ArticleFrontiers in public health2026
Strengthening primary care gatekeeping for healthy aging in China: family doctor contract service and multidimensional health outcomes among older adults.
Article in Frontiers in public health, 2026. 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
Objective: Expanding access to community-based primary care is central to addressing the health challenges posed by population aging in China. This study examines associations between Family Doctor Contract Service (FDCS) participation and multidimensional health outcomes among community-dwelling older adults. Methods: Using nationally representative data from the 2023 China Longitudinal Aging Social Survey ( Results: FDCS participation was significantly associated with more favorable observed outcomes across all three health dimensions. Rural and less-educated older adults showed stronger associations with lower reported physical discomfort and higher life satisfaction, whereas urban and higher-educated older adults showed stronger associations with self-rated health appraisals. This pattern suggests heterogeneous associations between FDCS participation and health outcomes across population groups. Conclusion: The findings suggest that reported FDCS participation is associated with multiple dimensions of older adults' health, with heterogeneous patterns across residence and education groups. Differentiated service design may help align community-based primary care with the observed needs of different older adult subpopulations. All findings reflect adjusted associations from a cross-sectional observational study and should not be interpreted as causal estimates.
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