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Table 3 Quality & value of care: intervention vs. control counties

From: Integrated care delivery and health care seeking by chronically-ill patients – a case-control study of rural Henan province, China

 

Total Intervention Group

Intervention Group (Xi County)

Total Control Group

Control Group (Huaibin County)

CHC 1

CHC 2

Hospital

CHC 1

CHC 2

Hospital

N(%) or Mean(SE)

N(%) or Mean(SE)

N(%) or Mean(SE)

N(%) or Mean(SE)

N(%) or Mean(SE)

N(%) or Mean(SE)

N(%) or Mean(SE)

N(%) or Mean(SE)

Sample Size Quality of Care

199

50

57

92

172

46

46

80

Access Get medical care in the evenings, on weekends, or holidays***

        

 Very easy

176(88.44)

42(84)

49(85.96)

85(92.39)

127(73.84)

40(86.96)

35(76.09)

52(65)

 Somewhat easy/not sure

23(11.56)

8(16)

8(14.04)

7(7.61)

45(26.16)

6(13.04)

11(23.91)

28(35)

Satisfaction with Current Care Provider's Convenience (traveling time)***

4.73(0.05)

4.72(0.13)

4.72(0.11)

4.75(0.05)

4.37(0.06)

4.39(0.12)

4.52(0.07)

4.28(0.1)

Provider's Accessibility (access out-of-office hours by phone or text message)***

4.64(0.07)

4.12(0.22)

4.61(0.13)

4.93(0.03)

3.97(0.09)

4.07(0.13)

4.59(0.09)

3.56(0.15)

Continuity Healthcare professionals review with you all the medications***

        

 Yes

177(88.94)

45(90)

55(96.49)

77(83.7)

118(68.60)

41(89.13)

29(63.04)

48(60)

 No/not sure/decline to answer

22(11.06)

5(10)

2(3.51)

15(16.3)

54(31.40)

5(10.87)

17(36.96)

32(40)

Health professionals always encourage you to ask questions***

        

 Always

190(95.48)

41(82)

57(100)

92(100)

105(61.05)

31(67.39)

28(60.87)

46(57.5)

 Often/sometimes/rarely or never/NA/not sure/decline to answer

9(4.52)

9(18)

0(0)

0(0)

67(38.95)

15(32.61)

18(39.13)

34(42.5)

Healthcare professionals contact you to see how things are going***

        

 Yes

187(93.97)

42(84)

56(98.25)

89(96.74)

116(67.44)

39(84.78)

37(80.43)

40(50)

 No/not sure/decline to answer

12(6.03)

8(16)

1(1.75)

3(3.26)

56(32.56)

7(15.22)

9(19.57)

40(50)

Coordination Coordinate your use of medications**

        

 Yes

183(91.96)

47(94)

55(96.49)

81(88.04)

141(81.98)

46(100)

35(76.09)

60(75)

 No/Not Sure

16(8.04)

3(6)

2(3.51)

11(11.96)

31(18.02)

0(0)

11(23.91)

20(25)

Make referrals***

        

 Yes

146(73.37)

25(50)

43(75.44)

78(84.78)

86(50.00)

23(50)

24(52.17)

39(48.75)

 No/Not Sure

53(26.63)

25(50)

14(24.56)

14(15.22)

86(50.00)

23(50)

22(47.83)

41(51.25)

Experienced coordination problems***

        

 No

141(70.85)

31(62)

40(70.18)

70(76.09)

81(47.09)

23(50)

22(47.83)

36(45)

 Yes/Not sure/Decline to answer

58(29.15)

19(38)

17(29.82)

22(23.91)

91(52.91)

23(50)

24(52.17)

44(55)

Comprehensiveness Received secondary prevention services**

        

 Yes

166(83.42)

49(98)

49(85.96)

68(73.91)

131(76.16)

45(97.83)

25(54.35)

61(76.25)

 No/Not Sure

33(16.58)

1(2)

8(14.04)

24(26.09)

41(23.84)

1(2.17)

21(45.65)

19(23.75)

Health professionals talk with you about things that can cause stress**

        

 Yes

174(87.44)

37(74)

51(89.47)

86(93.48)

131(76.16)

41(89.13)

39(84.78)

51(63.75)

 No/have not seen a doctor in past 2 years/not sure/decline to answer

25(12.56)

13(26)

6(10.53)

6(6.52)

41(23.84)

5(10.87)

7(15.22)

29(36.25)

Health professionals talk with you about healthy diet or exercisec

        

 Yes

198(99.50)

50(100)

56(98.25)

92(100)

164(95.35)

44(95.65)

46(100)

74(92.5)

 No/have not seen a doctor in past 2 years/not sure/decline to answer

1(0.50)

0(0)

1(1.75)

0(0)

8(4.65)

2(4.35)

0(0)

6(7.5)

Value of Care Satisfaction aTotal score of satisfaction with current care provider***

74.87(0.67)

71.64(1.84)

74.02(1.42)

77.15(0.44)

66.46(0.61)

64.39(1.22)

73.07(0.88)

63.85(0.75)

bOverall satisfaction with the care experience***

4.71(0.06)

4.44(0.17)

4.63(0.11)

4.9(0.03)

4.22(0.07)

4.43(0.11)

4.78(0.07)

3.78(0.1)

Cost Concern Satisfaction with out-of-pocket cost for chronic care***

        

 Payment very easily/easily afforded and affordable

181(90.95)

42(84)

53(92.98)

86(93.48)

107(62.21)

35(76.09)

32(69.57)

40(50)

 Payment too high/way too high

18(9.05)

8(16)

4(7.02)

6(6.52)

65(37.79)

11(23.91)

14(30.43)

40(50)

Not receive the help you needed because of cost***

        

 No

162(81.41)

34(68)

46(80.7)

82(89.13)

100(58.12)

32(69.57)

21(45.65)

47(58.75)

 Yes/not sure

37(18.59)

16(32)

11(19.3)

10(10.87)

72(41.86)

14(30.43)

25(54.35)

33(41.25)

Health Improvement Chronic condition relative to when it was first diagnosed***

        

 Significantly/somewhat improved

173(86.93)

39(78)

46(80.7)

88(95.65)

103(59.88)

32(69.57)

38(82.61)

33(41.25)

 About the same/somewhat/significantly worsened

26(13.07)

11(22)

11(19.3)

4(4.35)

69(40.12)

14(30.43)

8(17.39)

47(58.75)

Experienced complications that required urgent attention**

        

 Yes

72(36.18)

14(28)

10(17.54)

48(52.17)

87(50.58)

17(36.96)

16(34.78)

54(67.5)

 No/not sure

127(63.82)

36(72)

47(82.46)

44(47.83)

85(49.42)

29(63.04)

30(65.22)

26(32.5)

  1. *p < 0.05 **p < 0.01, ***p < 0.001 based on t test for continuous measures and Chi square test for categorical measures
  2. aThis variable is the summary of the following items on patient satisfaction (each is coded as a 1-5 scale with 5 indicating most satisfied and 1 least satisfied): quality of care (equipment), quality of care (providers), patient-centered care, out-of-pocket cost, insurance plan requirement, choices of prescription drugs, traveling time, appointment time, waiting time, office opening hours, access out-of-office hours by phone or text message, coordination of needed services, comprehensiveness of services available or provided, referral from friends/relatives, and referral from a doctor
  3. bThis variable is worded as follows in the questionnaire: How satisfied are you with your overall health care experience? (coded as a 1-5 scale with 5 indicating most satisfied and 1 least satisfied)
  4. cChi square test was not available for variables with cell sample size less than 5