ArticleBMC health services research2021
Rural and urban differences in patient experience in China: a coarsened exact matching study from the perspective of residents.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic literature review on initiatives to involve children and adolescents in evaluating their hospitalization experience.BMC health services research · 2025Pooled it
- Associations between cMIND diet, mold exposure, and visual impairment among older adults in China: a national cross-sectional study.Frontiers in nutrition · 2026Article
- Patient satisfaction with pharmaceutical services in the context of chief pharmacist system: a comparative study from Shaanxi Province, China.Frontiers in public health · 2026Article
- Assessing regional disparities and trends in health resource allocation from sub-provincial cities in China.Annals of medicine · 2025Article
- Intended and Unintended Impacts of '4+7' Volume-Based Drug Procurement on the Use of Drugs in China: A Natural Experimental Study.Healthcare (Basel, Switzerland) · 2025Article
- Patient experiences in primary care do not differ according to rurality: a cross-sectional study.BMC primary care · 2024Article
- Rurality and patients' hospital experience: A multisite analysis from a US healthcare system.PloS one · 2024Article
- Satisfaction and its determinants of rural upper gastrointestinal cancer screening in China: a preliminary cross-sectional study.BMJ open · 2022Article
- The Urban-Rural Disparities and Associated Factors of Health Care Utilization Among Cancer Patients in China.Frontiers in public health · 2022Article
- 3D Differential Equation Model for Patients' Choice of Hospital in China.Frontiers in public health · 2022Article
- Gender differences in depressive symptoms of rural Chinese grandparents caring for grandchildren.BMC public health · 2021Article
- Association Between Duration of Usual Source of Care and Patient-reported Primary Care Quality in Japan: A Nationwide Cross-sectional Study.Journal of primary care & community healthArticle
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Authors and funding
9 authors.
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Abstract
backgroundPatient experience is a key measure widely used to evaluate quality of healthcare, yet there is little discussion about it in China using national survey data. This study aimed to explore rural and urban differences in patient experience in China.
methodsData regarding this study were drawn from Chinese General Social Survey (CGSS) 2015, with a sample size of 9604. Patient experience was measured by the evaluation on healthcare services. Coarsened exact matching (CEM) method was used to balance covariates between the rural and urban respondents. Three thousand three hundred seventy-two participants finally comprised the matched cohort, including 1592 rural residents and 1780 urban residents. Rural and urban differences in patient experience were tested by ordinary least-squares regression and ordered logistic regression.
resultsThe mean (SD) score of patient experience for rural and urban residents was 72.35(17.32) and 69.45(17.00), respectively. Urban residents reported worse patient experience than rural counterparts (Crude analysis: Coef. = - 2.897, 95%CI: - 4.434, - 1.361; OR = 0.706, 95%CI: 0.595, 0.838; Multivariate analysis: Coef. = - 3.040, 95%CI: - 4.473, - 1.607; OR = 0.675, 95%CI: 0.569, 0.801). Older (Coef. = 2.029, 95%CI: 0.338, 3.719) and healthier (Coef. = 2.287, 95%CI: 0.729, 3.845; OR = 1.217, 95%CI: 1.008, 1.469) rural residents living in western area (Coef. = 2.098, 95%CI: 0.464, 3.732; OR = 1.276, 95%CI: 1.044, 1.560) with higher social status (Coef. = 1.158, 95%CI: 0.756, 1.561; OR = 1.145, 95%CI: 1.090, 1.204), evaluation on adequacy (Coef. = 7.018, 95%CI: 5.045, 8.992; OR = 2.163, 95%CI: 1.719, 2.721), distribution (Coef. = 4.464, 95%CI: 2.471, 6.456; OR = 1.658, 95%CI: 1.312, 2.096) and accessibility (Coef. = 2.995, 95%CI: 0.963, 5.026; OR = 1.525, 95%CI: 1.217, 1.911) of healthcare resources had better patient experience. In addition, urban peers with lower education (OR = 0.763, 95%CI: 0.625, 0.931) and higher family economic status (Coef. = 2.990, 95%CI: 0.959, 5.021; OR = 1.371, 95%CI: 1.090,1.723) reported better patient experience.
conclusionsDifferences in patient experience for rural and urban residents were observed in this study. It is necessary to not only encourage residents to form a habit of seeking healthcare services in local primary healthcare institutions first and then go to large hospitals in urban areas when necessary, but also endeavor to reduce the disparity of healthcare resources between rural and urban areas by improving quality and capacity of rural healthcare institutions and primary healthcare system of China.
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