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Article: Having a Family Doctor is Associated with Some Better Patient-Reported Outcomes of Primary Care Consultations

TitleHaving a Family Doctor is Associated with Some Better Patient-Reported Outcomes of Primary Care Consultations
Authors
Issue Date2014
PublisherFrontiers.
Citation
Frontiers in Medicine, 2014, v. 1, p. 29 How to Cite?
AbstractBackground: Hong Kong (HK) has pluralistic primary care that is provided by a variety of doctors. The aim of our study was to assess patient-reported outcomes of primary care consultations in HK and whether having a family doctor (FD) made any difference. Methods: We interviewed by telephone 3148 subjects from 5174 contacted households (response rate 60.8%) randomly selected from the general population of HK about the experience of their last primary care consultations in September 2007 and April 2008. We compared the patient-reported outcomes (PRO) and patient-centered process of care in those with a FD, those with other types of regular primary care doctors (ORD) and those without any regular primary care doctor (NRD). PRO included patient enablement, global improvement in health, overall satisfaction, and likelihood of recommending their doctors to family and friends. Patient-centered process of care indicators was explanations about the illness, and address of patient’s concerns. Results: One thousand one hundred fifty, 746, and 1157 reported to have FD, ORD, and NRD, respectively. Over 80% of those with FD consulted their usual primary care doctors in the last consultation compared with 27% of those with NRD. Compared with subjects having ORD or NRD, subjects with FD reported being more enabled after the consultation and were more likely to recommend their doctors to family and friends. Subjects with FD and ORD were more likely than those having NRD to report a global improvement in health and satisfaction. FD group was more likely than the other two groups to report receiving an explanation on the diagnosis, nature, and expected course of the illness, and having their concerns addressed. Patient enablement was associated with explanation of diagnosis, nature, and expected course of illness, and address of patient’s concerns. Conclusion: People with a regular FD were more likely to feel being enabled and to experience patient-centered care in consultations.
Persistent Identifierhttp://hdl.handle.net/10722/205479
ISSN

 

DC FieldValueLanguage
dc.contributor.authorLam, CLKen_US
dc.contributor.authorYu, YTEen_US
dc.contributor.authorLo, YCYen_US
dc.contributor.authorWong, CKHen_US
dc.contributor.authorMercer, SMen_US
dc.contributor.authorFong, DYTen_US
dc.contributor.authorLee, Aen_US
dc.contributor.authorLam, TPen_US
dc.contributor.authorLeung, GMen_US
dc.date.accessioned2014-09-20T02:36:21Z-
dc.date.available2014-09-20T02:36:21Z-
dc.date.issued2014en_US
dc.identifier.citationFrontiers in Medicine, 2014, v. 1, p. 29en_US
dc.identifier.issn2296-858X-
dc.identifier.urihttp://hdl.handle.net/10722/205479-
dc.description.abstractBackground: Hong Kong (HK) has pluralistic primary care that is provided by a variety of doctors. The aim of our study was to assess patient-reported outcomes of primary care consultations in HK and whether having a family doctor (FD) made any difference. Methods: We interviewed by telephone 3148 subjects from 5174 contacted households (response rate 60.8%) randomly selected from the general population of HK about the experience of their last primary care consultations in September 2007 and April 2008. We compared the patient-reported outcomes (PRO) and patient-centered process of care in those with a FD, those with other types of regular primary care doctors (ORD) and those without any regular primary care doctor (NRD). PRO included patient enablement, global improvement in health, overall satisfaction, and likelihood of recommending their doctors to family and friends. Patient-centered process of care indicators was explanations about the illness, and address of patient’s concerns. Results: One thousand one hundred fifty, 746, and 1157 reported to have FD, ORD, and NRD, respectively. Over 80% of those with FD consulted their usual primary care doctors in the last consultation compared with 27% of those with NRD. Compared with subjects having ORD or NRD, subjects with FD reported being more enabled after the consultation and were more likely to recommend their doctors to family and friends. Subjects with FD and ORD were more likely than those having NRD to report a global improvement in health and satisfaction. FD group was more likely than the other two groups to report receiving an explanation on the diagnosis, nature, and expected course of the illness, and having their concerns addressed. Patient enablement was associated with explanation of diagnosis, nature, and expected course of illness, and address of patient’s concerns. Conclusion: People with a regular FD were more likely to feel being enabled and to experience patient-centered care in consultations.en_US
dc.languageengen_US
dc.publisherFrontiers.en_US
dc.relation.ispartofFrontiers in Medicineen_US
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsThis Document is Protected by copyright and was first published by Frontiers. All rights reserved. It is reproduced with permission.-
dc.titleHaving a Family Doctor is Associated with Some Better Patient-Reported Outcomes of Primary Care Consultationsen_US
dc.typeArticleen_US
dc.identifier.emailLam, CLK: clklam@hku.hken_US
dc.identifier.emailYu, YTE: ytyu@hku.hken_US
dc.identifier.emailLo, YCY: yyclo@hku.hken_US
dc.identifier.emailWong, CKH: carlosho@hku.hken_US
dc.identifier.emailFong, DYT: dytfong@hku.hken_US
dc.identifier.emailLam, TP: tplam@hku.hken_US
dc.identifier.emailLeung, GM: gmleung@hku.hken_US
dc.identifier.authorityLam, CLK=rp00350en_US
dc.identifier.authorityYu, YTE=rp01693en_US
dc.identifier.authorityLo, YCY=rp00512en_US
dc.identifier.authorityWong, CKH=rp01931en_US
dc.identifier.authorityFong, DYT=rp00253en_US
dc.identifier.authorityLam, TP=rp00386en_US
dc.identifier.authorityLeung, GM=rp00460en_US
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.3389/fmed.2014.00029en_US
dc.identifier.hkuros240178en_US
dc.identifier.volume1en_US
dc.identifier.spage29en_US
dc.identifier.epage29en_US

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