ArticleBMJ open2023
Preferences of patients with diabetes mellitus for primary healthcare institutions: a discrete choice experiment in China.
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 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Choice of primary healthcare providers among population in urban areas of low- and middle-income countries: a systematic review of literature.BMC primary care · 2026Pooled it
- The Evolving Landscape of Discrete Choice Experiments in Health Economics: A Systematic Review.PharmacoEconomics · 2025Pooled it
- Medical facility preferences among older patients with diabetes: A discrete choice experiment in a Japanese primary care setting.Aging clinical and experimental research · 2026Article
- Preference for inpatient services among the unemployed with multi-chronic conditions: a discrete choice experiment.BMC health services research · 2026Article
- Impact of initial physician contact on later-life health service utilization: a life course perspective.BMC health services research · 2025Article
- Tele-nursing awareness, needs, and related influences in T2DM patients: qualitative descriptive study.BMC nursing · 2025Article
- Inpatient preferences among patients with multiple chronic conditions in China: A discrete choice experiment.BMC primary care · 2025Article
- Client preferences in noncommunicable diseases management in Australia: A scoping review.PLOS global public health · 2025Article
- Preference for community health services in people with chronic diseases: a discrete choice experiment in China.Frontiers in public health · 2024Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo quantify the preference of patients with diabetes mellitus (DM) for primary healthcare (PHC) institutions in China to redirect the patient flow and improve health outcomes.
designCross-sectional study. Discrete choice experiment (DCE) surveys asked patients with DM to choose between hypothetical institutions that differed in the medical service capacity, out-of-pocket (OOP) medical costs per month, travel time, the attitude of medical staff and the availability of diabetes drugs.
settingShandong province, China.
participantsThe participants were 887 patients with DM from 36 urban communities and 36 rural villages in Shandong province. One participant did not provide any DCE answers and a further 57 patients failed the internal consistency test. 829 fully completed surveys were included in the final data analysis. MAIN OUTCOMES AND MEASURES: A mixed logit model was used to calculate the willingness to pay and predict choice probabilities for PHC institution attributes. Preference heterogeneity was also investigated.
resultsAll five attributes were associated with the preferences of patients with DM. The OOP medical costs and the medical service capacity were the most influential attributes. Improvements simultaneously in the attitude of medical staff, drug availability and travel time increased the likelihood of a patient's PHC institution choice. Preferences differed by region, annual household income and duration of diabetes.
conclusionsOur patient preference data may help policymakers improve health services and increase acceptance of choosing PHC institutions. The OOP medical costs and medical service capacity should be regarded as a priority in decision-making.
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