Evidence map›Paper›PMID 40661064›Full record

ArticleFrontiers in health services2025

Physician group practice in China's healthcare reform: a national survey on physicians' perspectives and implementation challenges.

Rui Fan, Qing Meng, Long Zhang, Chao Liu, Li Han, Meng Liu, Leiyu Shi

Abstract read
In one paragraph

Article in Frontiers in health services, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Rui FanDepartment of Health Policy Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Qing MengIAE de Paris-Sorbonne Business School, University Paris 1 Pantheon Sorbonne, Paris, France.
Long ZhangPhysician Group Department, Chinese Non-government Medical Institutions Association, Guangzhou, China.
Chao LiuDepartment of Critical Care Medicine, The First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Li HanYoung and Middle-Aged Physicians Department, China Information Association of Traditional Chinese Medicine, Beijing, China.
Meng LiuDepartment of Health Policy Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Leiyu ShiDepartment of Health Policy Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The physician group (PG) model, while well-established in the United States, is a relatively recent healthcare delivery innovation in China. Despite rapid growth in PG registrations, comprehensive understanding of physicians' perspectives remains limited. Objective: To investigate Chinese physicians' perspectives and concerns regarding the PG model and identify factors influencing their support for its implementation. Methods: A cross-sectional online survey was conducted among 535 Chinese physicians between October-November 2024. The survey assessed participants' views on PG advantages, concerns, and overall support. Data analysis included descriptive statistics and variance analyses to explore correlations between physicians' characteristics and their perspectives. Results: Key facilitators for PG development included "New career direction outside the existing system" (75.1%) and "Improved income levels" (74.4%). Major concerns comprised "Policies restricting physician mobility" (69.7%) and "Lack of support from hospital managers" (57.8%). Overall support for PGs was moderate (3.710 ± 1.241). Administrative position holders showed significantly higher support than non-administrative staff ( Conclusion: This first systematic study of Chinese physicians' perspectives on PGs reveals moderate support driven by career development and income opportunities, while highlighting regulatory and institutional barriers. Results suggest the need for stable policies, enhanced income frameworks, and targeted support for early career physicians-who currently show less support than experienced physicians-to facilitate successful PG implementation in China.

Indexed as

Chinese healthcare systemhealthcare reformhealth policymedical workforce managementphysician group practice

Identifiers

PMID40661064
PMCPMC12256541

What OpenQuestion holds

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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.