domains: first contact, longitudinality, coordination, comprehensiveness with respect to services available, comprehensiveness with respect to services provided, and community orientation.
resultsAnalyses were based on 1,725 primary care patients. After adjustment for possible confounders and clustering within facilities, compared with community-based office practices, hospital-based practices were associated with poorer patient experience of community orientation (adjusted mean difference = -5.76; 95% CI, -10.35 to -1.17). In contrast, hospital-based practices were associated with comparatively better patient experience of first contact (adjusted mean difference = 15.43; 95% CI, 5.13 to 25.72).
conclusionsOur study elucidates differences in the strengths and challenges of primary care between hospital-based practices and community-based office practices, with a focus on patient centeredness. Improving community orientation in hospital-based practices and improving accessibility, including out-of-hours care, in community-based office practices may enhance the quality of primary care and promote standardization of care across settings.
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