Dimensions of health service delivery in the various models of primary care among age groups: Statistically significant results (P < .05) are boldface.
| AGE EFFECT,†β (95% CI) | |||||
|---|---|---|---|---|---|
| DIMENSIONS OF HEALTH SERVICE DELIVERY | AGE GROUP, Y* | CHC | FFS | FHN | HSO |
| Overall PCAT score‡ | 30 to 64 | 2.1 (0.5 to 3.6) | 2.6 (1.1 to 4.2) | 3.3 (1.8 to 4.8) | 3.9 (2.5 to 5.3) |
| ≥ 65 | 1.9 (−0.4 to 4.2) | 2.6 (0.5 to 4.7) | 5.6 (3.7 to 7.6) | 5.7 (3.8 to 7.6) | |
| First-contact accessibility | 30 to 64 | 0.7 (−2.1 to 3.5) | 3.3 (0.5 to 6.1) | 3.9 (1.2 to 6.6) | 4.0 (1.8 to 6.2) |
| ≥ 65 | 0.6 (−3.5 to 4.6) | 5.2 (1.4 to 9.0) | 7.3 (3.8 to 10.8) | 6.9 (3.9 to 9.9) | |
| First-contact utilization | 30 to 64 | 3.0 (1.5 to 4.5) | 3.7 (2.4 to 5.0) | 4.7 (3.4 to 6.0) | 3.7 (2.5 to 4.9) |
| ≥ 65 | 5.0 (2.8 to 7.2) | 4.7 (3 to 6.4) | 5.5 (3.8 to 7.2) | 4.8 (3.2 to 6.5) | |
| Cultural competency | 30 to 64 | 2.7 (0.1 to 5.3) | 3.5 (0.8 to 6.3) | 4.3 (1.6 to 7.1) | 4.7 (1.9 to 7.5) |
| ≥ 65 | −1.3 (−5.1 to 2.5) | 1.4 (−2.3 to 5.1) | 4.7 (1.1 to 8.3) | 4.9 (1.1 to 8.8) | |
| Family-centred care | 30 to 64 | 2.1 (0.1 to 4.2) | 1.8 (−0.5 to 4.0) | 3.6 (1.5 to 5.6) | 4.4 (2.2 to 6.6) |
| ≥ 65 | 0.0 (−3.0 to 3.0) | −1.3 (−4.4 to 1.7) | 4.2 (1.5 to 6.9) | 5.9 (3.0 to 8.9) | |
| Relational continuity | 30 to 64 | 3.3 (1.0 to 5.6) | 3.1 (1.0 to 5.2) | 2.2 (0.1 to 4.3) | 3.6 (1.7 to 5.5) |
| ≥ 65 | 3.8 (0.4 to 7.1) | 4.2 (1.4 to 7.0) | 6.5 (3.7 to 9.2) | 6.1 (3.5 to 8.7) | |
| Humanism | 30 to 64 | 3.3 (1.3 to 5.3) | 4.9 (2.8 to 6.9) | 5.4 (3.3 to 7.5) | 5.0 (2.9 to 7.1) |
| ≥ 65 | 4.4 (1.4 to 7.4) | 7.2 (4.4 to 10) | 8.9 (6.2 to 11.7) | 9.5 (6.7 to 12.4) | |
| Trust | 30 to 64 | 2.5 (0.6 to 4.5) | 4.1 (2.2 to 6.1) | 3.4 (1.4 to 5.4) | 4.4 (2.5 to 6.3) |
| ≥ 65 | 3.9 (1.1 to 6.7) | 5.9 (3.2 to 8.5) | 6.0 (3.4 to 8.7) | 7.3 (4.6 to 9.9) | |
CHC—community health centre, CI—confidence interval, FFS—fee-for-service, FHN—family health network, HSO—health service organization, PCAT—Primary Care Assessment Tool.
↵* Individuals younger than 30 years of age make up the reference category.
↵† Age effect (β value for the age group) adjusted for socioeconomic status only (95% CIs) is shown. Results from regressions predicting the overall PCAT score in which health factors are included show a slightly attenuated effect: CHC, FFS, FHN, and HSO for ages 30 to 64, β value is 1.6, 2.4, 3.1, and 3.6, respectively; for ages 65 and older, β value is 0.8, 2.2, 5.1, and 4.9, respectively.
↵‡ The overall PCAT score was derived from all 17 questions contained in the 5 scales.