ArticleInternational journal of environmental research and public health2017
Demand and Signing of General Practitioner Contract Service among the Urban Elderly: A Population-Based Analysis in Zhejiang Province, China.
Article in International journal of environmental research and public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 46 citations in OpenAlex.
- GP's GP, general practitioner's health and willingness to contract family doctors in China: a national cross-sectional study.BMC primary care · 2024Article
- The impact of hypertension follow-up management on the choices of signing up family doctor contract services: does socioeconomic status matter?BMC primary care · 2024Article
- Factors influencing contracting of residents with family doctors in China: a national cross-sectional survey.BMC health services research · 2024Article
- The association of family doctor contract service and patient trust in doctor: evidence from twenty-five village clinics of three counties in rural China.BMC primary care · 2024Article
- Effect of multiple chronic conditions on family doctor contracting in the elderly in China: the moderating role of socioeconomic status.BMC public health · 2023Article
- What factors affect Beijing residents' contracts with family doctors? A comparative study of Beijing's urban and suburban areas.Frontiers in public health · 2023Article
- Family Doctor Contract Services and Awareness of Blood Pressure Measurement Among Hypertension Patients: A Cross-Sectional Study in Rural Shandong, China.Frontiers in public health · 2022Article
- Effects of Family Doctor Contract Services on the Health-Related Quality of Life Among Individuals With Diabetes in China: Evidence From the CHARLS.Frontiers in public health · 2022Article
- Effect of Family Practice Contract Services on the Perceived Quality of Primary Care among Patients with Multimorbidity: A Cross-Sectional Study in Guangdong, China.International journal of environmental research and public health · 2021Article
- Do older people with cardiovascular-metabolic multimorbidity prefer to sign contracts for family doctor services? Evidence from a cross-sectional study in rural Shandong, China.BMC geriatrics · 2021Article
- Association of Continuity of General Practitioner Care with Utilisation of General Practitioner and Specialist Services in China: A Mixed-Method Study.Healthcare (Basel, Switzerland) · 2021Article
- Family doctor contract services and health-related quality of life among patients with chronic diseases in rural China: what is the role of socioeconomic status?International journal for equity in health · 2021Article
- Utilization of community health care centers and family doctor contracts services among community residents: a community-based analysis in Shenzhen, China.BMC family practice · 2021Article
- Residents' Willingness to Maintain Contracts with Family Doctors: a Cross-sectional Study in China.Journal of general internal medicine · 2021Article
- The effects of family physician-contracted service on health-related quality of life and equity in health in China.International journal for equity in health · 2021Article
- The Awareness and Attitude of Contracted Service Among General Medical Practitioners in Community Health Service Centers in Urban China: A Cross-Sectional Study.Frontiers in public health · 2021Article
- Effect of family doctor contract services on patient perceived quality of primary care in southern China.BMC family practice · 2020Article
- Analysing the preferences for family doctor contract services in rural China: a study using a discrete choice experiment.BMC family practice · 2020Article
- Residents' Awareness of Family Doctor Contract Services, Status of Contract with a Family Doctor, and Contract Service Needs in Zhejiang Province, China: A Cross-Sectional Study.International journal of environmental research and public health · 2019Article
- General practice for the poor and specialist services for the rich: inequality evidence from a cross-sectional survey on Hangzhou residents, China.International journal for equity in health · 2019Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study aims to examine whether the urban elderly in the Zhejiang Province of China signed contracts with their general practitioner (GP) based on their health service needs, and to further identify the determinants of their demand and signing decisions. A community-based cross-sectional study was conducted in 16 community health service (CHS) institutions in Zhejiang Province, China. The urban elderly over 60 years of age were enrolled when visiting the sampled CHS. Baseline characteristics were compared between participants using Chi-Square tests for categorical variables. Univariate and multivariable logistic regression analyses were used to identify determinants of the GP contract service demand and signing decisions, respectively. Among the 1440 urban elderly, 56.67% had signed contracts with their GP, and 55.35% had a demand of the GP contract service. The influencing factors of demand were a history of diabetes or cardiovascular disease (OR = 1.33, 95% CI, 1.05-1.68); urban resident basic medical insurance (URBMI) vs. urban employee basic medical insurance (UEBMI) (OR = 1.96, 95% CI, 1.46-2.61); and middle-income vs. low-income (OR = 0.67, 95% CI, 0.50-0.90 for RMB 1001-3000; OR = 0.59, 95% CI, 0.39-0.90 for RMB 3001-5000). Having a demand for the GP contract service was the strongest determinant of signing decisions (OR = 13.20, 95% CI, 10.09-17.27). Other factors also contributed to these decisions, including gender, caregiver, and income. The urban elderly who had signed contracts with GPs were mainly based on their health care needs. Elderly people with a history of diabetes or cardiovascular disease, as well as those with URBMI, were found to have stronger needs of a GP contract service. It is believed that the high-income elderly should be given equal priority to those of low-income.
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