Comparison of Primary Care Assessment Scores in Different Primary Care Organizational Models by Medical Insurance
| PCAT Score Mean (SE)a | |||
|---|---|---|---|
| Primary Care Experience | Uninsured | Insured | P Value |
| G-CHC (government owned and managed) | |||
| First contact: utilization | 10.21 (0.26) | 10.02 (0.14) | .526 |
| First contact: accessibility | 10.82 (0.39) | 10.63 (0.20) | .668 |
| Continuity of care | 11.29 (0.36) | 11.29 (0.18) | >.999 |
| Coordination of services | 12.14 (0.42) | 12.02 (0.22) | .806 |
| Coordination: information system | 9.12 (0.26) | 9.37 (0.13) | .405 |
| Comprehensiveness: services available | 12.37 (0.42) | 12.05 (0.22) | .503 |
| Comprehensiveness: services provided | 14.06 (0.47) | 13.88 (0.25) | .744 |
| Family centeredness | 9.03 (0.34) | 8.96 (0.18) | .854 |
| Community orientation | 7.04 (0.33) | 7.02 (0.17) | .962 |
| Primary care total scores | 94.23 (1.96) | 93.34 (1.00) | .692 |
| H-CHC (government owned and hospital managed) | |||
| First contact: utilization | 8.15 (0.26) | 8.83 (0.17) | .037 |
| First contact: accessibility | 11.05 (0.35) | 11.06 (0.22) | .978 |
| Continuity of care | 10.90 (0.29) | 11.63 (0.19) | .042 |
| Coordination of services | 10.66 (0.45) | 11.58 (0.32) | .119 |
| Coordination: information system | 8.05 (0.26) | 9.11 (0.17) | .001 |
| Comprehensiveness: services available | 11.99 (0.30) | 12.92 (0.19) | .013 |
| Comprehensiveness: services provided | 13.15 (0.37) | 14.54 (0.24) | .003 |
| Family centeredness | 8.66 (0.29) | 8.80 (0.19) | .685 |
| Community orientation | 6.45 (0.29) | 7.29 (0.18) | .018 |
| Primary care total scores | 86.63 (1.66) | 93.17 (1.06) | .002 |
| P-CHC (privately owned and managed) | |||
| First contact: utilization | 8.07 (0.29) | 8.02 (0.14) | .868 |
| First contact: accessibility | 10.76 (0.36) | 12.18 (0.18) | <.001 |
| Continuity of care | 11.49 (0.34) | 11.76 (0.17) | .474 |
| Coordination of services | 11.80 (0.43) | 11.54 (0.24) | .607 |
| Coordination: information system | 8.57 (0.32) | 8.48 (0.16) | .804 |
| Comprehensiveness: services available | 12.25 (0.35) | 11.97 (0.17) | .470 |
| Comprehensiveness: services provided | 14.30 (0.45) | 13.76 (0.22) | .279 |
| Family centeredness | 8.79 (0.36) | 8.95 (0.18) | .685 |
| Community orientation | 7.26 (0.37) | 7.08 (0.18) | .653 |
| Primary care total scores | 91.79 (2.01) | 92.02 (0.99) | .922 |
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.