Abstract：
BACKGROUND: A usual source of care (USC) is related to longitudinal and personalized services, which are attributes of primary care. Patient-centered communication, an important element of patient-centered care, helps physicians understand health problems from a patient\'s point of view. We analyzed the association between USC and patient-centered communication.
METHODS: Data from the Korea Health Panel 2018 were used in the analysis. Patient-centered communication scores were obtained by combining the four communication-related questionnaire items. Usual source of care types were categorized based on responses to two questionnaire items: no USC, a place without a regular doctor and with a regular doctor. Multiple logistic regression analysis was used to adjust for confounders.
RESULTS: Good communication rate was higher for those with a regular doctor (71.8%) than for those with no USC (61.8%) or a place only (61.5%). Those with a regular doctor had better communication (odds ratio, 1.49 for individuals with poor/moderate health, and 2.08 for those with good health) than those without a USC after adjusting for confounders. In terms of communication, no difference was observed between individuals with no USC and those with a place only.
CONCLUSIONS: Having a regular doctor promotes communication between patients and doctors. Good communication may be a mediator between having a regular doctor and related beneficial outcomes. Better communication by having a regular doctor, along with several other benefits identified in previous studies suggests the need for a health policy that encourages individuals to have regular doctors.
METHODS: Data from the Korea Health Panel 2018 were used in the analysis. Patient-centered communication scores were obtained by combining the four communication-related questionnaire items. Usual source of care types were categorized based on responses to two questionnaire items: no USC, a place without a regular doctor and with a regular doctor. Multiple logistic regression analysis was used to adjust for confounders.
RESULTS: Good communication rate was higher for those with a regular doctor (71.8%) than for those with no USC (61.8%) or a place only (61.5%). Those with a regular doctor had better communication (odds ratio, 1.49 for individuals with poor/moderate health, and 2.08 for those with good health) than those without a USC after adjusting for confounders. In terms of communication, no difference was observed between individuals with no USC and those with a place only.
CONCLUSIONS: Having a regular doctor promotes communication between patients and doctors. Good communication may be a mediator between having a regular doctor and related beneficial outcomes. Better communication by having a regular doctor, along with several other benefits identified in previous studies suggests the need for a health policy that encourages individuals to have regular doctors.
摘要：
背景：通常的护理来源（USC）与纵向和个性化服务有关，这是初级保健的属性。以患者为中心的沟通，以病人为中心的护理的一个重要元素，帮助医生从病人的角度理解健康问题。我们分析了南加州大学与以患者为中心的沟通之间的关联。
方法：分析使用了韩国卫生小组2018年的数据。通过结合四个与沟通相关的问卷项目获得以患者为中心的沟通得分。通常的护理来源类型是根据对两个问卷项目的回答进行分类的：没有南加州大学，一个没有正规医生和正规医生的地方。多元logistic回归分析用于校正混杂因素。
结果：有正规医生的人（71.8%）的良好沟通率高于没有南加州大学的人（61.8%）或只有一个地方的人（61.5%）。那些有正规医生的人有更好的沟通(赔率比，1.49对于健康状况较差/中度的个人，对于健康状况良好的人和2.08）比那些在调整混杂因素后没有南加州大学的人。在沟通方面,在没有南加州大学的个体和只有一个地方的个体之间没有观察到差异.
结论：有一个正规的医生可以促进患者和医生之间的沟通。良好的沟通可能是有一个普通医生和相关的有益结果之间的中介。通过有一个普通的医生更好的沟通，以及先前研究中发现的其他一些好处表明，需要制定一项鼓励个人定期医生的健康政策。
方法：分析使用了韩国卫生小组2018年的数据。通过结合四个与沟通相关的问卷项目获得以患者为中心的沟通得分。通常的护理来源类型是根据对两个问卷项目的回答进行分类的：没有南加州大学，一个没有正规医生和正规医生的地方。多元logistic回归分析用于校正混杂因素。
结果：有正规医生的人（71.8%）的良好沟通率高于没有南加州大学的人（61.8%）或只有一个地方的人（61.5%）。那些有正规医生的人有更好的沟通(赔率比，1.49对于健康状况较差/中度的个人，对于健康状况良好的人和2.08）比那些在调整混杂因素后没有南加州大学的人。在沟通方面,在没有南加州大学的个体和只有一个地方的个体之间没有观察到差异.
结论：有一个正规的医生可以促进患者和医生之间的沟通。良好的沟通可能是有一个普通医生和相关的有益结果之间的中介。通过有一个普通的医生更好的沟通，以及先前研究中发现的其他一些好处表明，需要制定一项鼓励个人定期医生的健康政策。
