Table 3.
Multivariate analysis: patient and institutional factors associated with quality of care for the chronic disease
| OR (95 % CI) | ||||||
| Access | Continuity | |||||
| Get medical care in the evenings, on weekends, or holidays | aConvenience (traveling time) | aAccessibility (access out-of-office hours by phone or text message) | Healthcare professional reviewed with you all the medications | Health professionals always/ often encourage you to ask questions | Healthcare professional contacts you to see how things are going | |
| City | ||||||
| Guangzhou | 1 | 1 | 1 | 1 | 1 | 1 |
| Shenzhen | 3.31*** (2.06 5.34) | 1.02 (0.64 1.62) | 1.82* (1.13 2.93) | 1.04 (0.66 1.63) | 2.66*** (1.67 4.23) | 3.92*** (2.43 6.32) |
| Dongguan | 6.09*** (3.52 10.53) | 1.40 (0.86 2.30) | 2.71*** (1.66 4.44) | 2.48*** (1.54 4.00) | 3.47*** (2.13 5.65) | 5.48*** (3.28 9.16) |
| CHC vs. hospital | 1.13 (0.84 1.89) | 2.60*** (1.79 3.77) | 0.97 (0.67 1.41) | 0.89 (0.62 1.27) | 0.81 (0.56 1.16) | 0.66* (0.45 0.97) |
| Age (Mean) | 1.00 (1.00 1.02) | 1.00 (1.00 1.00) | 1.00 (1.00 1.00) | 1.00 (1.00 1.00) | 1.00 (1.00 1.00) | 1.00 (1.00 1.00) |
| Gender | ||||||
| Female vs male | 1.00 (0.97 1.02) | 0.99 (0.89 1.10) | 1.00 (0.95 1.05) | 0.99 (0.95 1.04) | 0.76 (0.53 1.10) | 0.74 (0.50 1.08) |
| Marital Status | ||||||
| Married vs. not married | 1.35 (0.73 2.51) | 1.29 (0.72 2.29) | 0.65 (0.37 1.16) | 0.69 (0.39 1.22) | 0.78 (0.44 1.41) | 0.80 (0.44 1.48) |
| Residence Status | ||||||
| Registered resident vs. non-registered resident | 1.31 (0.83 2.06) | 1.00 (0.66 1.52) | 1.23 (0.81 1.86) | 0.80 (0.53 1.20) | 1.03 (0.68 1.55) | 1.52 (0.99 2.33) |
| Current Occupation | ||||||
| Retired vs. others | 0.72 (0.45 1.13) | 1.61* (1.07 2.40) | 1.31 (0.87 1.96) | 1.03 (0.70 1.53) | 1.31 (0.87 1.96) | 1.40 (0.92 2.15) |
| Highest Education | ||||||
| Middle school or above vs. primary school or below | 1.10 (0.70 1.73) | 0.84 (0.56 1.27) | 1.70* (1.13 2.58) | 0.85 (0.58 1.26) | 1.14 (0.75 1.71) | 1.28 (0.83 1.97) |
| Per Capita Income RMB | 1.00 (1.00 1.00) | 1.000 (1.00 1.00) | 1.00* (1.00 1.00) | 1.00 (1.00 1.00) | 1.00 (1.00 1.00) | 1.00 (1.00 1.00) |
| Current Health Status | ||||||
| Excellent/very good/good vs. fair/poor | 2.20*** (1.44 3.38) | 0.53** (0.36 0.78) | 0.64* (0.44 0.93) | 0.65* (0.45 0.94) | 1.64* (1.13 2.38) | 1.29 (0.87 1.91) |
| Number of Chronic Conditions | 1.12 (0.90 1.39) | 0.91 (0.75 1.11) | 0.83 (0.68 1.02) | 0.87 (0.72 1.06) | 1.10 (0.91 1.35) | 1.10 (0.89 1.35) |
| OR (95 % CI) | ||||||
| Coordination | Comprehensiveness | |||||
| Coordinate your use of medications | Make referrals | Didn’t experienced coordination problems | Received Secondary Prevention Services | Health professionals talked with you about things that can cause stress | Discuss with you about diet or exercise | |
| City | ||||||
| Guangzhou | 1 | 1 | 1 | 1 | 1 | 1 |
| Shenzhen | 1.11 (0.63 1.95) | 2.22** (1.25 3.95) | 0.60 (0.34 1.05) | 0.90 (0.55 1.46) | 2.32** (1.41 3.81) | 2.62** (1.29 5.31) |
| Dongguan | 3.99** (1.76 9.05) | 4.50*** (2.55 7.95) | 3.52** (1.69 7.34) | 1.46 (0.90 2.38) | 3.65*** (2.18 6.11) | 4.30** (1.86 9.93) |
| CHC vs. Hospital | 0.55* (0.32 0.93) | 0.86 (0.57 1.29) | 0.85 (0.52 1.38) | 1.43 (0.98 2.09) | 0.99 (0.68 1.45) | 0.45* (0.24 0.84) |
| Age (Mean) | 1.01 (0.98 1.04) | 1.00 (1.00 1.00) | 1.00 (1.00 1.00) | 1.00 (1.00 1.00) | 1.00 (1.00 1.00) | 1.00 (1.00 1.01) |
| Gender | ||||||
| Female vs male | 1.00 (0.98 1.03) | 0.88 (0.58 1.32) | 1.39 (0.85 2.28) | 0.74 (0.51 1.08) | 1.00 (0.95 1.04) | 1.01 (0.96 1.05) |
| Marital Status | ||||||
| Married vs. not married | 0.61 (0.24 1.57) | 2.19 (1.03 4.66) | 0.93 (0.42 2.04) | 0.84 (0.47 1.51) | 1.14 (0.61 2.14) | 0.74 (0.29 1.91) |
| Residence Status | ||||||
| Registered resident vs. non-registered resident | 1.83 (1.05 3.20) | 1.31 (0.82 2.08) | 0.93 (0.54 1.61) | 1.27 (0.82 1.95) | 0.84 (0.55 1.28) | 1.76 (0.92 3.34) |
| Current Occupation | ||||||
| Retired vs. others | 0.46* (0.24 0.90) | 0.48** (0.32 0.74) | 1.16 (0.68 2.00) | 0.88 (0.59 1.33) | 0.84 (0.57 1.26) | 1.33 (0.69 2.55) |
| Highest Education | ||||||
| Middle school or above vs. primary school or below | 1.07 (0.59 1.95) | 0.74 (0.47 1.16) | 1.15 (0.67 1.99) | 0.91 (0.60 1.37) | 1.59* (1.04 2.43) | 1.41 (0.75 2.64) |
| Per Capita Income RMB | 1.00 (1.00 1.00) | 1.00 (1.00 1.00) | 1.00** (1.00 1.00) | 1.00 (1.00 1.00) | 1.00 (1.00 1.00) | 1.00 (1.00 1.00) |
| Current Health Status | ||||||
| Excellent/very good/good vs. fair/poor | 1.19 (0.70 2.04) | 0.96 (0.64 1.46) | 1.49 (0.88 2.50) | 1.33 (0.91 1.95) | 0.90 (0.62 1.32) | 1.46 (0.77 2.74) |
| Number of Chronic Conditions | 1.12 (0.85 1.48) | 1.16 (0.93 1.45) | 0.98 (0.76 1.26) | 1.09 (0.90 1.34) | 0.96 (0.78 1.17) | 0.92 (0.68 1.24) |
aWe coded these two variables as binary response: score 5 in 1–5 Likert scale is coded as Yes, score 1–4 in Likert scale are coded as No
*p < 0.05 **p < 0.01, ***p < 0.001