Primary Health Institutions and Service Quality in China: Implications for Health Policy
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data Collection and Measurements
2.2. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
6. Limitations
Author Contributions
Funding
Institutional Review Board Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Household Registration | Economic Region | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Items | Urban | Rural | Eastern | Central | Western | |||||
N | % | N | % | N | % | N | % | N | % | |
Gender | ||||||||||
Male | 2343 | 42.14 | 2375 | 48.88 | 2082 | 43.43 | 1705 | 49.49 | 797 | 43.7 |
Female | 3217 | 57.86 | 2484 | 51.12 | 2712 | 56.57 | 1740 | 50.51 | 1027 | 56.3 |
Marital status | ||||||||||
Married | 3310 | 59.53 | 1776 | 36.55 | 2405 | 50.17 | 1672 | 48.53 | 782 | 42.87 |
Unmarried | 2199 | 39.55 | 3042 | 62.61 | 2351 | 49.04 | 1740 | 50.51 | 1026 | 56.25 |
Divorced | 46 | 0.83 | 34 | 0.7 | 33 | 0.69 | 31 | 0.9 | 11 | 0.6 |
Widowed | 5 | 0.09 | 7 | 0.14 | 5 | 0.1 | 2 | 0.06 | 5 | 0.27 |
Age | ||||||||||
<60 | 5508 | 99.06 | 4831 | 99.42 | 4763 | 99.35 | 3416 | 99.16 | 1808 | 99.12 |
>60 | 52 | 0.94 | 28 | 0.58 | 31 | 0.65 | 29 | 0.84 | 16 | 0.88 |
Monthly income (CNY) | ||||||||||
<3000 | 982 | 17.66 | 1639 | 33.73 | 1037 | 21.63 | 985 | 28.59 | 533 | 29.22 |
3000~5000 | 1265 | 22.75 | 1374 | 28.28 | 1175 | 24.51 | 890 | 25.83 | 502 | 27.52 |
5000~10,000 | 2312 | 41.58 | 1534 | 31.57 | 1921 | 40.07 | 1176 | 34.14 | 609 | 33.39 |
10,000~30,000 | 913 | 16.42 | 289 | 5.95 | 600 | 12.52 | 367 | 10.65 | 161 | 8.83 |
30,000~50,000 | 72 | 1.29 | 15 | 0.31 | 48 | 1 | 21 | 0.61 | 15 | 0.82 |
≥50,000 | 16 | 0.29 | 8 | 0.16 | 13 | 0.27 | 6 | 0.17 | 4 | 0.22 |
Education | ||||||||||
Junior high school or below | 65 | 1.17 | 162 | 3.33 | 102 | 2.13 | 76 | 2.21 | 40 | 2.19 |
Senior high school | 542 | 9.75 | 837 | 17.23 | 655 | 13.66 | 457 | 13.27 | 229 | 12.55 |
Undergraduate or college graduate | 4235 | 76.17 | 3536 | 72.77 | 3527 | 73.57 | 2605 | 75.62 | 1377 | 75.49 |
Postgraduate or above | 718 | 12.91 | 324 | 6.67 | 510 | 10.64 | 307 | 8.91 | 178 | 9.76 |
Items | Ever Sought Services in PHIs | Never Sought Services in PHIs | ||
---|---|---|---|---|
Total | Frequency | 9606 | 813 | |
% | 92.20 | 7.80 | ||
Household registration | Rural | Frequency | 4580 | 279 |
% | 94.26 | 5.74 | ||
Urban | Frequency | 5026 | 534 | |
% | 90.40 | 9.60 | ||
p value | <0.001 | |||
Economic region | Eastern | Frequency | 4420 | 374 |
% | 92.20 | 7.80 | ||
Central | Frequency | 3195 | 250 | |
% | 92.74 | 7.26 | ||
Western | Frequency | 1655 | 169 | |
% | 90.73 | 9.27 | ||
p value | 0.035 |
Variables | B | SE | p | 95% CI |
---|---|---|---|---|
Gender | ||||
Male | 0.314 | 0.13 | 0.015 | 0.060~0.568 |
Female (reference) | ||||
Age | ||||
<16 (reference) | ||||
16–29 | 0.256 | 1.298 | 0.843 | −2.287~2.799 |
30–39 | 0.169 | 1.306 | 0.897 | −2.391~2.729 |
40–49 | 0.177 | 1.319 | 0.893 | −2.407~2.762 |
50–59 | 0.225 | 1.341 | 0.867 | −2.402~2.853 |
≥60 | 0.899 | 1.464 | 0.539 | −1.971~3.769 |
Monthly income | ||||
<3000 (reference) | ||||
3000–5000 | 1.31 | 0.196 | <0.001 | 0.927~1.693 |
5000–10,000 | 2.404 | 0.203 | <0.001 | 2.006~2.802 |
10,000–30,000 | 3.467 | 0.27 | <0.001 | 2.936~3.997 |
30,000–50,000 | 2.909 | 0.716 | <0.001 | 1.507~4.312 |
>50,000 | −0.195 | 1.361 | 0.886 | −2.863~2.473 |
Education | ||||
Junior high school or below (reference) | ||||
Senior high school | −0.012 | 0.462 | 0.979 | −0.918~0.893 |
Undergraduate or college graduate | −0.078 | 0.447 | 0.862 | −0.954~0.799 |
Postgraduate or above | −1.111 | 0.493 | 0.024 | −2.077~−0.145 |
Marital status | ||||
Unmarried (reference) | ||||
Married | 1.575 | 0.193 | <0.001 | 1.196~1.954 |
Divorced | −1.329 | 0.808 | 0.100 | −2.912~0.254 |
Widowed | 0.634 | 1.842 | 0.731 | −2.976~4.244 |
Household registration | ||||
Rural (reference) | ||||
Urban | 0.104 | 0.164 | 0.525 | −0.217~0.425 |
Medical insurance | ||||
NRCMI * | 1.36 | 0.189 | <0.001 | 0.989~1.731 |
BMIUR * | 0.887 | 0.165 | <0.001 | 0.564~1.210 |
BMIRE * | 0.436 | 0.179 | 0.015 | 0.086~0.787 |
Commercial health insurance | 0.356 | 0.196 | 0.069 | −0.028~0.741 |
No health insurance (reference) | ||||
Self-reported health score | 0.63 | 0.049 | <0.001 | 0.535~0.725 |
Prevalence | ||||
Yes | 0.684 | 0.141 | <0.001 | 0.408~0.960 |
No (reference) | ||||
Distance to medical institutions | ||||
<1 km (reference) | ||||
1–2 km | 0.442 | 0.572 | 0.439 | −0.679~1.564 |
2–3 km | 0.618 | 0.47 | 0.189 | −0.304~1.539 |
3–4 km | 0.473 | 0.436 | 0.278 | −0.382~1.327 |
4–5 km | 0.513 | 0.421 | 0.223 | −0.312~1.338 |
>5 km | 0.492 | 0.414 | 0.235 | −0.320~1.303 |
Contracted with a family doctor | ||||
Yes | 3.309 | 0.162 | <0.001 | 2.991~3.627 |
No (reference) | ||||
Economic region | ||||
Eastern (reference) | ||||
Central | 0.36 | 0.141 | 0.011 | 0.084~0.636 |
Western | −0.293 | 0.176 | 0.095 | −0.637~0.051 |
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Xu, J.; Zhou, Y.; Liu, R.; Cheng, F.; Liang, W. Primary Health Institutions and Service Quality in China: Implications for Health Policy. Int. J. Environ. Res. Public Health 2022, 19, 12063. https://doi.org/10.3390/ijerph191912063
Xu J, Zhou Y, Liu R, Cheng F, Liang W. Primary Health Institutions and Service Quality in China: Implications for Health Policy. International Journal of Environmental Research and Public Health. 2022; 19(19):12063. https://doi.org/10.3390/ijerph191912063
Chicago/Turabian StyleXu, Junfang, Yuyin Zhou, Ruyu Liu, Feng Cheng, and Wannian Liang. 2022. "Primary Health Institutions and Service Quality in China: Implications for Health Policy" International Journal of Environmental Research and Public Health 19, no. 19: 12063. https://doi.org/10.3390/ijerph191912063