TY - JOUR
T1 - Contribution of primary care to health
T2 - An individual level analysis from Tibet, China Interventions in primary health care to improve outcome and equity in health
AU - Wang, Wenhua
AU - Shi, Leiyu
AU - Yin, Aitian
AU - Mao, Zongfu
AU - Maitland, Elizabeth
AU - Nicholas, Stephen
AU - Liu, Xiaoyun
N1 - Publisher Copyright:
© 2015 Wang et al.
Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 2015/11/30
Y1 - 2015/11/30
N2 - Introduction: There 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. Method: A 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. Results: This 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. Conclusions: In 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.
AB - Introduction: There 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. Method: A 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. Results: This 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. Conclusions: In 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.
KW - Primary care assessment tool
KW - Primary care quality
KW - Self-rated health
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U2 - 10.1186/s12939-015-0255-y
DO - 10.1186/s12939-015-0255-y
M3 - Article
C2 - 26616447
AN - SCOPUS:84948658054
VL - 14
JO - International Journal for Equity in Health
JF - International Journal for Equity in Health
SN - 1475-9276
IS - 1
M1 - 107
ER -