ArticleBMC family practice2021
Willingness of patients with chronic disease in rural China to contract with family doctors: implication for targeting characteristics.
Article in BMC family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Intervention effects of telenursing based on M-O-A model in empty-nest older adult individuals with chronic diseases: a randomized controlled trial.Frontiers in public health · 2024Trial
- The influence of professional identification and organizational incentives on turnover intentions: a hierarchical linear model in Beijing's family doctors.BMC primary care · 2025Article
- The impact of family doctor contract services on the utilization of and satisfaction with primary health care among Chinese residents: A cross-sectional study.Journal of family medicine and primary care · 2024Article
- The impact of hypertension follow-up management on the choices of signing up family doctor contract services: does socioeconomic status matter?BMC primary care · 2024Article
- Factors influencing contracting of residents with family doctors in China: a national cross-sectional survey.BMC health services research · 2024Article
- What are the home care needs of Chinese healthcare workers: a latent class analysis.Frontiers in public health · 2024Article
- Influencing factor analysis of family doctor contract service among older adults: evidence from China.Frontiers in public health · 2024Article
- A framework for elderly participation in Primary Health Care in Tabriz Health complexes.BMC geriatrics · 2023Article
- Cross-sectional study of factors affecting the receipt of mental health education in older migrants in China.BMC public health · 2023Article
- How surface acting affects turnover intention among family doctors in rural China: the mediating role of emotional exhaustion and the moderating role of occupational commitment.Human resources for 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
- Preference and willingness to receive non-communicable disease services from primary healthcare facilities in Bangladesh: A qualitative study.BMC health services research · 2022Article
- Analysis on the relationship between effort-reward imbalance and job satisfaction among family doctors in China: a cross-sectional study.BMC health services research · 2022Article
- Preference to Family Doctor Contracted Service of Patients with Chronic Disease in Urban China: A Discrete Choice Experiment.Patient preference and adherence · 2022Article
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Authors and funding
11 authors.
Funding
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Abstract
backgroundRural residents with chronic conditions have a stronger need for health services, which should make using family doctor contract services a priority. This study aimed to evaluate the rate of willingness among rural residents with chronic conditions to contract with family doctors and examine its determinants.
methodsA cross-sectional study was conducted from May, 2018 to June, 2018 in Shandong Province in China. A total of 769 rural unsigned residents with chronic conditions were included in the analysis. Using the Andersen model as the theoretical framework, logistic regression models were chosen to analyse the factors associated with willingness to contract with family doctors.
resultsThis study found that the rate of willingness to contract with family doctors among chronic patients in rural Shandong was 46.7%. A higher willingness was observed in those living a further distance from the village clinic (more than 600 m: OR = 1.85, 95%CI =1.17-2.93), having received publicity for family doctor contract services (OR = 1.71, 95% CI = 1.06-2.76), reporting need for utilizing a chronic disease management program (OR = 3.36, 95% CI = 2.20-5.23), and reporting need for higher medical insurance reimbursement (OR = 1.91, 95% CI = 1.28-2.83).
conclusionsThe prevalence of contract willingness was relatively low among unsigned rural residents with chronic conditions in rural Shandong, China. The need factors were powerful factors affecting their willingness to contract with family doctors. The government should therefore strengthen targeted publicity and education to rural residents with chronic conditions and provide targeted healthcare services, such as chronic disease management programs and medical services with higher reimbursement rates, to promote their willingness to contract with family doctors.
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