ArticleJournal of general internal medicine2021
Residents' Willingness to Maintain Contracts with Family Doctors: a Cross-sectional Study in China.
Article in Journal of general internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Willingness to maintain contracts with family doctors among Chinese residents: results from one national cross-sectional study and a meta-analysis of 25 studies.Frontiers in public health · 2023Pooled it
- Effectiveness of doctors' advice on non-prescription antibiotic use: a randomized controlled trial, China.Bulletin of the World Health Organization · 2026Trial
- Trial
- Construction of an index system for workplace services by family doctors in China: a two-round Delphi study.BMC primary care · 2026Article
- Strengthening primary care gatekeeping for healthy aging in China: family doctor contract service and multidimensional health outcomes among older adults.Frontiers in public health · 2026Article
- Does Family Doctor Contracting Improve the Health of the Elderly: An Empirical Study from Beijing, China.Journal of multidisciplinary healthcare · 2026Article
- Stratified patterns of healthcare-seeking behavior among older adults in Fujian, China: exploring the behavioral foundations of health inequality.BMC health services research · 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
- Framing financial incentives to promote hypertension care among rural primary doctors in Shandong Province, China: study protocol of a randomized field trial.Health economics review · 2025Article
- Key Motivators and Framework for Integrated Care by Family Physician Team Members in Urban China.International journal of health policy and management · 2025Article
- Signing contracts for family doctors, functional limitations and home care willingness among older adults: a cross-sectional study.BMC primary care · 2024Article
- Impact of family doctor contracted services on the health of migrants: a cross-sectional study in China.Scientific reports · 2024Article
- Does contracting family doctor promote primary healthcare utilization among older adults? - evidence from a difference-in-differences analysis.BMC geriatrics · 2024Article
- The effect of family physician team processes on chronic disease management performance from a structural network perspective.BMC primary care · 2024Article
- 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
- Factors influencing contracting of residents with family doctors in China: a national cross-sectional survey.BMC health services research · 2024Article
- Acceptance of family doctors among residents in China: a cross-sectional study.Frontiers in medicine · 2024Article
- Influencing factor analysis of family doctor contract service among older adults: evidence from China.Frontiers in public health · 2024Article
- Analysis of factors that promote the participation of patients with chronic diseases in shared decision making on medication: a cross-sectional survey in Hubei Province, China.BMC public health · 2023Article
- Activities of daily living limitations and family doctor contract services among overweight and obese older adults: is there a rural-urban difference?BMC primary care · 2023Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMost previous studies of the family doctor contract services (FDCS) evaluated its quality by using residents' signing rates, awareness, and satisfaction. We hypothesize that renewal willingness could be another important indicator to examine the quality of FDCS.
objectiveTo measure residents' willingness to maintain contracts with family doctors and examine the influencing factors.
designCross-sectional study.
participants11,250 residents in 31 provincial administrative regions across China. MAIN
methodsA multistage stratified random sampling method was used to recruit participants. Univariate analysis, mixed-effect regression model analysis, and stepwise multivariate logistic regression analysis were performed to determine the influencing factors of residents' willingness to maintain contracts with family doctors. KEY
resultsAbout 71.3% participants who contracted with and received healthcare services from family doctors were willing to maintain contracts with family doctors in China. Residents registering as local households (OR = 1.192, 95% CI = 1.039-1.368), enrolled in medical insurance (OR = 1.299, 95% CI = 1.011-1.668), reporting better health (OR = 1.246, 95% CI = 1.100-1.413), with shorter walking time to the nearest healthcare center (compared with > 30 min walking time, < 15 min: OR = 1.209, 95% CI = 1.003-1.458; 15-30 min: OR = 1.288, 95% CI = 1.124-1.475), and trusting in (OR = 4.403, 95% CI = 3.849-5.036) and satisfied with (OR = 18.514, 95% CI = 16.195-21.165) their family doctors had significantly higher willingness to maintain contracts with family doctors.
conclusionsResidents' willingness to maintain contracts with family doctors could be another evaluation indicator of the quality of FDCS in China. Improving the accessibility and quality of healthcare services from family doctors may increase residents' willingness to keep contracts with family doctors and promote the implementation of FDCS.
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