ArticleBMJ open2023
Impact of the family doctor system on the continuity of care for diabetics in urban China: a difference-in-difference analysis.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 19 citations in OpenAlex.
- Implementation strategies for evidence-based management of type 2 diabetes at primary healthcare facilities in low- and middle-income countries and related barriers and facilitators: a scoping review.Implementation science communications · 2026Pooled it
- Equitable utilization of non-communicable disease services in low- and middle-income countries; associated factors and intervention effects: a systematic review and meta-analysis.BMC health services research · 2026Pooled it
- Insufficient evidence on the effectiveness of family physician program in Iran: a systematic review of existing literature.BMC public health · 2026Pooled it
- The impact of quality of work life, professional identity, and job burnout on presenteeism among family doctors: a cross-sectional study in China.Frontiers in public health · 2026Article
- Association between China's Tiered Diagnosis and Treatment System and the utilization of basic public health services among migrants.BMC health services research · 2025Article
- Review
- Understanding the role and organization of health workers delivering non-communicable disease management in primary care in low- and middle-income countries: a scoping review.BMC primary care · 2025Article
- Diabetes management at the grass-root level without gatekeeping: exploring the association between primary care seeking and health outcomes.BMC primary care · 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
- Impact of the family doctor system on medication adherence among type 2 diabetes patients in China: a difference-in-differences analysis.BMC public health · 2025Article
- The impact of long-term trends in continuity of care on the medical expenses of hypertensive patients: based on group-based trajectory model.Frontiers in public health · 2025Article
- The Influence of Cognitive and Affective Trust on the Utilization of Family Doctor Services: A Chinese Cross-Sectional Survey Based on McAllister's Theory.Patient preference and adherence · 2025Article
- The return on investment for the prevention and treatment of childhood and adolescent overweight and obesity in China: a modelling study.The Lancet regional health. Western Pacific · 2024Article
- Study on the evaluation and influencing factors of contracted residents on the coordination of primary medical institutions.Frontiers in public health · 2024Article
- Impact of Family Doctor Contract Services on Preventable Hospitalizations Amongst Patients with Hypertension in Rural China: Mediating Role of Primary Healthcare Quality.Risk management and healthcare policy · 2024Article
- Assessing the Effects of Medical Information on Parental Self-Medication Behaviors for Children's Health: A Comparative Analysis.Medicina (Kaunas, Lithuania) · 2023Article
- Effect of Team Composition on Integrated Care Within Multidisciplinary Family Doctor Teams in China: Inter-Professional Collaboration as Mediator.International journal of integrated careArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesOur study aimed to examine whether the family doctor system can improve continuity of care for patients with diabetes.
designRegistry-based, population-level longitudinal cohort study.
settingLinked data from the administrative Health Information System and the Health Insurance Claim Databases in a sample city in eastern China.
participants30 451 insured patients who were diagnosed with diabetes before January 2015 in the sample city, with ≥2 outpatient visits per year during 2014-2017. Diabetics in the intervention group had been registered with family doctor teams from 2015 to 2017, while those who had not registered were taken as the control group.
interventionsThe family doctor system was established in China mainly to strengthen primary care and rebuild referral systems. Residents were encouraged to register with family doctors to obtain continuous health management especially for chronic disease management. OUTCOME MEASURES: Continuity of care was measured by the Continuity of Care Index (COCI), Usual Provider Continuity Score (UPCS) and Sequential Continuity of Care Index (SECON) in 2014-2017.
resultsCOCI, UPCS and SECON of all diabetics in this study increased between 2014 and 2017. A difference-in-difference approach was applied to measure the net effect of the family doctor system on continuity of care. Our model controlled for demographic and socioeconomic characteristics, and severity of disease at baseline. Compared with the control group, diabetics registered with family doctors obtained an average 0.019 increase in COCI (SE 0.002) (p<0.01), a 0.016 increase in UPCS (SE 0.002) (p<0.01) and a 0.018 increase in SECON (SE 0.002) (p<0.01).
conclusionThis study provides evidence that the family doctor system can effectively improve continuity of care for patients with diabetes, which has substantial policy implications for further primary care reform in China.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.