Higher quality primary care is associated with good self-rated health status

Abstract

To ascertain the association between primary care quality and self-rated health status. A cross-sectional study using the Korean primary care assessment tool (K-PCAT). The K-PCAT is a validated tool based on the definition of primary care in Korea, consisting of 5 domains and 21 items providing a total primary care quality score. Data were collected from patients of family physicians working at nine private clinics as their usual source of care. The main outcome measure was self-rated health status. Data were analyzed for 531 study participants. Bivariate analysis of socio-demographic variables of patients, who participated in this study as primary care quality assessors, revealed that those with high self-ratings of health tended to have higher household incomes and more frequent exercise. Those with high self-ratings of health had higher total primary care scores than those with low self-ratings of health, as determined through bivariate analysis (P < 0.01). After being adjusted for age, sex, the number of diseases being treated, education years, household income, smoking status, alcohol intake and the frequency of regular exercise, the total primary care score was found to be positively associated with good health. Primary care quality, as assessed by the K-PCAT, was positively associated with good self-rated health status.