Background
Methods
Study design and participants
Study variables
Demographics
Health status
Health literacy
Experiences with healthcare delivery in the general practice setting
Patient-centered communication
Shared decision-making
Satisfaction with the care received in the general practice
Statistical analysis
Results
Participant characteristics
Variable | Number | Percent |
---|---|---|
Participants | 1125 | |
Age | ||
Mean ± SD | 52.43 ± 17.73 | |
Range | 18 – 96 | |
18–34 years | 227 | 20.2 |
35–49 years | 262 | 23.3 |
50–64 years | 330 | 29.3 |
≥ 65 | 306 | 27.2 |
Gender | ||
Female | 680 | 60.4 |
Male | 445 | 39.6 |
Migration status | ||
Non-migrant | 921 | 82.4 |
Migrant | 197 | 17.6 |
Education degree | ||
Middle school degree | 192 | 17.1 |
Intermediate high school | 298 | 26.5 |
degree | 254 | 22.6 |
University entrance qualification | 195 | 17.3 |
Insurance status | ||
Statutory health insurance | 963 | 85.6 |
Private insurance | 151 | 13.4 |
Primary care access status
| ||
Personal general practitioner | 1066 | 94.8 |
Overall health status | ||
Very good | 408 | 36.3 |
Good | 444 | 39.5 |
Fair | 202 | 18.0 |
Poor | 61 | 5.4 |
Chronic conditions | ||
< 2 chronic conditions | 715 | 68.2 |
≥ 2 chronic conditions | 334 | 31.8 |
Diabetes | 99 | 8.8 |
Coronary artery disease | 143 | 12.7 |
Hypertension | 349 | 31.0 |
Asthma | 114 | 10.1 |
Depression | 134 | 11.9 |
Predictors of satisfaction with care received by the general practitioner
Variable | Satisfaction with the care received by the general practitioner in the last 12 months (very good, good) | ||
---|---|---|---|
N
| (%) |
p-value*
| |
Patient-centered communication | |||
How often does your general practitioner or medical staff you see … | |||
Explain things in a way that is easy to understand | <0.001 | ||
always/often | 910 | 94.3 | |
never/rarely/sometimes | 36 | 54.5 | |
Know important information about your medical history | <0.001 | ||
always/often | 865 | 93.7 | |
never/rarely/sometimes | 56 | 69.1 | |
Spend enough time with you | <0.001 | ||
always/often | 851 | 94.2 | |
never/rarely/sometimes | 92 | 74.8 | |
Shared decision-making | |||
Involve you as much as you want to be in decisions about your treatment or care | <0.001 | ||
always/often | 837 | 94.3 | |
never/rarely/sometimes | 76 | 71.0 | |
Health Literacy | |||
Problems when learning about medical conditions | <0.05 | ||
no problem (rarely/never) | 589 | 93.5 | |
problem (always/often) | 160 | 88.4 |
Variable | Satisfaction with the care received by the general practitioner in the last 12 months (very good, good) | ||
---|---|---|---|
95 %-CI for EXP (B) | |||
Odds ratio | Lower | Upper | |
Predictor variables | |||
Patient-centered communication | |||
How often does your general practitioner or medical staff you see … | |||
Explain things in a way that is easy to understand? a
| |||
always/often | 4.444*** | 1.817 | 10.869 |
Knows important information about your medical history? a
| |||
always/often | 3.466** | 1.502 | 7.994 |
Spend enough time with you? a
| |||
always/often | 3.120** | 1.410 | 6.905 |
Shared-decision making | |||
Involve you as much as you want to be in decisions about your treatment or care? a
| |||
always/often | 4.021*** | 1.849 | 8.744 |
Health Literacy | |||
How often do you have problems learning about your medical conditions because of difficulty understanding written information? b
| |||
no problem (rarely/never) | 2.067* | 1.002 | 4.264 |
Sociodemographic covariates | |||
Age c
| |||
35–49 years | 1.575 | 0.626 | 3.996 |
50–64 years | 1.938 | 0.743 | 5.056 |
≥ 65 years | 2.217 | 0.827 | 5.941 |
Education status d
| |||
Middle educational status | 1.044 | 0.485 | 2.247 |
High educational status | 0.937 | 0.373 | 2.353 |
Gender | |||
Male | 1.428 | 0.678 | 3.007 |
Migration status | |||
Migrant | 0.683 | 0.316 | 1.478 |
Health related covariates | |||
Health status e
| |||
Excellent/good | 3.691*** | 1.759 | 7.745 |