Utilization Pattern of Primary Health Care Services in Hong Kong - Does Having a Family Doctor Make Any Difference?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 3,148
- 试验地点
- 1
- 主要终点
- Monthly utilization rate
研究概览
简要总结
The aim of this study was to find out the utilization rate and pattern of primary health care services, and the process and outcomes of primary care consultations of the general population in Hong Kong, and whether having a family doctor would make any difference.
The study objectives were to determine
- the rates and pattern of utilization of different primary health care services and self-care
- Patient self-reported outcomes (global rating on change in health, satisfaction and patient enablement) of primary care consultations;
- the process of care in consultations including drug and non-drug managements, investigations, preventive care and referrals;
- the effect of having a regular family doctor on service utilization rate and pattern, health promotion practice, and process and outcomes of primary care consultations.
详细描述
Study Design: A Cross-sectional general population survey and a longitudinal study (12-weeks follow up)
Method: Two phases, corresponding to Summer and Winter, respectively, of cross-sectional telephone survey on the Hong Kong general population using a structured questionnaire to collect information on the choice primary care doctors, illness rates, primary care service utilization rates and self-reported process and outcomes of consultations. A longitudinal study for 12 weeks was carried out on a sub-sample of the cross-sectional study subjects to collect data to cross-validate cross-sectional data. Univariate and multivariate regression analyses were used to determine whether there was any difference in service utilization rates, process and outcomes among people using different types of primary care doctors.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Written consent to study
排除标准
- •Non-residential numbers
- •Inability to communicate in Cantonese, Putonghua or English
- •Refusal to telephone interview
- •No contact after 5 attempts
结局指标
主要结局
Monthly utilization rate
时间窗: Baseline
Patient Enablement Instrument (PEI)
时间窗: Baseline
Primary care doctor choice group
时间窗: baseline
Rates of non-drug managements
时间窗: Baseline
次要结局
- Patient satisfaction(Baseline)
- Prevalence of preventive care(Baseline)
- Self-medication rates during the last episode of illness(Baseline)
- Doctor shopping rate(Baseline)
- Prescribing rate during last episode of illness(Baseline)
- Self-perceived health score(Baseline)
研究者
Cindy L.K. LAM
Head and Clinical Professor
The University of Hong Kong