Table 4

Comparison of patient-reported indicators in clinic-based practices and hospital-based practices among patients with complex multimorbidity* (N=492)

PREMUnadjustedP valueAdjusted†P value
Mean difference (95% CI)Mean difference (95% CI)
JPCAT-SF‡
 First contact−18.77 (−32.47 to −5.07)0.007−14.93 (−26.06 to −3.80)0.009
 Longitudinality1.77 (−1.81 to 5.34)0.3331.07 (−2.60 to 4.73)0.568
 Coordination7.01 (1.34 to 12.69)0.0167.00 (1.23 to 12.77)0.018
 Comprehensiveness (services available)0.12 (−6.33 to 6.56)0.9710.85 (−5.18 to 6.88)0.782
 Comprehensiveness (services provided)4.71 (−2.17 to 11.59)0.1812.77 (−4.05 to 9.59)0.427
 Community orientation3.94 (−0.95 to 8.83)0.1154.60 (0.03 to 9.17)0.049
PROMUnadjustedP valueAdjusted†P value
OR (95% CI)OR (95% CI)
 Poor or fair self-rated health status0.53 (0.36 to 0.77)0.0010.51 (0.34 to 0.77)0.001
  • *Reference group: hospitals; mixed effects model; random effect on facility.

  • †Adjusted for age, sex, years of education, annual household income, number of chronic conditions, eye and adnexa, digestive, and respiratory diseases, hospitalisation in past 6 months, and municipality population size.

  • ‡All scores range from 0 to 100.

  • JPCAT-SF, Japanese version of Primary Care Assessment Tool Short Form; PREM, Patient-Reported Experience Measure; PROM, Patient-Reported Outcome Measure.