چکیده (انگلیسی):

Background:The primary care in China can be provided by general practitioners (GPs) and other physicians
(non-GPs). However, China’s general practice system has never been really established. Chinese patients tend
to consider the quality of primary care provided by GPs much lower than that of non-GPs. Besides, many GPs presently
prefer leaving their own positions and seeking better development in big hospitals, which has made the already weak
GP system weaker. Yet, few studies have specially compared the quality of primary care provided by Chinese GPs and
other physicians and no studies have explored the independent predictors of Chinese GPs’ intentions to stay on their
current job. In this study, we aimed to compare the quality of primary care offered by GPs with non-GPs and to explore
the independent predictors of GPs’ future work intentions.
Methods:This cross-sectional study applied multi-stage random cluster sampling methodology. The data were
collected from November 2013 to September 2014 in Guangdong Province. In total, 401 effective questionnaires were
selected from the physicians. Quality of primary care was assessed using the Primary Care Assessment Tool
(PCAT) Provider Part, representing six primary care domains: ongoing care, coordination (i.e., referrals and information
systems), comprehensiveness (i.e., service available and service provided), family-centeredness, community orientation
and cultural competence.
Results:Of 401 participating physicians, 163 (40.6 %) were GPs. The total PCAT score was 26.32 ± 2.24 which was
the sum score of the six domains and represent the quality of primary care. 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. In addition, GPs were more likely to intend to stay in their current job in the coming year, and this was
associated with their educational level.
Conclusions:Our findings showed that GPs reported higher quality of primary care than other physicians, and were
more inclined to stay in their current job. With more comprehensive care and community orientation provided by GPs,
residents could reach basic medical cares and needn’t to crowd into larger hospitals.