|Contribution of primary care to health: an individual level analysis from Tibet, China|
|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|
|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|
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.
|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
|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.|
|APA||Wang, Wenhua.,Shi, Leiyu.,Yin, Aitian.,Mao, Zongfu.,Maitland, Elizabeth.,...&Liu, Xiaoyun.(2015).Contribution of primary care to health: an individual level analysis from Tibet, China.INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH,14.|
|MLA||Wang, Wenhua,et al."Contribution of primary care to health: an individual level analysis from Tibet, China".INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH 14(2015).|