Article Figures & Data
Tables
- Table 1 Primary care attributes assessed in the 2005 Primary Care Practice Survey (PCPS) and questions used to derive scores for each of the PCPS scales included in our study
Survey questions were adapted from the General Practice Assessment Questionnaire and the General Practice Assessment Survey.18,19
DIMENSION ASSESSED SURVEY QUESTIONS Communication When you go to your regular clinic and consult with your usual family doctor [health care provider], how do you rate the following? (poor, fair, good, or excellent) -
How thoroughly the doctor [provider] asks about your symptoms and how you are feeling
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How well the doctor [provider] listens to what you have to say
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How well the doctor [provider] puts you at ease during your physical examination
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How much the doctor [provider] involves you in decisions about your care
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How well the doctor [provider] explains your problems or any treatment that you need
Thinking about the personal aspects of care that you receive from your usual family doctor [health care provider], how do you rate the following? (poor, fair, good, or excellent) -
The amount of time the doctor [provider] spends with you
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The doctor’s [provider’s] patience with your questions or worries
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The doctor’s [provider’s] caring and concern for you
Patient-provider relationships Thinking about how well your usual family doctor [health care provider] knows you, how do you rate the following? (poor, fair, good, or excellent) -
His or her knowledge of your medical history
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His or her knowledge of what worries you most about your health
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His or her knowledge of your responsibilities at home, work, or school
Enablement After a visit to your regular family doctor’s office or medical clinic, to what extent does the advice or assistance provided do the following? (to a great extent, to some extent, to little or no extent) -
Help you better cope with your health problem or illness
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Help you to understand your health problem or illness better
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Help you keep yourself healthy
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- Table 2 Respondents’ demographic characteristics, familiarity with the clinic, and perspectives on quality of care related to how frequently they received advice on diet or healthy eating and appropriate exercise
χ2 and nonparametric tests of association used where applicable.
A) RECEIVED ADVICE ON DIET OR HEALTHY EATING RECEIVED ADVICE ON APPROPRIATE EXERCISE RESPONDENTS’ CHARACTERISTICS NEVER OR RARELY WEIGHTED % OFTEN OR ALWAYS WEIGHTED % NEVER OR RARELY WEIGHTED % OFTEN OR ALWAYS WEIGHTED % Demographic characteristics Sex • Male 43.8 52.1 42.7 52.8 • Female 56.2 47.9* 57.3 47.2† Age (y) • 18–34 38.0 22.8 39.1 22.5 • 35–54 40.4 49.8 40.9 48.5 • 55 or older 21.5 27.4‡ 20.1 29.0‡ Geographic indicator • Rural 16.0 19.8 16.6 18.4 • Urban 84.0 80.2 83.4 81.6 Employment • Employed 62.6 62.4 62.6 62.1 • Unemployed 22.6 19.2 23.4 19.0 • Retired 14.8 18.4 14.1 19.0§ Education • No or some high school 7.6 13.4 8.2 11.8 • Completed high school 74.2 17.8 20.7 16.7 • Some or completed post-secondary 72.2 68.8* 71.1 71.5§ Income ($) • < 20 000 10.8 9.1 12.1 7.5 • 20 000 to < 40 000 15.7 18.3 14.3 20.5 • 40 000 to < 60 000 16.1 16.4 16.7 15.3 • 60 000 to <80 000 15.4 14.0 15.6 13.3 • ≥ 80 000 23.0 20.6 22.4 20.8 • Refused or no answer 18.9 21.6 18.9 22.6* Visible minority • Yes 11.7 16.1 13.0 13.7 • No 88.3 83.9§ 87.0 86.3 Self-reported health status • Poor or fair 15.7 20.4 17.1 19.0 • Good 25.2 31.9 23.6 33.0 • Very good 34.5 34.1 36.4 31.7 • Excellent 24.6 13.6‡ 22.9 16.3† Perspectives on quality of care Communication • PCPS scale score < 75% 39.5 21.9 43.8 18.5 • PCPS scale score ≥ 75% 60.5 78.1‡ 56.2 81.5‡ Patient-provider relationship • PCPS scale score < 75% 59.3 32.9 58.8 36.6 • PCPS scale score ≥ 75% 40.7 67.1‡ 41.2 63.4‡ Enablement • PCPS scale score < 75% 49.1 25.5 49.9 27.1 • PCPS scale score ≥ 75% 50.9 74.5‡ 50.1 72.9‡ B) RECEIVED ADVICE ON DIET OR HEALTHY EATING RECEIVED ADVICE ON APPROPRIATE EXERCISE RESPONDENTS’ CHARACTERISTICS NEVER OR RARELY MEAN (SD) OFTEN OR ALWAYS MEAN (SD) NEVER OR RARELY MEAN (SD) OFTEN OR ALWAYS MEAN (SD) Total no. of chronic illnesses 0.9 (1.1) 1.3 (1.3)* 0.9 (1.1) 1.3 (1.2)* Familiarity with the clinic • No. of years as a patient 14.9 (11.5) 17.0 (12.7)† 15.0 (11.9) 16.6 (12.1) • No. of visits in past 12 mo 3.8 (4.1) 5.2 (6.0)* 4.0 (4.5) 5.0 (5.7)‡ - Table 3
Likelihood of reporting often or always having received advice on diet or healthy eating
VARIABLE UNADJUSTED ODDS RATIO (95% CI) ADJUSTED ODDS RATIO (95% CI) Male sex (vs female) 1.4 (1.1–1.8) 1.6 (1.2–2.1) Age (vs 18–34 y) • 35–54 2.1 (1.5–2.8) 1.5 (1.1–2.2) • 55 or older 2.1 (1.5–3.0) 1.0 (0.7–1.5) Urban geographic indicator (vs rural) 0.8 (0.6–1.0) Not retained Employment status (vs employed) Not retained • Not employed 0.9 (0.6–1.2) • Retired 1.2 (0.9–1.7) Education (vs some or completed post-secondary) Not retained • No or some high school 1.9 (1.3–2.7) • Completed high school 0.9 (0.7–1.3) Income (vs ≥ $80 000) Not retained • <20 000 0.9 (0.6–1.5) • 20 000 to <40 000 1.3 (0.9–1.9) • 40 000 to <60 000 1.1 (0.8–1.7) • 60 000 to <80 000 1.0 (0.7–1.6) • Refused or no answer 1.3 (0.9–1.9) Not a visible minority (vs yes) 0.7 (0.5–1.0) Not retained Self-reported health status (vs poor or fair) • Good 1.0 (0.7–1.4) 1.2 (0.8–1.7) • Very good 0.8 (0.5–1.1) 0.9 (0.6–1.4) • Excellent 0.4 (0.3–0.6) 0.5 (0.3–0.9) Total no. of chronic illnesses 1.4 (1.3–1.6) 1.3 (1.2–1.6) No. of years as a patient 1.0 (1.0–1.0) Not retained No. of visits in the past 12 mo 1.1 (1.0–1.1) Not retained Communication score ≥ 75% (vs < 75%) 2.3 (1.8–3.1) Not retained Patient-provider relationship score ≥ 75% (vs < 75%) 3.0 (2.3–3.8) 2.3 (1.8–3.1) Enablement score ≥ 75% (vs < 75%) 2.8 (2.2–3.7) 2.2 (1.6–3.1) -
CI—confidence interval.
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- Table 4
Likelihood of reporting often or always having received advice on appropriate exercise
VARIABLE UNADJUSTED ODDS RATIO (95% CI) ADJUSTED ODDS RATIO (95% CI) Male sex (vs female) 1.5 (1.2–1.9) 1.7 (1.3–2.2) Age (vs 18–34 years) • 35–54 2.1 (1.5–2.8) 1.7 (1.2–2.4) • 55 or older 2.5 (1.8–3.5) 1.6 (1.1–2.3) Urban geographic indicator (vs rural) 0.9 (0.7–1.2) Not retained Employment status (vs employed) Not retained • Not employed 0.8 (0.6–1.1) • Retired 1.4 (1.0–1.8) Education (vs some or completed post-secondary) Not retained • No or some high school 1.4 (1.0–2.0) • Completed high school 0.8 (0.6–1.1) Income (vs ≥ $80 000) Not retained • < 20 000 0.7 (0.4–1.1) • 20 000 to < 40 000 1.5 (1.0–2.3) • 40 000 to < 60 000 1.0 (0.7–1.5) • 60 000 to < 80 000 0.9 (0.6–1.4) • Refused or no answer 1.3 (0.9–1.9) Not a visible minority (vs yes) 0.9 (0.7–1.3) Not retained Self-reported health status (vs poor or fair) • Good 1.2 (0.9–1.8) 1.6 (1.1–2.4) • Very good 0.8 (0.6–1.1) 0.9 (0.6–1.3) • Excellent 0.6 (0.4–0.9) 0.7 (0.4–1.2) Total no. of chronic illnesses 1.4 (1.2–1.5) 1.3 (1.1–1.5) No. of years as a patient 1.0 (1.0–1.0) Not retained No. of visits in past 12 mo 1.0 (1.0–1.1) Not retained Communication score ≥ 75% (vs < 75%) 3.4 (2.6–4.5) 3.2 (2.3–4.4) Patient-provider relationship score ≥ 75% (vs < 75%) 2.5 (1.9–3.2) Not retained Enablement score ≥ 75% (vs < 75%) 2.7 (2.1–3.5) 1.8 (1.3–2.4) -
CI—confidence interval.
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