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Table 3 Multivariate analysis: patient and institutional factors associated with quality of care for the chronic disease

From: Community health centers and primary care access and quality for chronically-ill patients – a case-comparison study of urban Guangdong Province, China

 

OR (95 % CI)

Access

Continuity

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

aConvenience (traveling time)

aAccessibility (access out-of-office hours by phone or text message)

Healthcare professional reviewed with you all the medications

Health professionals always/ often encourage you to ask questions

Healthcare professional contacts you to see how things are going

City

 Guangzhou

1

1

1

1

1

1

 Shenzhen

3.31*** (2.06 5.34)

1.02 (0.64 1.62)

1.82* (1.13 2.93)

1.04 (0.66 1.63)

2.66*** (1.67 4.23)

3.92*** (2.43 6.32)

 Dongguan

6.09*** (3.52 10.53)

1.40 (0.86 2.30)

2.71*** (1.66 4.44)

2.48*** (1.54 4.00)

3.47*** (2.13 5.65)

5.48*** (3.28 9.16)

CHC vs. hospital

1.13 (0.84 1.89)

2.60*** (1.79 3.77)

0.97 (0.67 1.41)

0.89 (0.62 1.27)

0.81 (0.56 1.16)

0.66* (0.45 0.97)

Age (Mean)

1.00 (1.00 1.02)

1.00 (1.00 1.00)

1.00 (1.00 1.00)

1.00 (1.00 1.00)

1.00 (1.00 1.00)

1.00 (1.00 1.00)

Gender

 Female vs male

1.00 (0.97 1.02)

0.99 (0.89 1.10)

1.00 (0.95 1.05)

0.99 (0.95 1.04)

0.76 (0.53 1.10)

0.74 (0.50 1.08)

Marital Status

 Married vs. not married

1.35 (0.73 2.51)

1.29 (0.72 2.29)

0.65 (0.37 1.16)

0.69 (0.39 1.22)

0.78 (0.44 1.41)

0.80 (0.44 1.48)

Residence Status

 Registered resident vs. non-registered resident

1.31 (0.83 2.06)

1.00 (0.66 1.52)

1.23 (0.81 1.86)

0.80 (0.53 1.20)

1.03 (0.68 1.55)

1.52 (0.99 2.33)

Current Occupation

 Retired vs. others

0.72 (0.45 1.13)

1.61* (1.07 2.40)

1.31 (0.87 1.96)

1.03 (0.70 1.53)

1.31 (0.87 1.96)

1.40 (0.92 2.15)

Highest Education

 Middle school or above vs. primary school or below

1.10 (0.70 1.73)

0.84 (0.56 1.27)

1.70* (1.13 2.58)

0.85 (0.58 1.26)

1.14 (0.75 1.71)

1.28 (0.83 1.97)

Per Capita Income RMB

1.00 (1.00 1.00)

1.000 (1.00 1.00)

1.00* (1.00 1.00)

1.00 (1.00 1.00)

1.00 (1.00 1.00)

1.00 (1.00 1.00)

Current Health Status

 Excellent/very good/good vs. fair/poor

2.20*** (1.44 3.38)

0.53** (0.36 0.78)

0.64* (0.44 0.93)

0.65* (0.45 0.94)

1.64* (1.13 2.38)

1.29 (0.87 1.91)

Number of Chronic Conditions

1.12 (0.90 1.39)

0.91 (0.75 1.11)

0.83 (0.68 1.02)

0.87 (0.72 1.06)

1.10 (0.91 1.35)

1.10 (0.89 1.35)

 

OR (95 % CI)

Coordination

Comprehensiveness

Coordinate your use of medications

Make referrals

Didn’t experienced coordination problems

Received Secondary Prevention Services

Health professionals talked with you about things that can cause stress

Discuss with you about diet or exercise

City

 Guangzhou

1

1

1

1

1

1

 Shenzhen

1.11 (0.63 1.95)

2.22** (1.25 3.95)

0.60 (0.34 1.05)

0.90 (0.55 1.46)

2.32** (1.41 3.81)

2.62** (1.29 5.31)

 Dongguan

3.99** (1.76 9.05)

4.50*** (2.55 7.95)

3.52** (1.69 7.34)

1.46 (0.90 2.38)

3.65*** (2.18 6.11)

4.30** (1.86 9.93)

CHC vs. Hospital

0.55* (0.32 0.93)

0.86 (0.57 1.29)

0.85 (0.52 1.38)

1.43 (0.98 2.09)

0.99 (0.68 1.45)

0.45* (0.24 0.84)

Age (Mean)

1.01 (0.98 1.04)

1.00 (1.00 1.00)

1.00 (1.00 1.00)

1.00 (1.00 1.00)

1.00 (1.00 1.00)

1.00 (1.00 1.01)

Gender

Female vs male

1.00 (0.98 1.03)

0.88 (0.58 1.32)

1.39 (0.85 2.28)

0.74 (0.51 1.08)

1.00 (0.95 1.04)

1.01 (0.96 1.05)

Marital Status

      

Married vs. not married

0.61 (0.24 1.57)

2.19 (1.03 4.66)

0.93 (0.42 2.04)

0.84 (0.47 1.51)

1.14 (0.61 2.14)

0.74 (0.29 1.91)

Residence Status

      

Registered resident vs. non-registered resident

1.83 (1.05 3.20)

1.31 (0.82 2.08)

0.93 (0.54 1.61)

1.27 (0.82 1.95)

0.84 (0.55 1.28)

1.76 (0.92 3.34)

Current Occupation

      

Retired vs. others

0.46* (0.24 0.90)

0.48** (0.32 0.74)

1.16 (0.68 2.00)

0.88 (0.59 1.33)

0.84 (0.57 1.26)

1.33 (0.69 2.55)

Highest Education

      

Middle school or above vs. primary school or below

1.07 (0.59 1.95)

0.74 (0.47 1.16)

1.15 (0.67 1.99)

0.91 (0.60 1.37)

1.59* (1.04 2.43)

1.41 (0.75 2.64)

Per Capita Income RMB

1.00 (1.00 1.00)

1.00 (1.00 1.00)

1.00** (1.00 1.00)

1.00 (1.00 1.00)

1.00 (1.00 1.00)

1.00 (1.00 1.00)

Current Health Status

      

Excellent/very good/good vs. fair/poor

1.19 (0.70 2.04)

0.96 (0.64 1.46)

1.49 (0.88 2.50)

1.33 (0.91 1.95)

0.90 (0.62 1.32)

1.46 (0.77 2.74)

Number of Chronic Conditions

1.12 (0.85 1.48)

1.16 (0.93 1.45)

0.98 (0.76 1.26)

1.09 (0.90 1.34)

0.96 (0.78 1.17)

0.92 (0.68 1.24)

  1. aWe coded these two variables as binary response: score 5 in 1–5 Likert scale is coded as Yes, score 1–4 in Likert scale are coded as No
  2. *p < 0.05 **p < 0.01, ***p < 0.001