Comparison of primary care experiences among adults in general outpatient clinics and private general practice clinics in Hong Kong.
BACKGROUND
The main goal of Hong Kong's publicly-funded general outpatient clinics (GOPCs) is to provide primary medical services for the financially vulnerable. The objective of the current study was to compare the primary care experiences of GOPC users and the users of care provided by private general practitioners (GPs) in Hong Kong via a territory-wide telephone survey.


METHODS
One thousand adults in Hong Kong aged 18 and above were interviewed by a telephone survey. The modified Chinese translated Primary Care Assessment Tool was used to collect data on respondents' primary care experience.


RESULTS
Our results indicated that services provided by GOPC were more often used by female, older, poorer, chronically-ill and less educated population. GOPC participants were also more likely to have visited a specialist or used specialist services (69.7% vs. 52.0%; p < 0.001), although this difference in utilization of specialist services disappeared after adjusting for age (55.7% vs. 52.0%, p = 0.198). Analyses were also performed to asses the relationship between healthcare settings (GOPCs versus private GPs) and primary care quality. Private GP patients achieved higher overall PCAT scores largely due to better accessibility (Mean: 6.88 vs. 8.41, p < 0.001) and person-focused care (Mean: 8.37 vs. 11.69, p < 0.001).


CONCLUSIONS
Our results showed that patients primarily receiving care from private GPs in Hong Kong reported better primary care experiences than those primarily receiving care from GOPCs. This was largely due to the greater accessibility and better interpersonal relationships offered by the private GPs. As most patients use both GOPCs and private GPs, their overall primary care experiences may not be as different as the findings of this study imply.
Wong
Samuel Y S
SY
School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, PR China. yeungshanwong@cuhk.edu.hk
Kung
Kenny
K
Griffiths
Sian M
SM
Carthy
Tanya
T
Wong
Martin C S
MC
Lo
Su V
SV
Chung
Vincent C H
VC
Goggins
William B
WB
Starfield
Barbara
B
D000328:Adult; D000554:Ambulatory Care Facilities / Q000592:standards* / Q000706:statistics & numerical data; D005260:Female; D058006:General Practice / Q000592:standards* / Q000706:statistics & numerical data; D006723:Hong Kong; D006801:Humans; D007348:Insurance, Health; D007407:Interviews as Topic; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000592:standards* / Q000706:statistics & numerical data; D011331:Private Practice; D019984:Quality Indicators, Health Care; D012959:Socioeconomic Factors