ArticleFrontiers in public health2022
Patients' Willingness of First Visit in Primary Medical Institutions and Policy Implications: A National Cross-Sectional Survey in China.
Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed.
- Association between lifestyle risk factors and presenteeism among Chinese primary care physicians: a cross-sectional study.BMJ open · 2026Article
- Geographic disparities in inpatient service in primary care and patients' choice of first point of consultation: a linked cross-sectional survey and administrative data analysis in Shaanxi of China.International journal for equity in health · 2025Article
- 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
- Mapping the interactions of critical factors in China's first-contact healthcare systems using causal loop diagrams.BMC public health · 2025Article
- The effect of patient participation on trust in primary health care physicians among patients with chronic diseases: the mediating role of perceived value.Frontiers in public health · 2025Article
- Quality and Dependability of ChatGPT and DingXiangYuan Forums for Remote Orthopedic Consultations: Comparative Analysis.Journal of medical Internet research · 2024Article
- Effects of medical consortium policy on health services: an interrupted time-series analysis in Sanming, China.Frontiers in public health · 2024Article
- Variation in quality of care by medical institute level in China: a systematic review protocol.BMJ open · 2023Article
- The relationship between individual-level socioeconomic status and preference for medical service in primary health institutions: a cross-sectional study in Jiangsu, China.Frontiers in public health · 2023Article
- Coping with COVID: Performance of China's hierarchical medical system during the COVID-19 pandemic.Frontiers in public health · 2023Article
- How to Make Primary Healthcare More Popular: Evidence from the Middle-Aged and Elderly in China.Healthcare (Basel, Switzerland) · 2022Article
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5 authors.
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Abstract
Background: The Chinese hierarchical treatment system expects patients to first visit primary medical institutions (PMIs), and patients' willingness determined their utilization of primary health care. The aim of this study was to explore the factors associated with patients' willingness to make their first visit to PMIs. Methods: We employed multistage stratified sampling and convenience sampling to administer questionnaires to 1,507 patients in Beijing, Qinghai, and Fujian. Patients' willingness of first visit in PMIs was analyzed using Chi-square test and binary logistic regression. Results: Of the 1,507 participants in the survey, 55.1% were willing to make their first visit in PMIs. Fewer patients in Beijing (17.6%) are willing to make their first visit in PMIs than those in Qinghai (71.9%) and Fujian provinces (72.0%). Binary logistic regression analysis revealed that higher recognition of the community first visit policy and higher satisfaction with the medical technology of PMIs are associated with patients' willingness of first visit in PMIs. Conclusions: Due to differences in local economic conditions, medical resources, and policy formulation, there are differences among provinces in patients' willingness of first visit in PMIs. To increase patients' rate of visits in PMIs, it is important to improve service capacity and quality of PMIs and change residents' attitudes for PMIs.
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