ArticleHealth economics review2024
Has China's hierarchical medical system improved doctor-patient relationships?
Article in Health economics review, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Causes, Characteristics, and Risk Factors of Medical Damage Liability Disputes: A 13-Year Retrospective Analysis of 1761 Litigation Cases in Chongqing, China.Healthcare (Basel, Switzerland) · 2026Article
- Urban residents' choice preferences for hospitals at different tiers and influencing factors: a study based on latent class analysis and Andersen's model of health service utilization.BMC primary care · 2026Article
- Mental health needs of patients with osteoarthritis based on a preference perspective: a mixed-methods study.BMC health services research · 2026Article
- Assessing the relationship between the hospital grading system and medical resource utilization: evidence from China.Cost effectiveness and resource allocation : C/E · 2026Article
- Impact of the compact county medical service community policy on healthcare resource allocation and healthcare service utilization in village clinics: a difference-in-differences analysis in rural Sichuan, China.Frontiers in public health · 2026Article
- From coverage to care: how basic medical insurance shapes patients' experiences of primary care in China.Frontiers in epidemiology · 2026Article
- Internet of Things-Enabled Pulmonary Rehabilitation for Advanced Lung Cancer Patients Receiving Chemotherapy: A Qualitative Study of Healthcare Professional and Patient Perspectives.Journal of multidisciplinary healthcare · 2026Article
- Analysis of Current Pain Management in Total Knee Arthroplasty in 8 Tertiary Hospitals in China Based on the Theory of Planned Behavior.Journal of multidisciplinary healthcare · 2026Article
- Policy frameworks for promoting public hospital development in major economies: implications for China.Frontiers in public health · 2026Review
- The Relationship Between Communicative Health Literacy and Patient Loyalty in China: A Chain Mediation Study Based on Social Exchange Theory.Journal of multidisciplinary healthcare · 2026Article
- Exploring the effectiveness of proactive service models in preventing medical disputes and petitions: a pilot investigation using a before-and-after design at a single center in Hangzhou, China.Frontiers in public health · 2026Observational
- Social network analysis of stakeholders in China's hierarchical medical system: toward a collaborative governance framework for enhanced integration.Frontiers in public health · 2026Article
- Development of a multicomponent intervention to improve medication error reporting among healthcare professionals: a theory-informed approach using the behaviour change wheel and the theoretical domains framework in China.Frontiers in pharmacology · 2026Article
- Does the hierarchical medical system enhance healthcare utilization and equity in China? a longitudinal study 2012-2018.BMC public health · 2025Article
- Is the construction of high-speed rail crowding out the market for medical care services at county? Quasi-experimental evidence from China.Health economics review · 2025Article
- Construction and Evaluation of the Bidirectional Referral System in Internet Hospital: Case Study of Children's Hospital in Western China.Journal of medical Internet research · 2025Article
- Study on the spatial and temporal differences and influencing factors of out-of-pocket payments as a share of total health expenditure in China.BMC health services research · 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
- Factors influencing chronic disease self-management behaviors: a national multilevel analysis in China.Frontiers in public health · 2025Article
- Exploring multidimensional determinants of medication error reporting in China: a qualitative study using the theoretical domains framework.Frontiers in pharmacology · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
BACKGROUND AND
objectiveDeveloping harmonious doctor-patient relationships is a powerful way to promote the construction of a new pattern of medical reform in developing countries. We aim to analyze the effects of China's hierarchical medical system on doctor-patient relationships, thus contributing to China's medical and health system reform.
methodsWith panel data on prefectural-level cities in China from 2012 to 2019, we used a time-varying difference-in-differences model to evaluate the effect of hierarchical medical treatment policy.
resultsHierarchical medical treatment policies can significantly improve doctor-patient relationships, and this conclusion is supported by various robustness tests. And improving doctor-patient relationships can be indirectly realized by the optimization of resource allocation and saving of medical costs. In addition, the marginal effect of the pilot policy on doctor-patient relationships decreased with age within the city population. In focal cities and cities with high levels of fiscal spending on health care, the effect of the pilot policy on doctor-patient relationships was stronger.
conclusionWhile reinforcing the literature on the doctor-patient relationship, this study also provides a reference for further exploration of the pilot policy of hierarchical medical treatment and the development of new medical and health system reform in developing countries.
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