Table 2.
Quality & value of care: Shenzhen, Dongguan and Guangzhou
| Shenzhen | Dongguan | Guangzhou | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Total N (%) or Mean (SE) | CHC 1-Xiasha N (%) or Mean (SE) | CHC 2-Zhulin N (%) or Mean (SE) | Hospital-Futian N (%) or Mean (SE) | Total N (%) or Mean (SE) | CHC 1-ShilongN (%) or Mean (SE) | CHC 2-Liaobu N (%) or Mean (SE) | Hospital-Liaobu N (%) or Mean (SE) | Total N (%) or Mean (SE) | CHC 1-Fengyuan N (%) or Mean (SE) | CHC 2-Longjin N (%) or Mean (SE) | Hospital-Liwan N (%) or Mean (SE) | |
| Sample Size | 180 | 50 | 50 | 80 | 200 | 50 | 50 | 100 | 180 | 50 | 50 | 80 |
| Quality of Care | ||||||||||||
| Access | ||||||||||||
| Get medical care in the evenings, on weekends, or holidays* | ||||||||||||
| Very easy/Somewhat easy | 39 (21.67) | 11 (22.00) | 14 (28.00) | 14 (17.50) | 44 (22.00) | 5 (10.00) | 11 (22.00) | 28 (28.00) | 23 (12.78) | 2 (4.00) | 6 (12.00) | 15 (18.75) |
| Somewhat difficult/Very difficult/Not sure | 141 (78.33) | 39 (78.00) | 36 (72.00) | 66 (82.50) | 156 (78.00) | 45 (90.00) | 39 (78.00) | 72 (72.00) | 157 (87.22) | 48.00 (96.00) | 44 (88.00) | 65 (81.25) |
| aSatisfaction to Current Care-Provider’s Convenience (traveling time) | 4.49 (0.05) | 4.50 (0.07) | 4.84 (0.07) | 4.26 (0.08) | 4.51 (0.06) | 4.52 (0.10) | 4.74 (0.11) | 4.39 (0.08) | 4.41 (0.07) | 4.41 (0.13) | 4.58 (0.12) | 4.30 (0.10) |
| bSatisfaction to Current Care-Provider’s Accessibility (access out-of-office hours by phone or text message)*** | 4.27 (0.05) | 4.30 (0.07) | 4.28 (0.16) | 4.24 (0.06) | 4.31 (0.06) | 4.40 (0.10) | 3.88 (0.14) | 4.48 (0.06) | 3.79 (0.08) | 3.36 (0.17) | 4.02 (0.14) | 3.93 (0.11) |
| Continuity | ||||||||||||
| Healthcare professional reviewed with you all the medications*** | ||||||||||||
| Yes | 81 (45.00) | 29 (58.00) | 24 (48.00) | 28 (35.00) | 124 (62.00) | 25 (50.00) | 31 (62.00) | 68 (68.00) | 77 (42.78) | 22 (44.00) | 12 (24.00) | 43 (53.75) |
| No/Not sure/Decline to answer | 99 (55.00) | 21 (42.00) | 26 (52.00) | 52 (65.00) | 76 (38.00) | 25 (50.00) | 19 (38.00) | 32 (32.00) | 103 (57.22) | 28 (56.00) | 38 (76.00) | 37 (46.25) |
| Health professionals always encourage you to ask questions*** | ||||||||||||
| Always/ Often | 99 (55.00) | 33 (66.00) | 24 (48.00) | 42 (52.50) | 127 (63.50) | 33 (66.00) | 30 (60.00) | 64 (64.00) | 59 (32.78) | 10 (20.00) | 17 (34.00) | 32 (40.00) |
| Sometimes/Rarely or never/NA/Not sure/Decline to answer | 81 (45.00) | 17 (34.00) | 26 (52.00) | 38 (47.50) | 73 (36.50) | 17 (34.00) | 20 (40.00) | 36 (36.00) | 121 (67.22) | 40 (80.00) | 33 (66.00) | 48 (60.00) |
| Healthcare professional contacts you to see how things are going*** | ||||||||||||
| Yes | 120 (66.67) | 42 (84.00) | 27 (54.00) | 51 (63.75) | 146 (73.00) | 39 (78.00) | 38 (76.00) | 69 (69.00) | 66 (36.67) | 9 (18.00) | 11 (22.00) | 46 (57.50) |
| No/Not sure/Decline to answer | 60 (33.33) | 8 (16.00) | 23 (46.00) | 29 (36.25) | 54 (27.00) | 11 (22.00) | 12 (24.00) | 31 (31.00) | 114 (63.33) | 41 (82.00) | 39 (78.00) | 34 (42.50) |
| Coordination | ||||||||||||
| Review the prescription and help patients take their medications correctly (Coordinate medication)*** | ||||||||||||
| Yes | 144 (80.00) | 44 (88.00) | 31 (62.00) | 69 (86.25) | 191 (95.50) | 49 (98.00) | 47 (94.00) | 95 (95.00) | 144 (80.00) | 36 (72.00) | 40 (80.00) | 68 (85.00) |
| No/Not Sure | 36 (20.00) | 6 (12.00) | 19 (38.00) | 11 (13.75) | 9 (4.50) | 1 (2.00) | 3 (6.00) | 5 (5.00) | 36 (20.00) | 14 (28.00) | 10 (20.00) | 12 (15.00) |
| Make necessary referrals*** | ||||||||||||
| Yes | 51 (28.33) | 19 (38.00) | 13 (26.00) | 19 (23.75) | 96 (48.00) | 15 (30.00) | 24 (48.00) | 57 (57.00) | 24 (13.33) | 6 (12.00) | 7 (14.00) | 11 (13.75) |
| No/Not Sure | 120 (71.67) | 31 (62.00) | 37 (74.00) | 61 (76.25) | 104 (52.00) | 35 (70.00) | 26 (52.00) | 43 (43.00) | 156 (86.67) | 44 (88.00) | 43 (86.00) | 69 (86.25) |
| cExperienced coordination problems** | ||||||||||||
| No | 136 (75.56) | 36 (72.00) | 39 (78.00) | 61 (75.25) | 184 (92.00) | 44 (88.00) | 44 (88.00) | 96 (96.00) | 147 (81.67) | 47 (94.00) | 34 (68.00) | 66 (82.50) |
| Yes/Not sure/Decline to answer | 44 (24.44) | 14 (28.00) | 11 (22.00) | 19 (23.75) | 16 (8.00) | 6 (12.00) | 6 (12.00) | 4 (4.00) | 33 (18.33) | 3 (6.00) | 16 (32.00) | 14 (17.50) |
| Comprehensiveness | ||||||||||||
| Received Secondary Prevention Services** | ||||||||||||
| Yes | 52 (28.89) | 17 (34.00) | 23 (46.00) | 12 (15.00) | 88 (44.00) | 27 (54.00) | 28 (56.00) | 33 (33.00) | 56 (31.11) | 12 (24.00) | 10 (20.00) | 34 (42.50) |
| No/Not Sure | 128 (71.11) | 33 (66.00) | 27 (54.00) | 68 (85.00) | 112 (56.00) | 23 (46.00) | 22 (44.00) | 67 (67.00) | 124 (58.89) | 38 (76.00) | 40 (80.00) | 46 (57.50) |
| Health professionals talked with you about things that can cause stress*** | ||||||||||||
| Yes | 71 (39.44) | 30 (60.00) | 13 (26.00) | 28 (35.00) | 94 (47.00) | 12 (24.00) | 30 (60.00) | 52 (52.00) | 37 (20.56) | 8 (16.00) | 10 (20.00) | 19 (23.75) |
| No/Have not seen a doctor in past 2 years/Not sure/Decline to answer | 109 (60.56) | 20 (40.00) | 37 (74.00) | 52 (65.00) | 106 (53.00) | 38 (76.00) | 20 (40.00) | 48 (48.00) | 143 (79.44) | 42 (84.00) | 40 (80.00) | 61 (76.25) |
| Health professionals talked with you about healthy diet or exercise** | ||||||||||||
| Yes | 164 (91.11) | 49 (98.00) | 45 (90.00) | 70 (87.50) | 190 (95.00) | 48 (96.00) | 46 (92.00) | 96 (96.00) | 148 (82.22) | 36 (72.00) | 36 (72.00) | 76 (95.00) |
| No/Have not seen a doctor in past 2 years/Not sure/Decline to answer | 16 (8.89) | 1 (2.00) | 5 (10.00) | 10 (12.50) | 10 (5.00) | 2 (4.00) | 4 (8.00) | 4 (4.00) | 32 (17.78) | 14 (28.00) | 14 (28.00) | 4 (5.00) |
| Value of Care | ||||||||||||
| Satisfaction | ||||||||||||
| dTotal Score of Satisfaction of Current Care Provider*** | 60.46 (0.46) | 60.6 (0.78) | 61.51 (1.12) | 59.72 (0.57) | 61.40 (0.54) | 63.46 (0.83) | 58.26 (1.39) | 61.93 (0.66) | 57.42 (0.59) | 56.04 (1.16) | 57.74 (1.06) | 58.08 (0.88) |
| eOverall satisfaction with the care experience* | 4.23 (0.06) | 4.26 (0.06) | 4.05 (0.20) | 4.33 (0.06) | 4.39 (0.05) | 4.44 (0.11) | 4.20 (0.12) | 4.46 (0.05) | 4.16 (0.05) | 4.00 (0.09) | 4.14 (0.09) | 4.28 (0.07) |
| Cost Concern | ||||||||||||
| Satisfaction to Out-of-pocket Cost for Chronic Care*** | ||||||||||||
| Sample size | 106 | 24 | 24 | 58 | 168 | 38 | 48 | 82 | 129 | 37 | 33 | 59 |
| Payment very easily/easily afforded and affordable | 32 (30.19) | 10 (41.67) | 6 (25.00) | 16 (27.59) | 83 (49.40) | 22 (57.89) | 32 (66.67) | 29 (35.37) | 35 (27.13) | 17 (45.95) | 11 (33.33) | 7 (11.86) |
| Payment too high/way too high | 74 (69.81) | 14 (58.33) | 18 (75.00) | 42 (72.41) | 85 (50.60) | 16 (42.11) | 16 (33.33) | 53 (64.63) | 94 (72.87) | 20 (54.05) | 22 (66.67) | 52 (88.14) |
| Not receive the help you needed because of the cost | ||||||||||||
| No | 163 (90.56) | 47 (94.00) | 41 (82.00) | 75 (93.75) | 170 (85.00) | 37 (74.00) | 43 (86.00) | 90 (90.00) | 164 (91.11) | 46 (92.00) | 47 (94.00) | 71 (88.75) |
| Yes/Not sure | 17 (9.44) | 3 (6.00) | 9 (18.00) | 5 (6.25) | 30 (15.00) | 13 (26.00) | 7 (14.00) | 10 (10.00) | 16 (8.89) | 4 (8.00) | 3 (6.00) | 9 (11.25) |
| Health Improvement | ||||||||||||
| Chronic Condition Relative to When it was First Diagnosed** | ||||||||||||
| Significantly/Somewhat improved | 126 (70.00) | 48 (96.00) | 29 (58.00) | 49 (61.25) | 168 (84.00) | 43 (86.00) | 39 (78.00) | 86 (86.00) | 125 (69.44) | 26 (52.00) | 33 (66.00) | 66 (82.50) |
| About the same/Somewhat/Significantly worsened | 54 (30.00) | 2 (4.00) | 21 (42.00) | 31 (38.75) | 32 (16.00) | 7 (14.00) | 11 (22.00) | 14 (14.00) | 55 (30.56) | 24 (48.00) | 17 (34.00) | 14 (17.50) |
| Experienced Complications that Required Urgent Attention* | ||||||||||||
| Yes | 40 (22.22) | 2 (2.00) | 14 (28.00) | 25 (31.25) | 49 (24.50) | 11 (22.00) | 3 (6.00) | 35 (35.00) | 35 (19.44) | 10 (20.00) | 8 (16.00) | 17 (21.25) |
| No/Not Sure | 140 (77.78) | 49 (98.00) | 36 (72.00) | 55 (68.75) | 151 (75.50) | 39 (78.00) | 47 (94.00) | 65 (65.00) | 145 (80.56) | 40 (80.00) | 42 (84.00) | 63 (78.75) |
aThe question is worded as follows in the questionnaire: How satisfied are you with the following aspects of the care experience you got most recently from this provider? (1–5 Likert scale)- traveling time
bThe question is worded as follows in the questionnaire: How satisfied are you with the following aspects of the care experience you got most recently from this provider? (1–5 Likert scale)- access out-of-office hours by phone or text message
cThe question is worded as follows in the questionnaire: In the past two years, did you experience at least one of these coordination problems below? A. Test results/ records not available at appointment, or duplicate tests ordered; B. Received conflicting information from different doctors; C. Specialist lacked medical history, or regular doctor not informed about specialist care
dThis variable is the summary of the following items: quality of care (equipment), quality of care (providers), patient-centered care, out-of-pocket cost, insurance plan requirement, choices of prescription drugs, traveling time, appointment time, waiting time, opening hours, access out-of-office hours by phone or text message, coordination of needed services, comprehensiveness of services available or provided, referral from friends/relatives, and referral from a doctor (15–75 scores)
eThis variable is worded as follows in the questionnaire: How satisfied are you with the following aspects of the care experience you got most recently from this provider? (1–5 Likert scale)-Overall satisfaction with the care experience
*p < 0.05 **p < 0.01, ***p < 0.001 based on ANOVA for continuous measures and Chi square test for categorical measures