Explaining public satisfaction with health-care systems: findings from a nationwide survey in China.

Objective: To identify factors associated with health ‐ care system satisfaction in China. Context: Recent research suggests that socio ‐ demographic characteristics, self ‐ reported health, income and insurance, ideological beliefs, health ‐ care utilization, media use and perceptions of services m...

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Publicado en:Health Expectations Vol. 19; no. 3; pp. 654 - 667
Autores principales: Munro, Neil, Duckett, Jane
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2016
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Explaining public satisfaction with health-care systems: findings from a nationwide survey in China.
      aug:
        au:
          Munro, Neil
          Duckett, Jane
        affil: School of Social and Political Sciences, University of Glasgow, Glasgow UK
      sug:
        subj:
          Public Opinion
          Patient Satisfaction Evaluation
          Health Care Delivery Evaluation
          Surveys
          Health
          Human
          China
          Socioeconomic Factors
          Demography
          Data Analysis
          Logistic Regression
          Policy Making
          Male
          Female
          Economics
          Funding Source
          Male
          Female
      ab: Objective: To identify factors associated with health ‐ care system satisfaction in China. Context: Recent research suggests that socio ‐ demographic characteristics, self ‐ reported health, income and insurance, ideological beliefs, health ‐ care utilization, media use and perceptions of services may affect health ‐ care system satisfaction, but the relative importance of these factors is poorly understood. New data from China offer the opportunity to test theories about the sources of health ‐ care system satisfaction. Design: Stratified nationwide survey sample analysed using multilevel logistic regression. Setting and participants: 3680 Chinese adults residing in family dwellings between 1 November 2012 and 17 January 2013. Main outcome measure: Satisfaction with the way the health ‐ care system in China is run. Results: We find only weak associations between satisfaction and socio ‐ demographic characteristics, self ‐ reported health and income. We do, however, find that satisfaction is strongly associated with having insurance and belief in personal responsibility for meeting health ‐ care costs. We also find it is negatively associated with utilization, social media use, perceptions of access as unequal and perceptions of service providers as unethical. Conclusions: To improve satisfaction, Chinese policymakers – and their counterparts in countries with similar health ‐ care system characteristics – should improve insurance coverage and the quality of health services, and tackle unethical medical practices.
      pubtype: Academic Journal
      doctype:
        research
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        Journal Article
      ougenre: Article
    language: English
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