ArticleBMC health services research2021
The trend in primary health care preference in China: a cohort study of 12,508 residents from 2012 to 2018.
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 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health and health system impacts of China's comprehensive primary healthcare reforms: a systematic review.Health policy and planning · 2023Pooled it
- [Associations of subjective perceptions and income change with transitions in usual source of care among Chinese residents: A study based on China Family Panel Studies].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026Observational
- Policy Levers for First-Contact Healthcare Provider Choice: A Discrete Choice Experiment in Shanghai's Hierarchical Medical System.Applied health economics and health policy · 2026Article
- 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
- Primary care functional features and their health impact on patients enrolled in the Shanghai family doctor service: a mixed-methods study.Journal of global health · 2025Article
- Preference for primary care in Chinese homebound patients.BMC public health · 2024Article
- Preferences of patients with diabetes mellitus for primary healthcare institutions: a discrete choice experiment in China.BMJ open · 2023Article
- Behavioral deviations: healthcare-seeking behavior of chronic disease patients with intention to visit primary health care institutions.BMC health services research · 2023Article
- Association between Health-Related Quality of Life and Access to Chronic Disease Management by Primary Care Facilities in Mainland China: A Cross-Sectional Study.International journal of environmental research and public health · 2023Article
- Variation in quality of care by medical institute level in China: a systematic review protocol.BMJ open · 2023Article
- Evaluating smoking cessation interventions in China's primary care facility networks for hypertensive patients aged 45 years and older: A retrospective cohort study.Tobacco induced diseases · 2023Article
- Patient experience in community health services and first choice for medical attention: A cross-sectional study in Wuhan, China.PloS one · 2023Article
- Cost-effectiveness analysis of serplulimab in combination with cisplatin plus 5-fluorouracil chemotherapy compared to cisplatin plus 5-fluorouracil chemotherapy as first-line treatment for advanced or metastatic esophageal squamous cell carcinoma in China.Therapeutic advances in medical oncology · 2023Article
- REducing delay through edUcation on eXacerbations for people with chronic lung disease: Study protocol of a single-arm pre-post study.Journal of advanced nursing · 2022Article
- Horizontal Integration and Financing Reform of Rural Primary Care in China: A Model for Low-Resource and Remote Settings.International journal of environmental research and public health · 2022Article
- Explaining the declining utilization of village clinics in rural China over time: A decomposition approach.Social science & medicine (1982) · 2022Article
- Obstacles to access to community care in urban senior-only households: a qualitative study.BMC geriatrics · 2022Article
- MMP9 SNP and MMP SNP-SNP interactions increase the risk for ischemic stroke in the Han Hakka population.Brain and behavior · 2022Article
- Healthcare preferences of the general Chinese population in the hierarchical medical system: A discrete choice experiment.Frontiers in public health · 2022Article
- Levels, trends, and determinants of effectiveness on the hierarchical medical system in China: Data envelopment analysis and bootstrapping truncated regression analysis.Frontiers in public health · 2022Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResidents' preference for primary health care (PHC) determined their utilization of PHC. This study aimed to assess the determinants of PHC service preference among the residents and the trend in PHC service preference over time in China.
methodsWe employed the nationally representative longitudinal data from 2012 to 2018 based on the China Family Panel Studies. The analysis framework was guided by the Andersen model of health service utilization. We included a total of 12,508 individuals who have been successfully followed up in the surveys of 2012, 2014, 2016, and 2018 without any missing data. Logistic regressions were performed to analyze potential predictors of PHC preference behavior.
resultsThe results indicated that individuals' socio-economic circumstances and their health status factors were statistically significant determinants of PHC preference. Notably, over time, the residents' likelihood of choosing PHC service represented a decreasing trend. Compare to 2012, the likelihood of PHC service preference decreased by 18.6% (OR, 0.814; 95% CI, 0.764-0.867) in 2014, 30.0% (OR, 0.700; 95% CI, 0.657-0.745) in 2016, and 34.9% (OR, 0.651; 95% CI, 0.611-0.694) in 2018. The decrease was significantly associated with the changes in residents' health status.
conclusionsThe residents' likelihood of choosing PHC service represented a decreasing trend, which was contrary to the objective of China's National Health Reform in 2009. We recommend that policymakers adjust the primary service items in PHC facilities and strengthen the coordination of service between PHC institutions and higher-level hospitals.
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