ArticleBMC health services research2016
The impact of predisposing, enabling, and need factors in utilization of health services among rural residents in Guangxi, China.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
68 citing papers in PubMed, 121 citations in OpenAlex.
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- Why do they sign but not consult? A study on the effectiveness of China's family doctor contract services from the perspective of patient-doctor interaction.Frontiers in medicine · 2026Article
- Factors influencing the utilisation of maternal healthcare services among reproductive-age women in Tabora region, Tanzania: an analysis of a baseline survey data from a clinical trial.BMJ public health · 2026Article
- Assessing Healthcare Access in Rural Algeria: A Survey-Based Cross-Sectional Analysis of Healthcare Utilization Based on Socioeconomic and Health Factors, Experiences, and Spatial Disparities.Health science reports · 2025Article
- Monitoring utilisation patterns of home- and community-based services for healthy ageing: a cross-sectional study.BMC geriatrics · 2025Article
- Development of a core outcome set for clinical trials targeting interventions aiming to improve adherence to appropriate polypharmacy in older people-an international consensus study.Age and ageing · 2025Article
- Confidence in China's healthcare system: a focus on lower-middle class.Health economics review · 2025Article
- Determinants of healthcare utilization under the Indonesian national health insurance system - a cross-sectional study.BMC health services research · 2025Article
- Factors influencing intentional non-utilization of healthcare: a study using the Andersen model.Frontiers in public health · 2025Article
- Healthcare preferences of chronic disease patients under China's hierarchical medical system: an empirical study of Tianjin's reform practice.Scientific reports · 2024Article
- Determinants of health poverty vulnerability in rural areas of Western China in the post-poverty relief era: an analysis based on the Anderson behavioral model.BMC public health · 2024Article
- Knowledge, attitude, and utilization of traditional medicine within the plural medical system in West Java, Indonesia.BMC complementary medicine and therapies · 2024Article
- Healthcare utilization in Ghana: Insights from the 2017 Ghana Living Standard Survey.PloS one · 2024Article
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- The doctor will not see you now: investigating the social determinants of specialist care using the Canadian Longitudinal Study on Aging (CLSA).Frontiers in public health · 2024Article
- The intentions of pregnant women to give birth at a health facility and associated factors in the Aleta-Wondo rural District, Ethiopia: A community based cross-sectional study.PLOS global public health · 2024Article
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- Analysis of 5-Year-old children's oral health service utilization and influencing factors in Guizhou Province, China (2019-2020).BMC oral health · 2023Article
8 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealthcare in China has significantly improved, meanwhile many socio-economic risk factors and health conditions factors affect accessibility and utilization of health services in rural areas. Inequity of health service in China needs to be estimated and reduced. Andersen behavioral model is useful to assess the association of health service utilization with predisposing, enabling, and need factors.
methodsA survey was conducted among 4634 residents of 897 households in 2012. Logistic regression analysis was performed to explore the association of predisposing (age, gender, marital status, ethnicity and family size), enabling (education level, travel time to the nearest health facility, medical expense per capita, and health insurance coverage), and need factors (chronic disease) with the utilization of health services (i.e. physician visit and hospitalization).
resultsWe observed a significant association between need factor (chronic diseases) and health service unitization, after adjusting for all predisposing and enabling factors (physician visits: odds ratio (OR) = 5.87, 95 % confidence interval (CI) = 4.71-7.32; hospitalization: OR = 4.04, 95 % CI = 2.90-5.61, respectively). In addition, age, gender, marital status, family size and education level were significant predictors of health service utilization. The travel time to the nearest health facility was associated with the utilization of physician visits, and expenditure on healthcare was a hindering factor of hospitalization.
conclusionsThe predisposing and enabling factors had a minor impact on health service utilization, while the need factor was a dominant predictor of health service utilization among rural residents in China.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.