Yes Rate.P is pitch rate in rad/s. Rate.Pout is the output to the motors mixer. I may or may not match desired pitch rate (Rate.Pdes). Since for heli’s, VFF is used primarily, then they look very similar.
You should care about how well Rate.P matches Rate.Pdes. Ultimately, you really want ATT.Pitch to match ATT.DesPitch well. Now in both cases, you may see some time delay but the actual pitch should follow the desired pitch quite closely.