作者
Willemijn LA Schäfer, Wienke GW Boerma, Michael J van den Berg, Jan De Maeseneer, Sabina De Rosis, Jens Detollenaere, Stefan Greß, Stephanie Heinemann, Tessa van Loenen, Anna Maria Murante, Danica R Pavlič, Chiara Seghieri, Milena Vainieri, Sara Willems, Peter P Groenewegen
发表日期
2019/1
期刊
Primary Health Care Research & Development
卷号
20
页码范围
e104
出版商
Cambridge University Press
简介
Aim
This article synthesises the results of a large international study on primary care (PC), the QUALICOPC study.
Background
Since the Alma Ata Declaration, strengthening PC has been high on the policy agenda. PC is associated with positive health outcomes, but it is unclear how care processes and structures relate to patient experiences.
Methods
Survey data were collected during 2011–2013 from approximately 7000 PC physicians and 70 000 patients in 34, mainly European, countries. The data on the patients are linked to data on the PC physicians within each country and analysed using multilevel modelling.
Findings
Patients had more positive experiences when their PC physician provided a broader range of services. However, a broader range of services is also associated with higher rates of hospitalisations for uncontrolled diabetes, but rates of avoidable diabetes-related hospitalisations were lower in …
引用总数
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