ArticlePloS one2016
Patient Satisfaction with Community Health Service Centers as Gatekeepers and the Influencing Factors: A Cross-Sectional Study in Shenzhen, China.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Community-engaged health outreach program contributes to health service, research, and education in rural areas.Frontiers in health services · 2026Article
- Identifying Role Functions of Primary Health Care Nurses in China: A Mixed-Methods Study in Three Northeastern Provinces.Journal of nursing management · 2026Article
- Enhancing health system efficiency in China: considering the interaction between use of primary care and the demand for secondary and tertiary care.Health policy and planning · 2025Article
- The influence of hospital services on patient satisfaction in OPDs: evidence from the transition to a digital system in South Punjab, Pakistan.Health research policy and systems · 2024Article
- An evaluation of outpatient satisfaction based on the national standard questionnaire: a satisfaction survey conducted in a tertiary hospital in Shenyang, China.Frontiers in public health · 2024Article
- Barriers to community healthcare delivery in urban China: a nurse perspective.International journal of qualitative studies on health and well-being · 2023Article
- Patients' satisfaction on primary healthcare services in China and its associated factors during COVID-19 pandemic: A cross-sectional study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2023Article
- Towards Universal Screening for Postpartum Depression in China: Lessons Learned from a Comprehensive Prevention Programme in Shenzhen.Maternal and child health journal · 2022Article
- Patterns of Outpatient Service Satisfaction among Low-Income Adults in Rural China: A Latent Class Analysis.Healthcare (Basel, Switzerland) · 2022Article
- Can a multitiered copayment system affect people's healthcare-seeking behavior? A case study of Wenzhou, China.BMC health services research · 2022Article
- Treatment Preferences of Residents Assumed to Have Severe Chronic Diseases in China: A Discrete Choice Experiment.International journal of environmental research and public health · 2020Article
- Predictors of patient satisfaction and outpatient health services in China: evidence from the WHO SAGE survey.Family practice · 2020Article
- Preferences heterogeneity of health care utilization of community residents in China: a stated preference discrete choice experiment.BMC health services research · 2020Article
- Patient Satisfaction with Rural Medical Services: A Cross-Sectional Survey in 11 Western Provinces in China.International journal of environmental research and public health · 2019Article
- Promoting OPD Patient Satisfaction through Different Healthcare Determinants: A Study of Public Sector Hospitals.International journal of environmental research and public health · 2019Article
- The effects of gatekeeping on the quality of primary care in Guangdong Province, China: a cross-sectional study using primary care assessment tool-adult edition.BMC family practice · 2019Article
- Satisfaction with service coverage and drug list may influence patients' acceptance of general practitioner contract service: a cross-sectional study in Guangdong, China.BMC health services research · 2019Article
- Factors influencing government insurance scheme beneficiary acceptance of the gatekeeper policy: a cross-sectional study in Wuhan, China.BMC health services research · 2018Article
- Determinants of the utilization of postpartum family visits: Evidence from rural areas of Eastern China.PloS one · 2018Article
- Gatekeeping and the utilization of community health services in Shenzhen, China: A cross-sectional study.Medicine · 2017Article
Corrections and comments
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Authors and funding
8 authors.
Funding
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Abstract
purposeShenzhen is the first pilot city in China implementing the gatekeeper policy, with community health service (CHS) centers as the gatekeepers. We aim to investigate patient satisfaction with this policy and its influencing factors in Shenzhen.
methods3,848 patients visiting eight CHS centers in Shenzhen of China between May 1 and July 28, 2013 were recruited. We interviewed them using a structured questionnaire to investigate their satisfaction with the gatekeeper policy of CHS. Multivariable logistic regression models were used to identify influencing factors.
resultsOf the respondents, 28.17%, 47.27% and 24.56% were satisfied with, neutral to, and not satisfied with the gatekeeper policy respectively. Patient satisfaction with this policy was found to be associated with education level, familiarity with the policy, referral experience, satisfaction with convenience of seeing a doctor, satisfaction with waiting time, satisfaction with medical facility, satisfaction with general medical practitioners' professional skill, and proportion of expense reimbursed.
conclusionsOur investigation shows that patient satisfaction with the gatekeeper policy was low. To improve patient satisfaction, efforts should be made to increase the convenience of seeing a doctor in community, shorten waiting time, improve general medical practitioners' professional skill, and increase proportion of expense reimbursement.
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