Observational studyInternational journal for equity in health2019
Healthcare-seeking behavior among pregnant women in the Chinese hierarchical medical system: a cross-sectional study.
Observational study in International journal for equity in health, 2019. 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, 38 citations in OpenAlex.
- Does living alone reshape healthcare use? Longitudinal evidence from older adults in China.BMC primary care · 2026Article
- Maternal information-seeking on pregnancy-induced hypertension and associated factors among pregnant women, in low resource country, A cross-sectional study design.PLOS digital health · 2025Article
- Effects of communication, trust, and respect on shared decision-making: insights from healthcare providers in Chinese public hospitals.Frontiers in medicine · 2025Article
- An analysis of factors influencing the demand for community-based integrated health and social care in Southwestern China.Frontiers in public health · 2025Article
- Caregivers' beliefs about hydroxyurea influence its usage among children with sickle cell disease: a cross-sectional study in Dar-es-Salaam, Tanzania.The Pan African medical journal · 2025Article
- Predicting maternal healthcare seeking behaviour in Afghanistan: exploring sociodemographic factors and women's knowledge of severity of illness.BMC pregnancy and childbirth · 2023Article
- Influence of E-consultation on the Intention of First-Visit Patients to Select Medical Services: Results of a Scenario Survey.Journal of medical Internet research · 2023Article
- Effects of and Prospects for the Hierarchical Medical Policy in Beijing, China.Healthcare (Basel, Switzerland) · 2023Article
- Patient delay and related influencing factors in Chinese women under 35 years diagnosed with cervical cancer: A cross-sectional study.Asia-Pacific journal of oncology nursing · 2023Article
- Factors associated with utilization of physical therapy services during pregnancy and after childbirth.Heliyon · 2023Article
- Help-seeking behavior among miscarrying women with and without post-miscarriage health problems in Ghana.PLOS global public health · 2023Article
- Maternal Health Care Utilization Behavior, Local Wisdom, and Associated Factors Among Women in Urban and Rural Areas, Indonesia.International journal of women's health · 2023Article
- Antenatal care utilization during the COVID-19 pandemic: an online cross-sectional survey among Filipino women.BMC pregnancy and childbirth · 2022Article
- Factors associated with the use of deworming drugs during pregnancy in Tanzania; an analysis from the 2015-16 Tanzanian HIV and malaria indicators survey.BMC pregnancy and childbirth · 2022Article
- The Urban-Rural Disparities and Associated Factors of Health Care Utilization Among Cancer Patients in China.Frontiers in public health · 2022Article
- 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
- 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
- Equity and efficiency of maternal and child health resources allocation in Hunan Province, China.BMC health services research · 2020Article
- Perceived Competition and Process of Care in Rural China.Risk management and healthcare policy · 2020Article
- The effects of poverty reduction policy on health services utilization among the rural poor: a quasi-experimental study in central and western rural China.International journal for equity in health · 2019Article
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHierarchical medical systems are common in developed countries, but it's not optimistic in China. This study aimed to identify the factors affecting healthcare-seeking behavior among pregnant women in Guangdong, China.
methodsWe conducted a cross-sectional, observational survey, developed using the Andersen's behavioral model. Pregnant women were randomly selected using a two-stage, stratified, random sampling method from hospitals in Guangdong, China. A multinomial logistic regression was used to identify statistically significant variables from aspect of environmental, demographic and pregnancy characteristics associated with pregnant women seeking healthcare at primary, secondary or tertiary hospitals.
resultsA total of 1393 pregnant women returned the survey after attending 1 of 12 hospitals within 4 cities of the Guangdong province: 537 (38.5%) of the respondents attended a primary hospital, 437 (31.4%) a secondary hospital, and 419 (30.1%) a tertiary hospital. Women attending primary hospitals were more likely to live closer to the hospital, live rurally, and be educated to a lower level. Several factors were significantly associated with attendance at a secondary vs a primary hospital: the woman's perceived necessity to seek maternal healthcare (OR 1.73, 95% CI [1.1,2.74]), the woman's choice of delivery hospital (OR 1.45, 95% CI [1.01,2.07]), or urban living (OR 1.39, 95% CI [1.03,1.88]). Characteristics associated with attendance at a tertiary vs a primary hospital were: a history of pregnancy complications (OR 2.35, 95% CI [1.43,3.86]), travel to the hospital by public transport/taxi (OR 2.09/2.67, 95% CI [1.35,3.22]/ [1.45,4.92]), urban living (OR 1.58, 95% CI [1.14,2.18]), or a planned current pregnancy (OR 1.53, 95% CI [1.07,2.19]).
conclusionMedical needs and convenience both play a role in the choice of hospital for antenatal care, and impact on equity utilization of health services. Pregnant women without risk factors and with higher levels of education should be a target population for guiding to choose a more proper level of hospital.
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