ArticleBMC primary care2024
The association of family doctor contract service and patient trust in doctor: evidence from twenty-five village clinics of three counties in rural China.
Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 19 citations in OpenAlex.
- Supporting Informal Dementia Caregivers Through an iSupport Web-Based Primary Health Care Intervention: Hybrid Effectiveness-Implementation Mixed Methods Study.Journal of medical Internet research · 2025Trial
- Factors associated with help-seeking for urinary symptoms among Chinese patients with bladder cancer: A qualitative study.Asia-Pacific journal of oncology nursing · 2026Article
- [Associations of subjective perceptions and income change with transitions in usual source of care among Chinese residents: A study based on China Family Panel Studies].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026Observational
- Impact of the Family Doctor Contracting System on unmet healthcare needs in Shandong Province, China.Health policy and planning · 2026Article
- Does Family Doctor Contracting Improve the Health of the Elderly: An Empirical Study from Beijing, China.Journal of multidisciplinary healthcare · 2026Article
- Diabetes management at the grass-root level without gatekeeping: exploring the association between primary care seeking and health outcomes.BMC primary care · 2025Article
- Enhancing healthcare utilization and reducing preventable hospitalizations: exploring the healthcare-seeking propensity of patients with non-communicable diseases in Rural China.BMC public health · 2025Article
- Facilitators and barriers to help-seeking behavior for symptoms in patients with lung cancer in China-a qualitative study.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
- The mismatch in hierarchical diagnosis and treatment construction and related reasons: a qualitative analysis from ZX City, Hubei Province.Frontiers in public health · 2025Article
- Article
- Has China's hierarchical medical system improved doctor-patient relationships?Health economics review · 2024Article
- The challenge of home and community older adult care in China: a survey of the capability of primary care physicians in providing geriatric healthcare services.Frontiers in public health · 2024Article
- A study on the reasonable dietary trajectory of elderly people in the community and its correlation with body mass index.Frontiers in nutrition · 2024Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChina is implementing the family doctor (FD) system to reform the primary healthcare (PHC). The family doctor contract service (FDCS) policy plays a crucial role in this system implementation, aiming to transform the doctor-patient relationship and enhance PHC quality. This study aims to investigate the impact of FDCS on the doctor-patient relationship in PHCs using field research methodology.
methodThe field research methodology was employed to address the research questions. Quantitative methods were utilized for data collection and analysis. A structure questionnaire was used to collect data based on the research questions. Our investigation encompassed twenty-five village clinics across three counties in China. A total of 574 subjects helped us to finish this investigation in the study. The collected data was analyzed using statistical analysis including ordinary least squares (OLS) model and propensity scores matching model (PSM) to estimate the relationship.
resultThe findings from ordinary least squares (OLS) regression revealed that FDCS had a positive influence on patient trust in doctors within PHCs, with patients who participated the FDCS exhibiting higher levels of trust compared to those who did not participate. Propensity score matching (PSM) analysis further confirmed these results by accounting for selection bias.
conclusionsThe implementation of family doctor contract service has brought about significant transformation in the doctor-patient relationship within rural Chinese PHCs. In essence, it has revolutionized the service model of doctor in PHC, playing a pivotal role in improving primary health quality and enhance the service capability of doctors in PHC. This transformative process has been crucial for carrying out hierarchical diagnosis and treatment policy, which aims to adjust the medical service structure and optimizing the health service system. Therefore, it is imperative for government authorities and health administration departments to ensure continuous support for this essential service through appropriate formulation.
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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.