File Download
Links for fulltext
(May Require Subscription)
- Publisher Website: 10.3389/fmed.2014.00029
- Scopus: eid_2-s2.0-85016974665
- WOS: WOS:000219242600026
- Find via
Supplementary
- Citations:
- Appears in Collections:
Article: Having a Family Doctor is Associated with Some Better Patient-Reported Outcomes of Primary Care Consultations
Title | Having a Family Doctor is Associated with Some Better Patient-Reported Outcomes of Primary Care Consultations |
---|---|
Authors | |
Keywords | Family doctor Patient enablement Patient-centered care Patient-reported outcomes Primary care |
Issue Date | 2014 |
Publisher | Frontiers. |
Citation | Frontiers in Medicine, 2014, v. 1, p. 29 How to Cite? |
Abstract | Background: 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 Identifier | http://hdl.handle.net/10722/205479 |
ISSN | 2023 Impact Factor: 3.1 2023 SCImago Journal Rankings: 0.909 |
ISI Accession Number ID |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lam, CLK | en_US |
dc.contributor.author | Yu, YTE | en_US |
dc.contributor.author | Lo, YCY | en_US |
dc.contributor.author | Wong, CKH | en_US |
dc.contributor.author | Mercer, SM | en_US |
dc.contributor.author | Fong, DYT | en_US |
dc.contributor.author | Lee, A | en_US |
dc.contributor.author | Lam, TP | en_US |
dc.contributor.author | Leung, GM | en_US |
dc.date.accessioned | 2014-09-20T02:36:21Z | - |
dc.date.available | 2014-09-20T02:36:21Z | - |
dc.date.issued | 2014 | en_US |
dc.identifier.citation | Frontiers in Medicine, 2014, v. 1, p. 29 | en_US |
dc.identifier.issn | 2296-858X | - |
dc.identifier.uri | http://hdl.handle.net/10722/205479 | - |
dc.description.abstract | Background: 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.language | eng | en_US |
dc.publisher | Frontiers. | en_US |
dc.relation.ispartof | Frontiers in Medicine | en_US |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.rights | This Document is Protected by copyright and was first published by Frontiers. All rights reserved. It is reproduced with permission. | - |
dc.subject | Family doctor | - |
dc.subject | Patient enablement | - |
dc.subject | Patient-centered care | - |
dc.subject | Patient-reported outcomes | - |
dc.subject | Primary care | - |
dc.title | Having a Family Doctor is Associated with Some Better Patient-Reported Outcomes of Primary Care Consultations | en_US |
dc.type | Article | en_US |
dc.identifier.email | Lam, CLK: clklam@hku.hk | en_US |
dc.identifier.email | Yu, YTE: ytyu@hku.hk | en_US |
dc.identifier.email | Lo, YCY: yyclo@hku.hk | en_US |
dc.identifier.email | Wong, CKH: carlosho@hku.hk | en_US |
dc.identifier.email | Fong, DYT: dytfong@hku.hk | en_US |
dc.identifier.email | Lam, TP: tplam@hku.hk | en_US |
dc.identifier.email | Leung, GM: gmleung@hku.hk | en_US |
dc.identifier.authority | Lam, CLK=rp00350 | en_US |
dc.identifier.authority | Yu, YTE=rp01693 | en_US |
dc.identifier.authority | Lo, YCY=rp00512 | en_US |
dc.identifier.authority | Wong, CKH=rp01931 | en_US |
dc.identifier.authority | Fong, DYT=rp00253 | en_US |
dc.identifier.authority | Lam, TP=rp00386 | en_US |
dc.identifier.authority | Leung, GM=rp00460 | en_US |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.3389/fmed.2014.00029 | en_US |
dc.identifier.scopus | eid_2-s2.0-85016974665 | - |
dc.identifier.hkuros | 240178 | en_US |
dc.identifier.volume | 1 | en_US |
dc.identifier.spage | 29 | en_US |
dc.identifier.epage | 29 | en_US |
dc.identifier.isi | WOS:000219242600026 | - |
dc.identifier.issnl | 2296-858X | - |