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Healthc Policy. 2010 Nov;6(2):67-84.

Does Receiving Clinical Preventive Services Vary across Different Types of Primary Healthcare Organizations? Evidence from a Population-Based Survey.

Author information

1
Direction de santé publique de l'ASSS de Montréal, Institut national de santé publique du Québec, Montreal, QC.

Abstract

OBJECTIVE:

To measure the association between primary healthcare (PHC) organizational types and patient coverage for clinical preventive services (CPS).

METHOD:

Study conducted in Quebec (2005), including a population-based survey of patients' experience of care (N=4,417) and a survey of PHC clinics.

OUTCOME MEASURES:

Patient-reported CPS delivery rates and CPS coverage scores. Multiple logistic regressions used to assess factors associated with higher probability of receiving CPS.

RESULTS:

CPS delivery rates were higher among patients with a regular source of PHC. Higher CPS score was associated with having a public (OR 1.79; 95% CI 1.35-2.37) or mixed (OR 1.22; 95% CI 1.01-1.48) type of organization as source of PHC compared to a private one, and having had a high number of visits to the regular source of PHC in the past two years (≤6: OR 1.83; 95% CI 1.41-2.38) compared to a single visit.

CONCLUSION:

Public and mixed PHC organizations seem to perform better. CPS delivery is strongly associated with having a regular source of care.

PMID:
22043224
PMCID:
PMC3016636

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