ArticleInquiry : a journal of medical care organization, provision and financing
Factors Influencing Residents' Willingness to Contract With General Practitioners in Guangzhou, China, During the GP Policy Trial Phase: A Cross-Sectional Study Based on Andersen's Behavioral Model of Health Services Use.
Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Hypertension prevalence and control in selected townships of Lingcheng District, Dezhou City, China: a cross-sectional study.Scientific reports · 2026Article
- Impact of the Family Doctor Contracting System on unmet healthcare needs in Shandong Province, China.Health policy and planning · 2026Article
- Factors influencing intentional non-utilization of healthcare: a study using the Andersen model.Frontiers in public health · 2025Article
- GP's GP, general practitioner's health and willingness to contract family doctors in China: a national cross-sectional study.BMC primary care · 2024Article
- Does a GP service package matter in addressing the absence of health management by the occupational population? A modelling study.BMC health services research · 2024Article
- Construction and Scale Development of Willingness to Utilize Primary Care Services: A Study from China.Risk management and healthcare policy · 2023Article
- Development of a performance measurement system for general practitioners' office in China's primary healthcare.BMC health services research · 2022Article
- Analysis of inequality in the distribution of general practitioners in China: evidence from 2012 to 2018.Primary health care research & development · 2022Article
- Factors associated with the utilization of community-based health services among older adults in China-an empirical study based on Anderson's health behavior model.BMC primary care · 2022Article
- Policy Goals of Contract Arrangements in Primary Care in Jeopardy: A Cross-Sectional Consumer Satisfaction Survey of Community Residents in Hangzhou, China.Frontiers in public health · 2022Article
- Patients' Willingness of First Visit in Primary Medical Institutions and Policy Implications: A National Cross-Sectional Survey in China.Frontiers in public health · 2022Article
- Willingness of patients with chronic disease in rural China to contract with family doctors: implication for targeting characteristics.BMC family practice · 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
- Patient Choice and Willingness Toward Gatekeepers as First-Contact Medical Institutions in Chinese Tiered Healthcare Delivery System: A Cross-Sectional Study.Frontiers in public 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
- Factors Associated with Rural Residents' Contract Behavior with Village Doctors in Three Counties: A Cross-Sectional Study from China.International journal of environmental research and public health · 2020Article
- A cross-sectional study of Swiss ambulatory care services use by multimorbid patients in primary care in the light of the Andersen model.BMC family practice · 2020Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study aimed to investigate the current contract rate and residents' willingness to contract with general practitioner (GP) services in Guangzhou, China, during the policy trial phase, and also to explore the association of behavior contract and contract willingness with variables based on Andersen's Behavioral Model of Health Services Use (ABM). In total, 160 residents from community health centers (CHCs) and 202 residents from hospitals were recruited in this study. The outcome variables were behavior contract and contract willingness. Based on the framework of ABM, independent variables were categorized as predisposing factors, enabling factors, need factors, and CHC service utilization experiences. Univariate and multivariate logistic regression analysis models were applied to explore the associated factors. Out of 362 participants, 14.4% had contracted with GP services. For those who had not contracted with GP services, only 16.4% (51 out of 310) claimed they were willing to do so. The contract rate for community-based participants was significantly higher than that for hospital-based participants. Major reasons for not choosing to contract were perceiving no benefit from the service and concerns about the quality of CHCs. Community health center experiences and satisfaction were significantly associated with contracting among hospital-based participants. A need factor (diagnosed with hypertension or diabetes) and CHC service utilization experiences (have gotten services from the same doctor in CHCs) were significantly associated with contract willingness among CHC-based participants. Intervention to improve awareness of GP services may help to promote this service. Different intervention strategies should be used for varying resident populations.
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