The power of primary health care

Jónsson, Jón Steinar; Sigurðsson, Emil L.

doi:10.1080/02813432.2020.1841507

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…A strong primary health care system is critical for improving population health [ 3 ], in particular for those most vulnerable in the society [ 4 ]. The pandemic of the coronavirus disease 2019 (COVID-19) has also exposed the critical role of primary health care in the early detection of community transmissions and the control of healthcare-associated infections [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Patient experience in community health services and first choice for medical attention: A cross-sectional study in Wuhan, China

Tang¹,

Fang²,

Bai³

et al. 2023

PLoS ONE

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Objectives In China, it is up to the patients to choose between hospitals and primary care facilities to initiate their medical care. This study aimed to determine the association between patient experience with community health centres (CHCs, a predominant provider of community-based primary care) and patient preference of taking community-based primary care facilities as a first choice for medical attention. Methods A questionnaire survey was conducted on 1919 patients who sought medical care in 55 CHCs in Wuhan, China. Respondents were asked to identify their preferred first choice for medical attention and rate their satisfaction with eight aspects of CHCs (basic facility, medical equipment, medical services, nursing services, treatment process, courtesy and responsiveness, time spent with medical doctor, pharmacy services). Multivariate logistic regression models were established to determine the association between the CHC experience and the first choice of providers after adjustment for variations in sociodemographic characteristics. Results Over 90% of respondents were satisfied or very satisfied with the eight aspects of CHCs; but only 75% preferred to take community-based primary care facilities as their first choice for medical attention. Those who were older and had a lower income were more likely to choose community-based primary care facilities. Geographic proximity and higher levels of satisfaction with the basic facility, courtesy and responsiveness, and pharmacy services in the CHCs were associated with a higher likelihood of taking community-based primary care facilities as a first choice for medical attention. Conclusion The consumers of CHCs are generally satisfied with the services they received. However, one quarter of the CHC patients are yet to be convinced to accept community-based primary care facilities as a preferred first provider for medical care. Geographic proximity and patient experience with CHCs are associated with the patient choice.

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Section: Introductionmentioning

confidence: 99%