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GPs achieved significantly different total scores and scores on three individual scales: comprehensiveness: service available, comprehensiveness: service provided and community orientation.
Multiple linear regressions revealed GPs had a higher total score and scores for comprehensiveness: service provided and community orientation after adjusting for sociodemographic characteristics.
We found the quality of primary care reported by GPs was better than that reported by non-GPs, particularly in comprehensiveness: service provided and community orientation.
Our key findings included: 1) the quality of primary care provided by GPs was reportedly better than that of non-GPs, particularly for comprehensiveness: service provided and community orientation; and 2) GPs were more likely to stay in their current job than non-GPs, after controlling for sociodemographic characteristics.
Multiple linear regression showed GPs had higher scores in two individual scales: comprehensiveness: service provided and community orientation.> -wrap-foot>> -wrap-foot> * P < 0.05; ** P < 0.01 * P < 0.05; ** P < 0.01 The covariates of age, income, and health status were also significantly associated with the overall quality of primary care.
Similar patterns were found for all measures of medical-home performance except the comprehensiveness-services available feature.
Patients who received more timely and thorough diabetes care reported higher medical-home performance in every feature except for the comprehensiveness-services available.
Though considerable uncertainty remains about the true level of health service coverage, and the comprehensiveness of services in countries may vary substantially, we concluded that our health coverage index demonstrated promise as a metric, as it was likely to discriminate coverage levels between countries and regions.
Elements such as adolescent friendly policies, friendly health service providers and support staff, friendly service delivery mechanisms such as convenient opening hours, privacy and comprehensiveness of services have been cited as essential [ 6, 7].
In the short term the government should realign financial and incentives to help improve utilization by patients and comprehensiveness of services provided.
Halcomb et al. [ 59] found that the availability of practice nurses in general practice increases the comprehensiveness of services provided.
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