Evidence map›Paper›PMID 37189156›Full record

ArticleBMC health services research2023

Behavioral deviations: healthcare-seeking behavior of chronic disease patients with intention to visit primary health care institutions.

Shiyin Wu, Shanshan Du, Ruimei Feng, Wenbin Liu, Weimin Ye

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 22 citations in OpenAlex.

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  6. Why the oldest old in China bypass primary care: culture, family, and health system limitations.International journal of qualitative studies on health and well-being · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Shiyin WuDepartment of Health Management, School of Health Management, Fujian Medical University, Fuzhou, Fujian, China.
Shanshan DuSchool of Public Health, Fujian Medical University, 1 Xuefubei Road, Minhou District, Fuzhou, 350122, China.
Ruimei FengSchool of Public Health, Fujian Medical University, 1 Xuefubei Road, Minhou District, Fuzhou, 350122, China.
Wenbin Liu *Department of Health Management, School of Health Management, Fujian Medical University, Fuzhou, Fujian, China. wenbinliu126@126.com.
Weimin Ye *School of Public Health, Fujian Medical University, 1 Xuefubei Road, Minhou District, Fuzhou, 350122, China. ywm@mail.fjmu.edu.cn.
Fujian Medical University · CN

Funding

Department of Science and Technology of Fujian, China 2019Y9021 and 2019L3006Fujian Provincial Finance Department 2020czbz01, 12003701, 12005101Government of Fuqing city 2019B003High-level Talents Research Start-up Project of Fujian Medical University XRCZX2017035 and XRCZX2020034Natural Science Foundation of Fujian Province 2021J01245Technology development Fund from the Department of Education of Fujian Province 2019L3010008
6 · The paper itself

Abstract

backgroundAlthough primary health care (PHC) has been proven to be effective in preventing and treating chronic diseases, the visits rate of PHC institutions is still not ideal. Some patients initially express a willingness to visit PHC institutions but end up seeking health services at non-PHC institutions, and the reasons for this behavior remain unclear. Therefore, the objective of this study is to analyze the factors that contribute to behavioral deviations among chronic disease patients who originally intended to visit PHC institutions.

methodsData were collected from a cross-sectional survey among chronic disease patients with original intention to visit PHC institutions in Fuqing City, China. The analysis framework was guided by Andersen's behavioral model. Logistic regression models were employed to analyze the factors affecting the behavioral deviations among chronic disease patients with a willingness to visit PHC institutions.

resultsA total of 1,048 individuals were finally included and about 40% of the participants with the original willingness to seek care from PHC institutions finally chose non-PHC institutions in their subsequent visits. The results of logistic regression analyses indicated that at the predisposition factor level, older participants (aOR

conclusionsThe deviations between the original willingness of PHC institution visits and subsequent behavior among chronic disease patients were associated with a number of predisposing, enabling, and need factors. Developing the health insurance system, strengthening the technical capacity of PHC institutions, and steadily developing a new concept of orderly healthcare-seeking behavior among chronic disease patients, will help promote their access to PHC institutions as well as improve the effectiveness of the tiered medical system for chronic disease care.

Indexed as

IntentionPatient Acceptance of Health CareChinaChronic DiseaseCross-Sectional StudiesHumansPrimary Health CareAndersen’s behavioral modelBehavior deviationsChronic diseaseHealthcare-seeking behavior

Identifiers

PMID37189156
PMCPMC10185376
OpenAlexW4376641960

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.