ArticleBMJ open2022
Stated preferences for family doctor contract services: a survey of the rural elderly in Anhui Province, China.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effectiveness of family doctor contract services for chronic diseases management in China: a mixed-methods systematic review.BMC primary care · 2025Pooled it
- The Evolving Landscape of Discrete Choice Experiments in Health Economics: A Systematic Review.PharmacoEconomics · 2025Pooled it
- Community Hypertension Patients' Preferences for Family Doctor Service Packages in China: A Discrete Choice Experiment.Risk management and healthcare policy · 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
- The effect of incentive factors on turnover intention of PHC workforce in rural China-from the perspective of two-factor theory.BMC health services research · 2024Article
- Healthcare preferences of chronic disease patients under China's hierarchical medical system: an empirical study of Tianjin's reform practice.Scientific reports · 2024Article
- Factors influencing contracting of residents with family doctors in China: a national cross-sectional survey.BMC health services research · 2024Article
- Effect of multiple chronic conditions on family doctor contracting in the elderly in China: the moderating role of socioeconomic status.BMC public health · 2023Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveA number of factors contribute to the utilisation of family doctor contract services (FDCS) in China. This study aims to measure the preferences of the elderly for the FDCS and identify the key factors (and their relative importance) that may guide policymakers in more accurately providing the FDCS. PARTICIPANTS AND
methodsA discrete choice experiment was performed to elicit the preferences for FDCS among the rural elderly in China. Attributes and levels were established based on qualitative methods. Four attributes were included: service type, service package, physician's reputation and annual contract costs. A D-efficient design was used to create a set of profiles that represented FDCS. The survey was conducted face to face using a sample of participants aged 60 and above in rural areas of Anhui Province. The data were analysed using a latent class logit (LCL) model.
resultsA total of 545 valid questionnaires were included in the analysis. The average age of the participants was 69.44 (SD 5.80). Two latent classes were identified with the LCL model. All four attributes proved statistically significant at the level of both the population mean and the two classes. The rural elderly showed a preference for FDCS with a relatively good reputation, lower annual contract costs, the basic service with the add-on of chronic disease service and home visit. Age, gender, education, self-reported health status and the number of chronic diseases were found to be associated with latent class membership.
conclusionIn this study, the physician's reputation had the largest impact on the rural elderly's choice of FDCS. Policy recommendations included the need to strengthen family doctor team training, devote greater attention to improving the family doctor's medical skills and service approaches, and increased FDCS efficiency for the care of the rural elderly.
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