ArticleBMJ open2020
Public satisfaction with the healthcare system in China during 2013-2015: a cross-sectional survey of the associated factors.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Public satisfaction and trust towards the health system in China and associated factors: a mixed-methods study.BMC public health · 2025Article
- Outpatient pooling policy and healthcare satisfaction among middle-aged and older adults: evidence from China.BMC health services research · 2025Article
- Confidence in China's healthcare system: a focus on lower-middle class.Health economics review · 2025Article
- Public satisfaction with Healthy China Action Plan implementation: a web-based cross-sectional survey in southwest China.BMJ open · 2025Article
- How do Chinese people perceive their healthcare system? Inequality in public satisfaction with healthcare security.Frontiers in public health · 2025Article
- Structural changes and influencing factors of human resource allocation for oral health in China.PloS one · 2025Article
- An Exploratory Study of Factors Associated with Medication Adherence in Chinese Rheumatoid Arthritis Patients.Journal of inflammation research · 2025Article
- Cost shifting or cost cutting by hospitals as a response to reimbursement reform? The case of diagnosis-related groups (DRG) scheme in China.Frontiers in public health · 2025Article
- Public satisfaction with health system after healthcare reform in China.Health research policy and systems · 2023Article
- Exploring Older Adults' Perceived Affordability and Accessibility of the Healthcare System: Empirical Evidence from the Chinese Social Survey 2021.Healthcare (Basel, Switzerland) · 2023Article
- Behavioral deviations: healthcare-seeking behavior of chronic disease patients with intention to visit primary health care institutions.BMC health services research · 2023Article
- Public trust in physicians: empirical analysis of patient-related factors affecting trust in physicians in China.BMC primary care · 2022Article
- Socioeconomic inequality in public satisfaction with the healthcare system in China: a quantile regression analysis.Archives of public health = Archives belges de sante publique · 2022Article
- How do Chinese people perceive their healthcare system? Trends and determinants of public satisfaction and perceived fairness, 2006-2019.BMC health services research · 2022Article
- General and Vulnerable Population's Satisfaction With the Healthcare System in Urban and Rural Areas: Findings From the European Social Survey.International journal of public health · 2022Article
- A multidimensional study of public satisfaction with the healthcare system: a mixed-method inquiry in Ghana.BMC health services research · 2021Article
- Ranking the Healthcare Resource Factors for Public Satisfaction with Health System in China-Based on the Grey Relational Analysis Models.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
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Abstract
objectiveWe explore how public satisfaction with the healthcare system in China varies with social and economic factors, especially regional variations and changes during 2013-2015.
designPopulation-based, cross-sectional survey performed between July 2013 and July 2015.
settingGeneral population of China during 2013-2015.
participantsA total of 15 969 participants (women=49.4%, sample-weighted average age=51.9). PRIMARY OUTCOME MEASURE: Public satisfaction with the healthcare system, defined as 'being satisfied' if a respondent's satisfaction score is ≥70 points.
resultsThe 2-year mean of the satisfaction score of the sample is 68.5 out of 100 points and the score in 2015 is higher than 2013 by 3.5 points. Senior respondents (OR=1.19, p<0.001), rural respondents (OR=1.23, p=0.009) and those with higher socioeconomic status are more likely to report being satisfied. Internal migrants (OR=0.75, p<0.001) and those with a higher level of education are less likely to report being satisfied. Total health expenditure as percentage of gross domestic product and density of hospital beds have a significantly positive association with satisfaction (OR=1.13, p<0.001). Meanwhile, the government's share in total healthcare expenditures has a moderately negative association with satisfaction (OR=0.97, p<0.001). In rural areas, the density of hospital beds has a positive association with satisfaction (OR=1.26, p=0.002). The Northeast region and Shanghai (OR=0.49, p<0.001; OR=0.71, p=0.034) are less likely to report being satisfied and this remained unchanged in 2015.
conclusionThere are considerable disparities in public satisfaction with the healthcare system in China, associated with demographic and socioeconomic characteristics, regional locations, urban-rural environment, and regional health resource abundance. Actions are recommended to improve satisfaction with the public healthcare system, especially in the Northeast region of China.
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