Higher person-centered primary care measure score is associated with better influenza vaccine uptake: a nationwide cross-sectional study.

IF 2.4 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Family practice Pub Date : 2025-04-12 DOI:10.1093/fampra/cmaf030

Makoto Kaneko, Hironori Yamada, Tadao Okada

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引用次数: 0

Abstract

Background: Patient experience (PX) is one of the important primary care (PC) indicators. Therefore, PX measurement is essential for assessing PC quality. However, no single standard measure has been established. Although the Person-Centered Primary Care Measure (PCPCM) is a comprehensive and concise measure for evaluating PX in PC, the association between the score and clinical outcomes remains unclear.

Objective: This study aimed to assess the association between the PCPCM score and influenza vaccine uptake, an important clinical outcome in PC for all ages.

Methods: This nationwide cross-sectional study conducted in 2022 used an online survey with stratified random sampling in Japan. PX in PC was evaluated using the PCPCM. The outcome variable was influenza vaccine uptake in the past year. A modified Poisson regression analysis was conducted to investigate the relationship between the PCPCM score and influenza vaccine uptake to adjust for possible confounders.

Results: Among 1112 potential participants, 800 responded; 32.4% received influenza vaccination. After adjusting for possible confounders, PX was found to be associated with influenza vaccine uptake (risk ratio [RR] = 2.02, 95% confidence interval [CI], 1.51-2.70 for the highest score quartile, compared with no usual source of care). The relationship between the PCPCM score quartile and vaccine uptake was dose-dependent.

Conclusions: A higher PCPCM score was associated with better influenza vaccine uptake. Because the PCPCM is a concise and validated measure of PX in PC and has been translated into many languages, the results provide important evidence to promote the measurement of PX in PC worldwide.

查看原文本刊更多论文

较高的以人为中心的初级保健测量评分与更好的流感疫苗摄取相关：一项全国性的横断面研究。

背景：患者体验（PX）是重要的初级保健（PC）指标之一。因此，PX测量对于评估PC质量至关重要。然而，没有建立单一的标准措施。虽然以人为中心的初级保健测量（PCPCM）是评估PC患者PX的一种全面而简洁的测量方法，但其评分与临床结果之间的关系尚不清楚。目的：本研究旨在评估PCPCM评分与流感疫苗摄取之间的关系，流感疫苗摄取是所有年龄段PC的重要临床指标。方法：这项全国性的横断面研究于2022年在日本进行，采用分层随机抽样的在线调查。应用PCPCM评价PC中的PX。结果变量是过去一年的流感疫苗接种情况。采用修正泊松回归分析来研究PCPCM评分与流感疫苗摄取之间的关系，以校正可能的混杂因素。结果：在1112名潜在参与者中，800人回应；32.4%的人接种了流感疫苗。在对可能的混杂因素进行校正后，发现PX与流感疫苗的摄取有关（与没有常规医疗来源的人群相比，最高四分位数的风险比[RR] = 2.02, 95%可信区间[CI]为1.51-2.70）。PCPCM评分四分位数与疫苗摄取呈剂量依赖关系。结论：PCPCM评分越高，流感疫苗接种率越高。由于PCPCM是一种简明有效的PC中PX的测量方法，并已被翻译成多种语言，因此研究结果为在全球范围内推广PC中PX的测量提供了重要依据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Family practice 医学-医学：内科

CiteScore

4.30

自引率

9.10%

发文量

144

审稿时长

4-8 weeks

期刊介绍： Family Practice is an international journal aimed at practitioners, teachers, and researchers in the fields of family medicine, general practice, and primary care in both developed and developing countries. Family Practice offers its readership an international view of the problems and preoccupations in the field, while providing a medium of instruction and exploration. The journal''s range and content covers such areas as health care delivery, epidemiology, public health, and clinical case studies. The journal aims to be interdisciplinary and contributions from other disciplines of medicine and social science are always welcomed.