ArticleInternational journal of environmental research and public health2022
Exploring Chinese Elderly's Trust in the Healthcare System: Empirical Evidence from a Population-Based Survey in China.
Article in International journal of environmental research and 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, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Why do people trust (or mistrust) health organizations? A systematic review.International journal for equity in health · 2026Pooled it
- Predictors of low trust in national healthcare systems in 30 countries.BMC health services research · 2026Article
- Exploring the multifactorial reasons for treatment-seeking delays among young and middle-aged stroke patients: a qualitative study.BMJ open · 2026Article
- The Impact of Nursing Education Innovation on the Quality of Care for Elderly Hospitalized Patients: A Systematic Review Based on Student Competency Development.Journal of multidisciplinary healthcare · 2026Review
- The impact of relative deprivation on mental health among middle-aged and older adults in China: a multiple chain mediation model.Scientific reports · 2025Article
- "Though helpful, still hesitant": a TAM-based qualitative study on older adults' ambivalent acceptance and model extensions in AI fitness coaches.Frontiers in psychology · 2025Article
- The analysis of factors influencing patient choice of healthcare providers between tertiary hospitals and community clinics.Frontiers in public health · 2025Article
- Internet usage and environmental governance satisfaction in China: environmental pollution perception as a mediator.Frontiers in public health · 2025Article
- How do Chinese people perceive their healthcare system? Inequality in public satisfaction with healthcare security.Frontiers in public health · 2025Article
- Transcatheter aortic valve replacement in China - a review of the available evidence.AsiaIntervention · 2024Review
- The impact of Internet use and involvement on residents' attitudes to healthcare in China: A propensity score matching analysis.PloS one · 2024Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This research aims to investigate how much the Chinese elderly trust the healthcare system and the critical factors that influence their trust. We use data from the China Social Survey (CSS) collected by the Chinese Academy of Social Sciences in the year 2019 to examine how demographic factors, social-economic status, internet access, and perceptions of the healthcare system impact the Chinese elderly's trust in the healthcare system. Our research finds male gender, high educational level, and having internet access are negatively related to the elderly's trust in the healthcare system. Our research also reveals that the elderly's trust in the healthcare system was significantly related to their subjective perception of their social-economic status, upward mobility, and perception of accessibility and affordability rather than other objective indicators such as income and financial protection. The results imply that the elderly have a pessimistic expectation of their subjective social status and future possibilities of upward mobility in their later life, which deepens their distrust of the health system. Additionally, the accessibility and affordability of the healthcare system have remained problematic among the Chinese elderly. The study provides important theoretical and practical implications to enhance the elderly's trust in the healthcare system.
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Registered trials
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