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Effect of Family Practice Contract Services on the Perceived Quality of Primary Care among Patients with Multimorbidity: A Cross-Sectional Study in Guangdong, China

Author

Listed:
  • Jingyi Liao

    (Department of Health Administration, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Mengping Zhou

    (Department of Health Administration, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Chenwen Zhong

    (Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong 999077, China)

  • Cuiying Liang

    (Science Education Department, Dongguan People’s Hospital, Dongguan 523000, China)

  • Nan Hu

    (Department of Biostatistics, FIU Robert Stempel College of Public Health and Social Work, Miami, FL 33199, USA
    Department of Family and Preventive Medicine and Population Health Sciences, University of Utah School of Medicine, Salt Lake City, UT 84132, USA)

  • Li Kuang

    (Department of Health Administration, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

Abstract

Family practice contract services, an important primary-care reform policy for improving primary healthcare quality in China, incorporate patients with multiple chronic conditions into the priority coverage groups and focus on their management. This study aims to explore the family practice contract services’ effectiveness in improving the quality of primary care experienced by this population. A cross-sectional study using a three-stage sampling was conducted from January to March 2019 in Guangdong, China. A multivariable linear regression, including interaction terms, was applied to examine the associations between the contract services and primary care quality among people with different chronic conditions. The process quality of primary care was measured in six dimensions using the validated assessment survey of primary care (ASPC) scale. People with contract services scored higher in terms of quality of primary care than those without contract services. Contract services moderated the association between chronic condition status and primary care quality. Significantly positive interactions were observed in the patient-centred care dimension and negative interactions were reflected in the accessibility dimension. Our findings suggest that family practice contract services play a crucial role in improving patient-perceived primary care quality and provide emerging evidence that patients with multimorbidity tend to benefit more from the services, especially in patient-centred care.

Suggested Citation

  • Jingyi Liao & Mengping Zhou & Chenwen Zhong & Cuiying Liang & Nan Hu & Li Kuang, 2021. "Effect of Family Practice Contract Services on the Perceived Quality of Primary Care among Patients with Multimorbidity: A Cross-Sectional Study in Guangdong, China," IJERPH, MDPI, vol. 19(1), pages 1-17, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:157-:d:710069
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    References listed on IDEAS

    as
    1. Yanrong Zhao & Junfen Lin & Yinwei Qiu & Qing Yang & Xinyi Wang & Xiaopeng Shang & Xiaoping Xu, 2017. "Demand and Signing of General Practitioner Contract Service among the Urban Elderly: A Population-Based Analysis in Zhejiang Province, China," IJERPH, MDPI, vol. 14(4), pages 1-10, March.
    2. Huazhang Li & Kun Liu & Jianjun Gu & Yimin Zhang & Yun Qiao & Xiaoming Sun, 2017. "The development and impact of primary health care in China from 1949 to 2015: A focused review," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(3), pages 339-350, July.
    3. Yanhong Gong & Juan Xu & Ting Chen & Na Sun & Zuxun Lu & Xiaoxv Yin, 2018. "The effect of the latest health care reforms on the quality of community health services in China," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(4), pages 1225-1231, October.
    Full references (including those not matched with items on IDEAS)

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