See the published version of this preprint at BMC Family Practice.
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Learn more about In Review
Research article
Dehua Yu
Tongji University School of Medicine
Corresponding Author
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Following World Health Organization’s initiatives to advance primary care, China put forth forceful policies including the Personal Family Doctor Contract to ensure that every family sign up with a qualified doctor in a community health center (CHC) ever since its 2009 New Health Reform. This study used the Johns Hopkins-designed Primary Care Assessment Tool (PCAT) to assess primary care quality experienced by the contracted residents and compare this across different socioeconomic regions.
Methods
Using a multistage sampling method, four CHCs each were randomly selected from urban, suburban and rural districts of Shanghai, a metropolitan with 24 million residents. ANOVA and Multivariate analyses were used to assess the association between location of CHC and the quality of primary care experience.
Results
A total of 2,404 CHC users completed our survey. Except for the domain of coordination (information systems), users from suburban CHCs reported best primary care experiences in all other domains, followed by users of rural CHCs. After controlling for covariates, suburban CHC users were more likely to report higher total PCAT scores (ß=1.57, P < 0.001). The older users, more frequent users, and those in better health condition reported higher PCAT scores.
Conclusions
CHC users generally reported high quality primary care experience especially in the domain of first-contact (utilization), family centeredness, and comprehensiveness (services provided). That suburban and rural CHC residents reported better primary care experience than urban CHCs demonstrates the unique value of CHCs in relatively medical underserved areas.
Keywords
primary care, community health centers, quality, PCAT
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CURRENT STATUS: Published
View the published article at BMC Family Practice.
No community comments so far
Submission checks complete
On 18 Aug, 2020
Editorial decision: Accept
On 17 Aug, 2020
No comments provided
Editorial decision: Minor revision
On 13 Aug, 2020
Editor assigned
On 06 Aug, 2020
Submission checks complete
On 05 Aug, 2020
Editor invited
On 05 Aug, 2020
No comments provided
Review #1 received
Received 01 Aug, 2020
Review #2 received
Received 31 Jul, 2020
Reviewer #2 agreed
On 30 Jul, 2020
Reviewer #1 agreed
On 29 Jul, 2020
Reviewers invited
Invitations sent on 26 Jul, 2020
Editor assigned
On 23 Jul, 2020
Submission checks complete
On 22 Jul, 2020
Editor invited
On 22 Jul, 2020
Version 1
Posted 09 Jun, 2020
No comments provided
Editorial decision: Major revision
On 11 Jul, 2020
Review #2 received
Received 01 Jul, 2020
Review #3 received
Received 01 Jul, 2020
Reviewer #3 agreed
On 14 Jun, 2020
Reviewer #2 agreed
On 11 Jun, 2020
Reviewer #1 agreed
On 10 Jun, 2020
Review #1 received
Received 10 Jun, 2020
Reviewers invited
Invitations sent on 07 Jun, 2020
Editor assigned
On 04 Jun, 2020
Submission checks complete
On 03 Jun, 2020
Editor invited
On 03 Jun, 2020
First submitted
On 15 May, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
General Practice
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See the published version of this preprint at BMC Family Practice.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Dehua Yu
Tongji University School of Medicine
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Family Practice.
No community comments so far
Submission checks complete
On 18 Aug, 2020
Editorial decision: Accept
On 17 Aug, 2020
No comments provided
Editorial decision: Minor revision
On 13 Aug, 2020
Editor assigned
On 06 Aug, 2020
Submission checks complete
On 05 Aug, 2020
Editor invited
On 05 Aug, 2020
No comments provided
Review #1 received
Received 01 Aug, 2020
Review #2 received
Received 31 Jul, 2020
Reviewer #2 agreed
On 30 Jul, 2020
Reviewer #1 agreed
On 29 Jul, 2020
Reviewers invited
Invitations sent on 26 Jul, 2020
Editor assigned
On 23 Jul, 2020
Submission checks complete
On 22 Jul, 2020
Editor invited
On 22 Jul, 2020
Version 1
Posted 09 Jun, 2020
No comments provided
Editorial decision: Major revision
On 11 Jul, 2020
Review #2 received
Received 01 Jul, 2020
Review #3 received
Received 01 Jul, 2020
Reviewer #3 agreed
On 14 Jun, 2020
Reviewer #2 agreed
On 11 Jun, 2020
Reviewer #1 agreed
On 10 Jun, 2020
Review #1 received
Received 10 Jun, 2020
Reviewers invited
Invitations sent on 07 Jun, 2020
Editor assigned
On 04 Jun, 2020
Submission checks complete
On 03 Jun, 2020
Editor invited
On 03 Jun, 2020
First submitted
On 15 May, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
General Practice
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Family Practice.
Background
Following World Health Organization’s initiatives to advance primary care, China put forth forceful policies including the Personal Family Doctor Contract to ensure that every family sign up with a qualified doctor in a community health center (CHC) ever since its 2009 New Health Reform. This study used the Johns Hopkins-designed Primary Care Assessment Tool (PCAT) to assess primary care quality experienced by the contracted residents and compare this across different socioeconomic regions.
Methods
Using a multistage sampling method, four CHCs each were randomly selected from urban, suburban and rural districts of Shanghai, a metropolitan with 24 million residents. ANOVA and Multivariate analyses were used to assess the association between location of CHC and the quality of primary care experience.
Results
A total of 2,404 CHC users completed our survey. Except for the domain of coordination (information systems), users from suburban CHCs reported best primary care experiences in all other domains, followed by users of rural CHCs. After controlling for covariates, suburban CHC users were more likely to report higher total PCAT scores (ß=1.57, P < 0.001). The older users, more frequent users, and those in better health condition reported higher PCAT scores.
Conclusions
CHC users generally reported high quality primary care experience especially in the domain of first-contact (utilization), family centeredness, and comprehensiveness (services provided). That suburban and rural CHC residents reported better primary care experience than urban CHCs demonstrates the unique value of CHCs in relatively medical underserved areas.
Figure 1
Figure 2
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