ArticleInternational journal for equity in health2021
The effects of family physician-contracted service on health-related quality of life and equity in health in China.
Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 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
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Effectiveness of family doctor contract services for chronic diseases management in China: a mixed-methods systematic review.BMC primary care · 2025Pooled it
- Impact of the Family Doctor Contracting System on unmet healthcare needs in Shandong Province, China.Health policy and planning · 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
- Article
- A scoping review of Chinese national policies to promote the three-medicals linkage reform since 2014.npj health systems · 2025Article
- Multidimensional Evaluation of the Process of Constructing Age-Friendly Communities Among Different Aged Community Residents in Beijing, China: Cross-Sectional Questionnaire Study.JMIR public health and surveillance · 2025Article
- Impact of China's primary healthcare reforms on utilisation, payments and self-reported health: a quasi-experimental analysis of a middle-aged and older cohort 2011-2018.BMJ public health · 2025Article
- Key Motivators and Framework for Integrated Care by Family Physician Team Members in Urban China.International journal of health policy and management · 2025Article
- Impact of family doctor contracted services on the health of migrants: a cross-sectional study in China.Scientific reports · 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
- Primary health care team faultlines and team performance: the mediating role of knowledge sharing.Frontiers in psychology · 2024Article
- Decomposing income-related inequality in health-related quality of life in mainland China: a national cross-sectional study.BMJ global health · 2023Article
- Effect of multiple chronic conditions on family doctor contracting in the elderly in China: the moderating role of socioeconomic status.BMC public health · 2023Article
- What factors affect Beijing residents' contracts with family doctors? A comparative study of Beijing's urban and suburban areas.Frontiers in public health · 2023Article
- Effects of the Full Coverage Policy of Essential Medicines on Inequality in Medication Adherence: A Longitudinal Study in Taizhou, China.Frontiers in pharmacology · 2022Article
- Effect of the full coverage policy of essential medicines on medication adherence: A quasi-experimental study in Taizhou, China.Frontiers in public health · 2022Article
- Effects of Family Doctor Contract Services on the Health-Related Quality of Life Among Individuals With Diabetes in China: Evidence From the CHARLS.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
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFamily physician-contracted service (FPCs) has been recently implemented in Chinese primary care settings. This study was aimed at measuring the effects of FPCs on residents' health-related quality of life (HRQoL) and equity in health among the Chinese population.
methodsThe study data was drawn from the 2018 household health survey (Shaanxi Province, China) using multistage, stratified cluster random sampling. We measured HRQoL using EQ-5D-3L based on the Chinese-specific time trade-off values set. Coarsened exact matching (CEM) technique was used to control for confounding factors between residents with and without a contracted family physician. The concentration index (C) was calculated to measure equity in health.
resultsIndividuals with a contracted family physician had significantly higher HRQoL than those without, after data matching (0.9355 vs. 0.8995; P < 0.001). Additionally, the inequity in HRQoL among respondents with a contracted family physician was significantly lower than those without a contracted family physician (Cs of EQ-5D utility score: 0.0084 vs. 0.0263; p < 0.001).
conclusionsThis study highlights the positive effects of FPCs on HRQoL and socioeconomic-related equity in HRQoL. Future efforts should prioritize the economically and educationally disadvantaged groups, the expansion of service coverage, and the competency of family physician teams to further enhance health outcome and equity in health.
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.