日本农村地区慢性病患者的初级医疗体验与自我健康评价之间存在正相关：使用日本初级医疗评估工具简表进行的横断面问卷调查

IF 1.8 Q2 MEDICINE, GENERAL & INTERNAL

Journal of General and Family Medicine Pub Date : 2024-07-29 DOI:10.1002/jgf2.721

Sakiya Nishida MD, Yoshio Hisata MD, PhD, Aki Yasaka MD, Takashi Sugioka MD, PhD, Risa Hirata MD, PhD, Naoko E. Katsuki MD, PhD, Masaki Tago MD, PhD, FACP, Yuki Ueda MD, Masaki Amenomori MD, Katsumi Higashino MD, PhD, Yoshio Naya MD, PhD

{"title":"日本农村地区慢性病患者的初级医疗体验与自我健康评价之间存在正相关：使用日本初级医疗评估工具简表进行的横断面问卷调查","authors":"Sakiya Nishida MD, Yoshio Hisata MD, PhD, Aki Yasaka MD, Takashi Sugioka MD, PhD, Risa Hirata MD, PhD, Naoko E. Katsuki MD, PhD, Masaki Tago MD, PhD, FACP, Yuki Ueda MD, Masaki Amenomori MD, Katsumi Higashino MD, PhD, Yoshio Naya MD, PhD","doi":"10.1002/jgf2.721","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Low birthrates and an aging society during population decline have brought about labor shortages and increased medical care needs. Medical resources should be distributed appropriately, particularly in rural areas. High-quality primary care can make the medical system more effective and contribute to rural residents' health. However, there are no reports on the impact of primary care on health in the rural areas of Japan. This study examined the effect of primary care quality on self-rated health in a rural Japanese area.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We conducted a cross-sectional study using a questionnaire survey of residents of a rural area in northern Shiga Prefecture in 2021. Self-rated health (SRH) was used as the health outcome (1–5 points), and the Japanese Primary Care Assessment Tool Short Form (JPCAT-SF) was used to measure the patients' experience of primary care (0–100 points). We conducted a multivariate analysis using logistic regression analysis and examined the association between good SRH (4 points or more) and high JPCAT-SF scores (above average score), adjusted for sociodemographic confounding factors.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A total of 1108 men and 1412 women responded to the survey. The mean patient age was 69.8 years. The mean JPCAT-SF score was 51.8 points. Among the 1172 patients with chronic diseases, good SRH was associated with high JPCAT-SF scores (odds ratio [OR] 1.32, 95% confidence interval [CI] 1.009–1.73).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Good SRH among rural residents with chronic disease was associated with high primary care quality.</p>\n </section>\n </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"25 6","pages":"333-342"},"PeriodicalIF":1.8000,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.721","citationCount":"0","resultStr":"{\"title\":\"Positive association between patient experience of primary care with chronic disease and self-rated health in a Japanese rural area: A cross-sectional questionnaire survey using the Japanese primary care assessment tool short form\",\"authors\":\"Sakiya Nishida MD, Yoshio Hisata MD, PhD, Aki Yasaka MD, Takashi Sugioka MD, PhD, Risa Hirata MD, PhD, Naoko E. Katsuki MD, PhD, Masaki Tago MD, PhD, FACP, Yuki Ueda MD, Masaki Amenomori MD, Katsumi Higashino MD, PhD, Yoshio Naya MD, PhD\",\"doi\":\"10.1002/jgf2.721\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Low birthrates and an aging society during population decline have brought about labor shortages and increased medical care needs. Medical resources should be distributed appropriately, particularly in rural areas. High-quality primary care can make the medical system more effective and contribute to rural residents' health. However, there are no reports on the impact of primary care on health in the rural areas of Japan. This study examined the effect of primary care quality on self-rated health in a rural Japanese area.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>We conducted a cross-sectional study using a questionnaire survey of residents of a rural area in northern Shiga Prefecture in 2021. Self-rated health (SRH) was used as the health outcome (1–5 points), and the Japanese Primary Care Assessment Tool Short Form (JPCAT-SF) was used to measure the patients' experience of primary care (0–100 points). We conducted a multivariate analysis using logistic regression analysis and examined the association between good SRH (4 points or more) and high JPCAT-SF scores (above average score), adjusted for sociodemographic confounding factors.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>A total of 1108 men and 1412 women responded to the survey. The mean patient age was 69.8 years. The mean JPCAT-SF score was 51.8 points. Among the 1172 patients with chronic diseases, good SRH was associated with high JPCAT-SF scores (odds ratio [OR] 1.32, 95% confidence interval [CI] 1.009–1.73).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Good SRH among rural residents with chronic disease was associated with high primary care quality.</p>\\n </section>\\n </div>\",\"PeriodicalId\":51861,\"journal\":{\"name\":\"Journal of General and Family Medicine\",\"volume\":\"25 6\",\"pages\":\"333-342\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2024-07-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.721\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of General and Family Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/jgf2.721\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of General and Family Medicine","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/jgf2.721","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

摘要

背景人口减少期间的低出生率和老龄化社会带来了劳动力短缺和医疗需求增加。医疗资源应合理分配，尤其是在农村地区。高质量的初级保健可以提高医疗系统的效率，促进农村居民的健康。然而，目前还没有关于初级医疗对日本农村地区健康影响的报告。本研究探讨了日本农村地区初级医疗质量对自我健康评价的影响。方法我们于 2021 年对滋贺县北部农村地区的居民进行了一次横断面问卷调查。自评健康（SRH）作为健康结果（1-5 分），日本初级医疗评估工具简表（JPCAT-SF）用于测量患者对初级医疗的体验（0-100 分）。我们采用逻辑回归分析法进行了多变量分析，研究了良好 SRH（4 分或以上）与 JPCAT-SF 高分（高于平均分）之间的关联，并对社会人口学混杂因素进行了调整。结果共有 1108 名男性和 1412 名女性参与了调查。患者平均年龄为 69.8 岁。JPCAT-SF 的平均得分为 51.8 分。在 1172 名慢性病患者中，良好的性健康和生殖健康与较高的 JPCAT-SF 分数相关（几率比 [OR] 1.32，95% 置信区间 [CI] 1.009-1.73）。结论农村慢性病患者良好的性健康和生殖健康与较高的初级保健质量相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Positive association between patient experience of primary care with chronic disease and self-rated health in a Japanese rural area: A cross-sectional questionnaire survey using the Japanese primary care assessment tool short form

查看原文本刊更多论文

Background

Low birthrates and an aging society during population decline have brought about labor shortages and increased medical care needs. Medical resources should be distributed appropriately, particularly in rural areas. High-quality primary care can make the medical system more effective and contribute to rural residents' health. However, there are no reports on the impact of primary care on health in the rural areas of Japan. This study examined the effect of primary care quality on self-rated health in a rural Japanese area.

Methods

We conducted a cross-sectional study using a questionnaire survey of residents of a rural area in northern Shiga Prefecture in 2021. Self-rated health (SRH) was used as the health outcome (1–5 points), and the Japanese Primary Care Assessment Tool Short Form (JPCAT-SF) was used to measure the patients' experience of primary care (0–100 points). We conducted a multivariate analysis using logistic regression analysis and examined the association between good SRH (4 points or more) and high JPCAT-SF scores (above average score), adjusted for sociodemographic confounding factors.

Results

A total of 1108 men and 1412 women responded to the survey. The mean patient age was 69.8 years. The mean JPCAT-SF score was 51.8 points. Among the 1172 patients with chronic diseases, good SRH was associated with high JPCAT-SF scores (odds ratio [OR] 1.32, 95% confidence interval [CI] 1.009–1.73).