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学科主题: 公共卫生
题名:
Contribution of primary care to health: an individual level analysis from Tibet, China
作者: Wang, Wenhua1,2; Shi, Leiyu3; Yin, Aitian2; Mao, Zongfu1; Maitland, Elizabeth4; Nicholas, Stephen5,6,7,8; Liu, Xiaoyun9
关键词: Primary care quality ; Self-rated health ; Primary care assessment tool
刊名: INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
发表日期: 2015-11-30
DOI: 10.1186/s12939-015-0255-y
卷: 14
收录类别: SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Public, Environmental & Occupational Health
研究领域[WOS]: Public, Environmental & Occupational Health
关键词[WOS]: SELF-RATED HEALTH ; UNITED-STATES ; POPULATION ; COUNTRIES ; MORTALITY ; QUALITY ; ALCOHOL ; INCOME ; INEQUALITY ; DRINKING
英文摘要:

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.

语种: 英语
WOS记录号: WOS:000365789700001
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/59899
Appears in Collections:北京大学中国卫生发展研究中心_期刊论文

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作者单位: 1.Wuhan Univ, Sch Publ Hlth, Wuhan 430071, Hubei Province, Peoples R China
2.Shandong Univ, Ctr Hlth Management & Policy, Jinan 250012, Shandong, Peoples R China
3.Johns Hopkins Bloomberg Sch Publ Hlth, Johns Hopkins Primary Care Policy Ctr, Baltimore, MD 21205 USA
4.Univ New S Wales, Australian Sch Business, Sch Management, Sydney, NSW 2052, Australia
5.Tianjin Normal Univ, Sch Management, Tianjin 300074, Peoples R China
6.Beijing Foreign Studies Univ, Sch Int Business, Beijing 100089, Peoples R China
7.Guangdong Univ Foreign Studies, Guangdong Res Inst Int Strategies, Guangzhou 510420, Guangdong, Peoples R China
8.Univ Newcastle, Newcastle, NSW 2308, Australia
9.Peking Univ, China Ctr Hlth Dev Studies, Beijing 100191, Peoples R China

Recommended Citation:
Wang, Wenhua,Shi, Leiyu,Yin, Aitian,et al. Contribution of primary care to health: an individual level analysis from Tibet, China[J]. INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH,2015,14.
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