IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i2p1120-d1028991.html
   My bibliography  Save this article

Associations between Primary Healthcare Experiences and Glycemic Control Status in Patients with Diabetes: Results from the Greater Bay Area Study, China

Author

Listed:
  • Junfeng Lu

    (Department of Health Management, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
    These authors contributed equally to this work.)

  • Hui Yang

    (Department of Biostatistics, School of Public Health, and The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai 200032, China
    These authors contributed equally to this work.)

  • Leiyu Shi

    (John Hopkins School of Public Health, Baltimore, MD 21205, USA)

  • Xia Sheng

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

  • Yongjun Huo

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

  • Ruqing Liu

    (Guangdong Provincial Engineering Technology Research Center of Environmental Pollution and Health Risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Ruwei Hu

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

Abstract

Primary healthcare (PHC) plays an important role in diabetes management; community health centers (CHCs) serve as the main providers of PHC. However, few studies have discussed the association between the service quality of PHC and the effects of diabetes management. In this study, we explored the associations between experiences of PHC in CHCs and glycemic control status in patients with diabetes mellitus. This study was conducted in six CHCs in the Greater Bay Area of China. In total, 418 patients with diabetes mellitus (44% males and 56% females) were recruited between August and October 2019. We evaluated their PHC experiences using the Primary Care Assessment Tool (PCAT) developed by Johns Hopkins and assessed their glycemic control status by measuring their fasting plasma glucose levels. Binary logistic regression analyses were conducted to assess the associations between the patients’ PHC experiences and glycemic control status, adjusting for covariates. The patients with good glycemic control had significantly higher total and dimensional PCAT scores compared with those with poor glycemic control ( p < 0.05). Higher PCAT scores were significantly associated with a greater adjusted odds ratios (aORs) of good glycemic control for total and dimensional PCAT scores. For example, compared to those with poor glycemic control, the aORs for those with good glycemic control was 8.82 (95% CI = 4.38–17.76) per total PCAT score increasing. Especially, the aORs for those with good glycemic control were 3.92 (95% CI = 2.38–6.44) and 4.73 (95% CI = 2.73–8.20) per dimensional PCAT score of family-centeredness and community orientation increasing, respectively. Better PHC experiences were associated with better diabetes management. In particular, family-centered and community-oriented CHCs may help improve diabetes management in China and other low- and middle-income countries.

Suggested Citation

  • Junfeng Lu & Hui Yang & Leiyu Shi & Xia Sheng & Yongjun Huo & Ruqing Liu & Ruwei Hu, 2023. "Associations between Primary Healthcare Experiences and Glycemic Control Status in Patients with Diabetes: Results from the Greater Bay Area Study, China," IJERPH, MDPI, vol. 20(2), pages 1-11, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1120-:d:1028991
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/2/1120/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/2/1120/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Zhaoxin Wang & Jianwei Shi & Zhigui Wu & Huiling Xie & Yifan Yu & Ping Li & Rui Liu & Limei Jing, 2017. "Changes in chronic disease management among community health centers (CHCs) in China: Has health reform improved CHC ability?," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(3), pages 317-328, July.
    2. Xiaolin Wei & Haitao Li & Nan Yang & Samuel Y S Wong & Onikepe Owolabi & Jianguang Xu & Leiyu Shi & Jinling Tang & Donald Li & Sian M Griffiths, 2015. "Comparing Quality of Public Primary Care between Hong Kong and Shanghai Using Validated Patient Assessment Tools," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-15, March.
    3. Aiyun Chen & Shanshan Feng & Liang Zhang & Leiyu Shi, 2020. "Comparison of Patients’ Perceived Quality of Primary Care Between Urban and Rural Community Health Centers in Guangdong, China," IJERPH, MDPI, vol. 17(13), pages 1-16, July.
    4. Martin C S Wong & Harry H X Wang & Samuel Y S Wong & Xiaolin Wei & Nan Yang & Zhenzhen Zhang & Haitao Li & Yang Gao & Donald K T Li & JinLing Tang & Jiaji Wang & Sian M Griffiths, 2012. "Performance Comparison among the Major Healthcare Financing Systems in Six Cities of the Pearl River Delta Region, Mainland China," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-9, September.
    5. Guangwen Gong & Yingchun Chen & Hongxia Gao & Dai Su & Jingjing Chang, 2019. "Has the Efficiency of China’s Healthcare System Improved after Healthcare Reform? A Network Data Envelopment Analysis and Tobit Regression Approach," IJERPH, MDPI, vol. 16(23), pages 1-12, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chen, Kuan-Chen & Lin, Sun-Yuan & Yu, Ming-Miin, 2022. "Exploring the efficiency of hospital and pharmacy utilizations in Taiwan: An application of dynamic network data envelopment analysis," Socio-Economic Planning Sciences, Elsevier, vol. 84(C).
    2. Min Su & Zhongliang Zhou & Yafei Si & Sean Sylvia & Gang Chen & Yanfang Su & Scott Rozelle & Xiaolin Wei, 2021. "Comparing the Quality of Primary Care between Public and Private Providers in Urban China: A Standardized Patient Study," IJERPH, MDPI, vol. 18(10), pages 1-16, May.
    3. Mingzhu Zhou & Na Zhang & Yu Zhang & Xinyu Yan & Muxia Li & Wen Guo & Xiaohui Guo & Hairong He & Kaiwei Guo & Guansheng Ma, 2021. "Effect of Mobile-Based Lifestyle Intervention on Weight Loss among the Overweight and Obese Elderly Population in China: A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(16), pages 1-13, August.
    4. Xiaolin Wei & Haitao Li & Nan Yang & Samuel Y S Wong & Onikepe Owolabi & Jianguang Xu & Leiyu Shi & Jinling Tang & Donald Li & Sian M Griffiths, 2015. "Comparing Quality of Public Primary Care between Hong Kong and Shanghai Using Validated Patient Assessment Tools," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-15, March.
    5. Jiazhi Zeng & Leiyu Shi & Xia Zou & Wen Chen & Li Ling, 2015. "Rural-to-Urban Migrants' Experiences with Primary Care under Different Types of Medical Institutions in Guangzhou, China," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-21, October.
    6. Shanshan Feng & Leiyu Shi & Jiazhi Zeng & Wen Chen & Li Ling, 2017. "Comparison of Primary Care Experiences in Village Clinics with Different Ownership Models in Guangdong Province, China," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-14, January.
    7. Yanbing Zeng & Zhipeng Yuan & Lele Chen & Jielong Wu & Fan Chen & Ya Fang, 2019. "Primary care reforms in managing chronic diseases in Xiamen, China: A tentative assessment," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1609-1620, October.
    8. Jiaoling Huang & Shanshan Liu & Rongrong He & Shuai Fang & Wei Lu & Jun Wu & Hong Liang & Yimin Zhang, 2018. "Factors associated with residents’ contract behavior with family doctors in community health service centers: A longitudinal survey from China," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-16, November.
    9. Yusi Cheng & Xuejie Bai & Yung‐Ho Chiu, 2023. "Performance evaluation for health‐care sectors using a dynamic network data envelopment analysis approach," Managerial and Decision Economics, John Wiley & Sons, Ltd., vol. 44(4), pages 2237-2253, June.
    10. Aiyun Chen & Shanshan Feng & Liang Zhang & Leiyu Shi, 2020. "Comparison of Patients’ Perceived Quality of Primary Care Between Urban and Rural Community Health Centers in Guangdong, China," IJERPH, MDPI, vol. 17(13), pages 1-16, July.
    11. Fang Duan & Yan Zheng & Qian Zhao & Ze Huang & Yuedan Wu & Guoyi Zhou & Xiang Chen, 2020. "Knowledge and practices regarding diabetic retinopathy among diabetic patients registered in a chronic disease management system in eastern China," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-12, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1120-:d:1028991. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.