Table 4

Comparison of Primary Care Assessment Scores in Different Primary Care Organizational Models by Chronic Disease

PCAT Score Mean (SE)a
Primary Care ExperiencePresenceAbsenceP Value
G-CHC (government owned and managed)
 First contact: utilization10.06 (0.21)10.06 (0.15).988
 First contact: accessibility10.89 (0.32)10.56 (0.22).409
 Continuity of care11.70 (0.29)11.07 (0.20).084
 Coordination of services12.62 (0.34)11.76 (0.24).049
 Coordination: information system9.10 (0.25)8.10 (0.19).003
 Comprehensiveness: services available12.43 (0.35)11.98 (0.24).304
 Comprehensiveness: services provided14.32 (0.39)13.71 (0.27).218
 Family centeredness9.21 (0.27)8.85 (0.19).300
 Community orientation7.07 (0.28)7.00 (0.19).850
 Primary care total scores96.17 (1.56)92.17 (1.10).043
H-CHC (government owned and hospital managed)
 First contact: utilization8.88 (0.22)8.39 (0.21).145
 First contact: accessibility11.25 (0.29)10.89 (0.27).418
 Continuity of care11.89 (0.25)10.98 (0.23).015
 Coordination of services11.37 (0.44)11.17 (0.36).763
 Coordination: information system8.99 (0.22)8.60 (0.20).236
 Comprehensiveness: services available12.66 (0.26)12.61 (0.24).886
 Comprehensiveness: services provided14.64 (0.31)13.62 (0.30).032
 Family centeredness9.17 (0.25)8.40 (0.23).036
 Community orientation7.39 (0.24)6.71 (0.23).055
 Primary care total scores94.06 (1.41)88.59 (1.30).010
P-CHC (privately owned and managed)
 First contact: utilization8.26 (0.22)7.88 (0.17).202
 First contact: accessibility11.48 (0.28)12.17 (0.22).065
 Continuity of care11.33 (0.26)11.95 (0.20).078
 Coordination of services11.67 (0.37)11.57 (0.28).840
 Coordination: information system9.57 (0.21)9.18 (0.15).137
 Comprehensiveness: services available11.34 (0.27)12.49 (0.21).002
 Comprehensiveness: services provided13.96 (0.34)13.80 (0.27).729
 Family centeredness9.61 (0.28)8.48 (0.22).003
 Community orientation7.50 (0.29)6.86 (0.22).101
 Primary care total scores93.00 (1.55)91.30 (1.21).418
  • CHC = community health center; G-CHC = government-owned CHC; H-CHC =hospital-operated CHC; P-CHC = privately owned CHC; PCAT = Primary Care Assessment Tool; SE = standard error.

  • a Primary care assessment scores adjusted for duration of usual source of care, presence of chronic disease, health status, sex, age, educational level, employment status, and household income.