ArticleFrontiers in public health2025
The analysis of factors influencing patient choice of healthcare providers between tertiary hospitals and community clinics.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Knowledge, attitude, and practice (KAP) of self-medication and healthcare-seeking behavior among residents in the vicinity of a tertiary healthcare center in Madhesh Province, Nepal.Annals of medicine and surgery (2012) · 2026Article
- Factors Influencing Healthcare-Seeking Preferences Among Patients in County Medical Consortium in China: A Discrete Choice Experiment.Patient preference and adherence · 2026Article
- Quantifying patient preferences for inpatient pharmacist consultation: a multi-center discrete choice experiment in Sichuan, China.Frontiers in public health · 2026Article
- From Habit to Justification: A Dual Process Theory Approach to Primary Care Bypassing in China.Health care analysis : HCA : journal of health philosophy and policy · 2025Article
- Impact of initial physician contact on later-life health service utilization: a life course perspective.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
- Behavioral Determinants of Hospital Selection in Urological Care: Evidence From China's Hierarchical Healthcare System.Risk management and healthcare policy · 2025Article
- The Challenges in Dementia Three-Level Prevention Services Through Integrated Care Theory: Insights from an Ethnographic Study.International journal of integrated careArticle
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Authors and funding
5 authors.
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Abstract
Background: The uneven distribution of medical resources in China has led to persistently low utilization rates of primary healthcare institutions. The tiered healthcare delivery system aims to optimize resource allocation and strengthen primary care, yet patient preferences for tertiary hospitals hinder its effective implementation. Understanding the factors influencing healthcare-seeking behaviors is crucial for improving policies and promoting system efficiency. Objective: To analyse the factors influencing patient choices between a tertiary hospital and a community health service center in Chengdu and provide recommendations for advancing the tiered healthcare system. Methods: A random sampling method was used in August 2023 to survey patients at a tertiary hospital (Group A) and a community health service center (Group B). The survey assessed demographics, health status, factors influencing provider choice, and awareness of the family doctor system. Chi-square, t-tests, or Wilcoxon rank-sum tests were used for group comparisons, while logistic regression identified factors associated with primary care visits. Results: Among 865 valid responses (Group A: 420; Group B: 445; 92.02% response rate), Group A had significantly higher education levels and household incomes ( Conclusion: Patients with higher education and income prefer tertiary hospitals, while chronic disease patients are more likely to utilize community care. Low family doctor contract rates and trust in community healthcare quality remain barriers. Strengthening community resources and promoting the tiered healthcare system could improve patient participation and alleviate pressure on tertiary hospitals.
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