ArticleInternational journal of environmental research and public health2019
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.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
57 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Research on the control rate of hypertension under family physician-contracted service.BMC primary care · 2024Pooled it
- Effectiveness of doctors' advice on non-prescription antibiotic use: a randomized controlled trial, China.Bulletin of the World Health Organization · 2026Trial
- Effects of expressive art therapy on health status of patients with chronic obstructive pulmonary disease: a community-based cluster randomized controlled trial.Therapeutic advances in respiratory diseaseTrial
- Association between family doctor contract services and management status among patients with hypertension or diabetes in a multi-ethnic Province of China.BMC primary care · 2025Article
- Research on the impact of family doctor contract services on the willingness of residents' first choice of medical institutions for treatment-empirical analysis based on PSM.BMC health services research · 2025Article
- Knowledge, attitude and practice towards oral health in parents and teachers of kindergarten students: a cross-sectional survey.BMJ open · 2025Article
- Predicting family doctor contract fulfillment propensity using the FA-GA-BP model and per capita household expenditures.Frontiers in public health · 2025Article
- The Influence of Cognitive and Affective Trust on the Utilization of Family Doctor Services: A Chinese Cross-Sectional Survey Based on McAllister's Theory.Patient preference and adherence · 2025Article
- Patients' sense of medical gain on family doctor contracting services in China: scale development and preliminary validation.BMC health services research · 2024Article
- Article
- The association between family doctor contract services and the health of middle-aged and older people in China: an instrumental variables analysis.Scientific reports · 2024Article
- Community medical service construction: identifying factors that influence medical choice for patients with non-communicable chronic diseases in the Southwest China.BMC public health · 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
- The impact of family doctor contract services on the utilization of and satisfaction with primary health care among Chinese residents: A cross-sectional study.Journal of family medicine and 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
- Can family doctor system improve health service utilization for patients with hypertension and diabetes in China? A difference-in-differences study.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
- Factors influencing contracting of residents with family doctors in China: a national cross-sectional survey.BMC health services research · 2024Article
- A spatial feature analysis of primary health care utilization in a large city in China and its implications for family doctor contract service policy.BMC health services research · 2024Article
- Health Management Service Models for the Elderly with Visual Impairment: A Scoping Review.Journal of multidisciplinary healthcare · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In China, family doctor services originated in 2009. After two years, the Chinese government proposed the establishment of a family doctor contract system suitable for China's national conditions. Then, in 2016, a multi-department jointly issued an important document, which further clarified the development goals of family doctor contract services in the next five years. Zhejiang Province has been exploring responsible doctor contract services since 2012, which was promoted throughout the province in 2015.
objectivesThe aim of this study was to investigate the residents' awareness of Zhejiang Province, China, of family doctor contract services, the status of signing such a contract, and the demand for service items in the contracted service package. Further, we sought to explore the relevant influential factors in order to provide a reference and evidence-based recommendations for the further development of family doctor contract services.
designWe enrolled 3960 residents from nine counties in Zhejiang Province using a multistage stratified random sampling method. A survey using a self-designed questionnaire was used to collect the demographic data, residents' awareness of family doctor contract services, the status of contracting, and demand for different items from October to December 2017. Data were analyzed by SPSS 21.0.
resultsIn total, 3871 residents returned valid questionnaires, with a response rate of 97.75%. The awareness rate of residents of family doctor contract services was 71.58% (2771/3871). Age, education level, and chronic medical history status were the influencing factors affecting residents' awareness. The contracted rate was 50.43% (1952/3871). Age, education level, personal monthly income, chronic disease history, and awareness of family doctor contract services were the influencing factors. Residents who have a contract with family doctors have a higher demand for family doctor contract services, and different residents have different needs for the project because of their physical condition, education level, marital status, household registration, and personal monthly income level. The top three needs of the residents for contracted services were health consultation (84.64%), regular physical examination (81.71%), and increasing the proportion of medical insurance reimbursements (80.06%).
conclusionsThe awareness rate of family doctor contract services and the contracting rate are unsatisfactory among residents of Zhejiang Province. It is suggested that the government should more heavily publicize family doctor contract services, expand the coverage, introduce personalized contract schemes to meet the needs of different groups, and promote the rapid development of family doctor contract services in Zhejiang Province.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.