Comparison of Primary Care Assessment Scores in Different Primary Care Organizational Models
| Primary Care PCAT Scales (Range of Values) | Score Mean (SE) | P Value | |||||
|---|---|---|---|---|---|---|---|
| G-CHC | H-CHC | P-CHC | G-Ha | G-Pb | H-Pc | Alld | |
| First contact: utilization (3–12) | 10.27 (0.15) | 8.45 (0.13) | 8.01 (0.13) | <.001 | <.001 | .048 | <.001 |
| First contact: accessibility (4–16) | 10.79 (0.2) | 10.92 (0.18) | 11.92 (0.18) | >.999 | <.001 | <.001 | <.001 |
| Continuity of care (4–16) | 11.42 (0.17) | 11.30 (0.16) | 11.69 (0.16) | >.999 | .829 | .261 | .216 |
| Coordination of services (4–16) | 12.22 (0.23) | 11.27 (0.24) | 11.40 (0.22) | .022 | .048 | >.999 | .016 |
| Coordination: information system (3–12) | 9.55 (0.15) | 8.74 (0.14) | 8.30 (0.14) | .001 | <.001 | .068 | <.001 |
| Comprehensiveness: services available (4–16) | 12.36 (0.20) | 12.48 (0.17) | 11.97 (0.17) | >.999 | .475 | .111 | .095 |
| Comprehensiveness: services provided (5–20) | 14.17 (0.23) | 14.09 (0.21) | 13.64 (0.21) | >.999 | .327 | .382 | .182 |
| Family centeredness (3–12) | 9.05 (0.18) | 8.86 (0.16) | 8.74 (0.16) | >.999 | .653 | >.999 | .467 |
| Community orientation (3–12) | 7.20 (0.18) | 7.03 (0.16) | 6.94 (0.16) | >.999 | .890 | >.999 | .579 |
| Primary care total scores (33–132) | 95.18 (0.99) | 90.81 (0.90) | 90.69 (0.92) | .005 | .007 | >.999 | .002 |
Note: higher values indicate a more positive experience. Scores are adjusted for duration of usual source of care, presence of medical insurance and chronic disease, health status, sex, age, educational level, employment status, and household income.
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 t Test comparing G-CHC with H-CHC.
↵b t Test comparing G-CHC with P-CHC.
↵c t Test comparing H-CHC with P-CHC.
↵d F Test comparing differences in primary care assessment scores across all CHC models.