Evaluating the Primary Care Quality of a Public Health Center in a Rural Area / 農村醫學 地域保健
Journal of Agricultural Medicine & Community Health
; : 24-35, 2017.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-719803
Responsible library:
WPRO
ABSTRACT
OBJECTIVES:
This study aimed to evaluate the primary care quality of a public health center in a rural area using the Korean Primary Care Assessment Tool (KPCAT). It also examined some methodological issues in applying the KPCAT and interpreting its results.METHODS:
Seventy-nine patients who had visited their doctor more than four times responded to the KPCAT questionnaire. Descriptive statistics and a radar chart were used in analyzing data. Sign test was used to test the KPCAT score difference by don't know option scoring methods.RESULTS:
Median and interquartile range of the public health center's KPCAT scores were forty-five and sixteen points, respectively. Only the median of the first contact domain reached the expected value of seventy-five points. The proportions of those who scored under the expected value were under fifty percent in two of four comprehensiveness items, all of three coordinating function items, two of five personalized items and all of four family/community orientation items. There were some methodological issues including, how to score don't know option and make sure response scale consistency.CONCLUSIONS:
There was much room to improve the primary care quality of the rural public health center. Especially, improvement is needed in the domain of coordinating function and family/community orientation. We also hope that methodological improvement of the KPCAT contributes to more valid and reliable primary care assessment.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Primary Health Care
/
Research Design
/
Public Health
/
Process Assessment, Health Care
/
Community Health Centers
/
Rural Health Services
/
Hope
Aspects:
Social determinants of health
Limits:
Humans
Language:
Korean
Journal:
Journal of Agricultural Medicine & Community Health
Year:
2017
Document type:
Article