Perceived quality of communication amongst outpatients in western and traditional Chinese medicine clinics in a Chinese population

Chung, Vincent Chi Ho; Lau, Chun Hong; Wong, Eric; Yeoh, Eng Kiong; Griffiths, Siân

doi:10.1016/j.healthpol.2008.09.005

Cited by 22 publications

(11 citation statements)

References 18 publications

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“…This finding is consistent with our previous studies which showed that TCM is the major form of complementary and alternative medicine in Hong Kong [26]. Middle aged chronic disease patients are more likely to use western and TCM concurrently [27], and the rationale for making such choice could be the desire to experience a stronger interpersonal relationship with TCM practitioners [28], to reduce the side effects of western medications, or to revitalize the body by using TCM tonics [Chung, Lau, Mok, Yeoh and Griffiths: View on traditional Chiense medicine amongst Chinese population: A systematic review of qualitative and quantitative studies, submitted]. The effects of consulting both Western and TCM practitioners in the primary care settings on the continuity and coordination of care warrants further investigation [29].…”

Section: Discussionsupporting

confidence: 91%

Comparison of primary care experiences among adults in general outpatient clinics and private general practice clinics in Hong Kong

et al. 2010

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BackgroundThe 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.MethodsOne 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.ResultsOur 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).ConclusionsOur 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.

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Section: Discussionsupporting

confidence: 91%

Comparison of primary care experiences among adults in general outpatient clinics and private general practice clinics in Hong Kong

et al. 2010

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“…Our results indicated that scoring on the “ service provided ” domain is low, and similar pattern is found in both public and private conventional care. Low level of advice provided on diet, sleep, exercise, smoking cessation, medication use, home safety and family conflict provided may be attributed to short consultation time available in Hong Kong, which lasts only 5–7 minutes per episode 39 . Current evidence suggests that primary care based health promotion can provide some benefits to patients 40 42 .…”

Section: Discussionmentioning

confidence: 99%

Patients’ experience of Chinese Medicine Primary Care Services: Implications on Improving Coordination and Continuity of Care

Chung

Yip

Griffiths

et al. 2015

Sci Rep

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Chinese medicine (CM) is major form of traditional and complementary medicine used by Chinese populations. Evaluation on patients’ experience on CM service is essential for improving service quality. This cross sectional study aims (i) to assess how CM clinics with different administrative model differ in terms of quality from patients’ perspective; and (ii) to investigate how quality varies with patients’ demographic and health characteristics. Five hundred and sixteen patients were sampled from charity and semi-public CM clinics in Hong Kong, and were invited to assess their experience using the Primary Care Assessment Tool (PCAT). Results indicated that overall mean PCAT scoring is satisfactory, achieving 70.7% (91.26/129) of total score. Ratings were lower in areas of “coordination of patient information”, “continuity of care”, and “range of service provided”. Impact of administrative models, including involvement of tax-funded healthcare system and outreach delivery, were minimal after adjusting for patient characteristics. Demographic and health characteristics of patients did not contribute to substantial variations in scoring. To improve patient experience, policy makers should consider strengthening care coordination, continuity and comprehensiveness in CM primary care services. Sharing of electronic records and establishing referral system are potential solutions for linking CM and conventional healthcare services.

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“…Our results illustrated that graduates regard the acquisition of western medicine knowledge as a catalyst for the development of integrative medicine, and more importantly, it relates to the ethical issue of empowering patient in making informed choice between western and Chinese treatment options. The views of graduates are vividly triangulated when the public's utilization pattern is taken into account, since TCM is often used in conjunction with western medicine, especially amongst chronic disease patients [ 35 ]. The existing western medicine education system within the public sector would be an ideal venue for east-west interdisciplinary learning, and its potential benefit could also be extended to western medical students who have little knowledge and exposure to TCM practice [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Postgraduate education for Chinese medicine practitioners: a Hong Kong perspective

et al. 2009

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Background: Despite Hong Kong government's official commitment to the development of traditional Chinese medicine (TCM) over the last ten years, there appears to have been limited progress in public sector initiated career development and postgraduate training (PGT) for public university trained TCM practitioners. Instead, the private TCM sector is expected to play a major role in nurturing the next generation of TCM practitioners. In the present study we evaluated TCM graduates' perspectives on their career prospects and their views regarding PGT.

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Perceived quality of communication amongst outpatients in western and traditional Chinese medicine clinics in a Chinese population

Cited by 22 publications

References 18 publications

Comparison of primary care experiences among adults in general outpatient clinics and private general practice clinics in Hong Kong

Comparison of primary care experiences among adults in general outpatient clinics and private general practice clinics in Hong Kong

Patients’ experience of Chinese Medicine Primary Care Services: Implications on Improving Coordination and Continuity of Care

Postgraduate education for Chinese medicine practitioners: a Hong Kong perspective

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