{"title":"Patient experience of residents with restricted primary care access during the COVID-19 pandemic.","authors":"Takuya Aoki, Yasuki Fujinuma, Masato Matsushima","doi":"10.1136/fmch-2022-001667","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate primary care access for COVID-19 consultation among residents who have a usual source of care (USC) and to examine their associations with patient experience during the pandemic in Japan.</p><p><strong>Design: </strong>Nationwide cross-sectional study.</p><p><strong>Setting: </strong>Japanese general adult population.</p><p><strong>Participants: </strong>1004 adult residents who have a USC.</p><p><strong>Main outcome measures: </strong>Patient experience assessed by the Japanese version of Primary Care Assessment Tool Short Form (JPCAT-SF).</p><p><strong>Results: </strong>A total of 198 (19.7%) reported restricted primary care access for COVID-19 consultation despite having a USC. After adjustment for possible confounders, restricted primary care access for COVID-19 consultation was negatively associated with the JPCAT-SF total score (adjusted mean difference = -8.61, 95% CI -11.11 to -6.10). In addition, restricted primary care access was significantly associated with a decrease in all JPCAT-SF domain scores.</p><p><strong>Conclusions: </strong>Approximately one-fifth of adult residents who had a USC reported restricted primary care access for COVID-19 consultation during the pandemic in Japan. Our study also found that restricted primary care access for COVID-19 consultation was negatively associated with a wide range of patient experience including first contact. Material, financial and educational support to primary care facilities, the spread of telemedicine and the application of a patient registration system might be necessary to improve access to primary care during a pandemic.</p>","PeriodicalId":44590,"journal":{"name":"Family Medicine and Community Health","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c2/00/fmch-2022-001667.PMC9189542.pdf","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Family Medicine and Community Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/fmch-2022-001667","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
引用次数: 2
Abstract
Objectives: To evaluate primary care access for COVID-19 consultation among residents who have a usual source of care (USC) and to examine their associations with patient experience during the pandemic in Japan.
Design: Nationwide cross-sectional study.
Setting: Japanese general adult population.
Participants: 1004 adult residents who have a USC.
Main outcome measures: Patient experience assessed by the Japanese version of Primary Care Assessment Tool Short Form (JPCAT-SF).
Results: A total of 198 (19.7%) reported restricted primary care access for COVID-19 consultation despite having a USC. After adjustment for possible confounders, restricted primary care access for COVID-19 consultation was negatively associated with the JPCAT-SF total score (adjusted mean difference = -8.61, 95% CI -11.11 to -6.10). In addition, restricted primary care access was significantly associated with a decrease in all JPCAT-SF domain scores.
Conclusions: Approximately one-fifth of adult residents who had a USC reported restricted primary care access for COVID-19 consultation during the pandemic in Japan. Our study also found that restricted primary care access for COVID-19 consultation was negatively associated with a wide range of patient experience including first contact. Material, financial and educational support to primary care facilities, the spread of telemedicine and the application of a patient registration system might be necessary to improve access to primary care during a pandemic.
目的:评估拥有常规护理来源(USC)的居民获得COVID-19咨询的初级保健机会，并研究其与日本大流行期间患者经历的关系。设计:全国横断面研究。研究对象:日本普通成年人群。参与者:1004名拥有USC的成年居民。主要结局指标:采用日本版初级保健评估工具简表(JPCAT-SF)评估患者体验。结果:尽管有USC，但共有198人(19.7%)报告了COVID-19咨询的初级保健机会受限。在对可能的混杂因素进行调整后，COVID-19咨询的初级保健受限与JPCAT-SF总分呈负相关(调整后平均差= -8.61,95% CI -11.11至-6.10)。此外，限制初级保健与所有JPCAT-SF域分数的下降显著相关。结论:在日本大流行期间，约有五分之一的南加州大学成年居民报告说，获得COVID-19咨询的初级保健服务受到限制。我们的研究还发现，对COVID-19咨询的初级保健限制与包括首次接触在内的广泛患者体验呈负相关。对初级保健设施的物质、财政和教育支持、远程医疗的推广和患者登记系统的应用可能是改善大流行期间获得初级保健的必要条件。
期刊介绍：
Family Medicine and Community Health (FMCH) is a peer-reviewed, open-access journal focusing on the topics of family medicine, general practice and community health. FMCH strives to be a leading international journal that promotes ‘Health Care for All’ through disseminating novel knowledge and best practices in primary care, family medicine, and community health. FMCH publishes original research, review, methodology, commentary, reflection, and case-study from the lens of population health. FMCH’s Asian Focus section features reports of family medicine development in the Asia-pacific region. FMCH aims to be an exemplary forum for the timely communication of medical knowledge and skills with the goal of promoting improved health care through the practice of family and community-based medicine globally. FMCH aims to serve a diverse audience including researchers, educators, policymakers and leaders of family medicine and community health. We also aim to provide content relevant for researchers working on population health, epidemiology, public policy, disease control and management, preventative medicine and disease burden. FMCH does not impose any article processing charges (APC) or submission charges.
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