ArticleFrontiers in public health2025
How do Chinese people perceive their healthcare system? Inequality in public satisfaction with healthcare security.
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. Not yet cited in PubMed.
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Abstract
Background: Satisfaction with healthcare security is a critical indicator of the effectiveness of health systems. Social equity and trust and the financial burden of healthcare are key socioeconomic factors that can significantly influence residents' perceptions of healthcare security. This study aims to investigate the impact of social equity and trust and medical burden on satisfaction with healthcare security and to analyze their potential interaction mechanisms. Methods: Using data from 7,052 participants in the 2021 China General Social Survey, this study employed machine learning methods, including neural networks (NN), random forests (RF), and logistic regression (LR), to predict and classify satisfaction with healthcare security. Additionally, causal inference techniques were applied to identify the key determinants and estimate their effects on satisfaction levels, thereby uncovering the underlying causal mechanisms. Results: The predictive performance of the three machine learning methods was similar ( Conclusion: This study highlights the complex relationship between social equity and trust, medical burden, and satisfaction with healthcare security, offering theoretical support for understanding residents' perceptions of healthcare security in various social contexts.
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