Exploring Residents' Healthcare Utilization under the Family Physician Contract Service System in China: Implications for Primary Healthcare.
Chinese government promoted a family physician contract service system in order to establish a tiered healthcare system in June 2016, but there was little evidence to assess the policy performance. This study aimed to examine the association of family physician contract services with the healthcare...
| Publicado en: | Health & Social Care in the Community pp. 1 - 14 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
1/30/2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175158365&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175158365 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660410 EVX jtl: Health & Social Care in the Community issn: 09660410 maglogo: Y pubinfo: dt: 1/30/2024 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 175158365 175158365 175158365 10.1155/2024/2745653 175158365 ppf: 1 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Exploring Residents' Healthcare Utilization under the Family Physician Contract Service System in China: Implications for Primary Healthcare. aug: au: Jing, Rize Zhang, Haonan Hu, Hongwei affil: School of Public Administration and Policy, Renmin University of China, Beijing 100872, China sug: subj: Community Living China Contract Services Physicians, Family Health Resource Utilization Urban Areas Health Policy Primary Health Care Human Male Female Adult Middle Age Aged China Cross Sectional Studies Cluster Sample Random Sample Sample Size Community Health Centers Sociodemographic Factors Insurance, Health Descriptive Statistics Comparative Studies Chi Square Test T-Tests Wilcoxon Rank Sum Test Logistic Regression Poisson Distribution Confidence Intervals Odds Ratio Socioeconomic Factors Interviews Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Chinese government promoted a family physician contract service system in order to establish a tiered healthcare system in June 2016, but there was little evidence to assess the policy performance. This study aimed to examine the association of family physician contract services with the healthcare utilization of community residents in urban China. A cross-sectional face-to-face survey was conducted from July to September, 2019, in four advanced and exemplary cities for family physician contract services in China. A multistage cluster random sampling method was adopted to recruit residents aged 18 and above, and a total of 1508 participants were included in this study. The count model and logit regression were adopted to examine the associations between family physician contract service and healthcare utilization, and the potential bias was addressed using the propensity score matching (PSM) method. There was an increase in number of monthly primary care visits and annual referrals for contracted residents compared to noncontracted residents. Participants who had contracted with a family physician were more likely to choose a primary healthcare facility after illness than those who had not. However, no significant change was found in the number of annual hospital admissions between contracted and noncontracted residents. Family physician contract services may effectively strengthen the use of primary care facilities by community residents and promote the formation of a tiered healthcare system in China. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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