Aoki Takuya, Inoue Machiko
Department of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University, Yoshida-Konoe-cho, Sakyo-ku, Kyoto, Kyoto Prefecture 606-8501 Japan.
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215 USA.
Asia Pac Fam Med. 2017 Feb 7;16:3. doi: 10.1186/s12930-017-0033-7. eCollection 2017.
Patient experience and clinical quality, which are represented by preventive care measures such as cancer screening, are both widely used for the evaluation of primary care quality. The aim of this study was to examine the association between patient experience and cancer screening uptake among women in a Japanese population.
We conducted a cross-sectional mail survey. The questionnaire was sent to 1000 adult female residents randomly selected from a basic resident register in Yugawara town, Kanagawa, Japan. We assessed patient experience of primary care using a Japanese version of Primary Care Assessment Tool (JPCAT) and uptake of breast and cervical cancer screening.
The overall response rate was 46.5%. Data were analyzed for 190 female participants aged 21-74 years who had a usual source of primary care. Multivariate logistic regression analyses revealed that the JPCAT total score was significantly associated with uptake of breast cancer screening [odds ratio (OR) per 1 standard deviation increase = 1.63; 95% CI 1.11-2.41], but not with uptake of cervical cancer screening (OR per 1 standard deviation increase = 1.47; 95% CI 0.97-2.24).
Patient experience of primary care was associated with uptake of breast cancer screening among Japanese women. The results of our study might support the argument that patient experience of primary care and the clinical process of preventive care, such as breast cancer screening, are linked.
患者体验和临床质量（以癌症筛查等预防保健措施为代表）均广泛用于评估初级保健质量。本研究的目的是调查日本人群中女性的患者体验与癌症筛查接受情况之间的关联。
我们进行了一项横断面邮寄调查。问卷被发送给从日本神奈川县汤河原町的基本居民登记册中随机选取的1000名成年女性居民。我们使用初级保健评估工具日语版（JPCAT）评估初级保健的患者体验以及乳腺癌和宫颈癌筛查的接受情况。
总体回复率为46.5%。对190名年龄在21 - 74岁且有固定初级保健来源的女性参与者的数据进行了分析。多变量逻辑回归分析显示，JPCAT总分与乳腺癌筛查的接受情况显著相关[每增加1个标准差的优势比（OR）= 1.63；95%置信区间1.11 - 2.41]，但与宫颈癌筛查的接受情况无关（每增加1个标准差的OR = 1.47；95%置信区间0.97 - 2.24）。
初级保健的患者体验与日本女性乳腺癌筛查的接受情况相关。我们的研究结果可能支持这样的观点，即初级保健的患者体验与乳腺癌筛查等预防保健的临床过程是相关联的。
