Table 2:

Patient-reported experiences (first-contact accessibility, interpersonal communication and continuity of care) and impacts of care (overall quality of care, patient empowerment) by patient–clinician concordance group

CharacteristicNo. (%)
Total
n = 3156
Ethnocultural concordance*
n = 1915
Language concordance
n = 2912
Ethnocultural and language concordance
n = 1824
Patient-reported experiences of care
First-contact accessibility
Routine care§
 Same day431 (14.8)258 (14.4)386 (14.3)237 (13.8)
 Next working day308 (10.5)207 (11.5)280 (10.4)194 (11.3)
 Between 2 and 3 working days561 (19.2)308 (17.2)509 (18.8)293 (17.1)
 4 or more working days1603 (55.5)1022 (56.9)1528 (56.6)990 (57.8)
Urgent care
 Same day1243 (47.1)767 (47.3)1136 (46.6)724 (47.0)
 Next working day451 (17.1)279 (17.2)406 (16.7)262 (17.0)
 Between 2 and 3 working days399 (15.1)225 (13.9)376 (15.4)213 (13.8)
 4 or more working days545 (20.6)349 (21.5)520 (21.4)343 (22.2)
Interpersonal communication
Physician speaking too fast
 Never, rarely2795 (89.4)1738 (91.3)2607 (90.3)1670 (92.0)
 Sometimes230 (7.4)116 (6.1)195 (6.8)103 (5.7)
 Usually, always102 (3.3)50 (2.6)86 (3.0)42 (2.3)
Physician using words hard to understand
 Never, rarely2826 (90.3)1770 (92.8)2637 (91.2)1695 (93.2)
 Sometimes267 (8.5)123 (6.4)221 (7.6)111 (61.)
 Usually, always37 (1.2)14 (0.7)32 (1.1)12 (0.7)
Continuity of care
Relational continuity
Concentrated care with regular provider**
 Always, usually2833 (91.4)1776 (93.9)2631 (92.0)1700 (94.3)
 Sometimes132 (4.3)60 (3.2)110 (3.8)54 (3.0)
 Rarely, never133 (4.3)55 (2.9)118 (4.1)49 (2.7)
Accumulated knowledge††
 Excellent, very good2073 (67.1)1353 (71.5)1962 (68.6)1308 (72.4)
 Good595 (19.3)342 (18.1)522 (18.3)320 (17.7)
 Fair, poor422 (13.7)196 (10.4)375 (13.1)179 (9.9)
Informational continuity
Information transfer‡‡
 Always, usually1534 (73.5)967 (75.1)1454 (74.6)933 (75.7)
 Sometimes199 (9.5)112 (8.7)180 (9.2)107 (8.7)
 Rarely, never353 (16.9)208 (16.2)316 (16.2)193 (15.7)
Management continuity
No duplication of tests**
 0 duplication2903 (93.7)1784 (94.3)2672 (93.6)1700 (94.4)
 1 or 2 duplications153 (4.9)85 (4.5)144 (5.0)79 (4.4)
 3 or more duplications42 (1.4)22 (1.2)40 (1.4)21 (1.2)
Primary care follow-up§§
 Yes1362 (60.9)833 (62.1)1289 (61.4)799 (62.3)
 No875 (39.1)509 (37.9)810 (38.6)484 (37.7)
Patient-reported impacts of care
Quality of care¶¶
 Excellent, very good2135 (71.0)1361 (73.5)2064 (73.6)1323 (75.0)
 Good559 (18.6)326 (17.6)472 (17.0)299 (16.9)
 Fair, poor315 (10.5)164 (8.9)261 (9.4)143 (8.1)
Patient empowerment
 Always, usually1735 (55.5)1100 (57.7)1640 (56.8)1060 (58.4)
 Sometimes622 (19.9)356 (18.7)570 (19.8)339 (18.7)
 Rarely, never768 (24.6)449 (23.6)676 (23.4)416 (22.9)
  • * 4.3% missing.

  • < 1% missing.

  • 4.6% missing.

  • § 7.4% missing.

  • 16.4% missing.

  • ** 1.8% missing.

  • †† 2.1% missing.

  • ‡‡ 2.3% missing and 31.6% did not see a specialist.

  • §§ 29.1% did not see a specialist.

  • ¶¶ 4.7% missing.