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Factors influencing residents' decision to sign with family doctors under the new health care reform in China

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  • Xiaoyan Zhang
  • Xiaona Zhang
  • Shiyu Yang
  • Yuxuan Wang

Abstract

Background As an important means through which to promote Chinese health care reform, the family doctor policy has attracted attention from various fields. This study aimed to explore the factors influencing residents' decision to sign with family doctors, with a view to informing the changes necessary to encourage additional residents to do so, thereby enhancing the efficacy of primary health care system reform. Methods The residents of five communities in Xianning, Hubei Province, were selected, by convenience sampling, to participate in the study. We developed and administered a questionnaire to collect data, from which we obtained 725 valid response sets. Socio‐demographic characteristics were summarized using descriptive statistics; and Pearson chi‐squared test and binary logistic regression were performed to identify the factors influencing residents' decision to sign with family doctors. Results We found that the factors influencing residents' decision to sign include their education level, medical insurance, chronic diseases, medical treatment habits, awareness of the family doctor policy, perception of the medical skills of family doctors, and attitudes towards family doctors' signing services (P

Suggested Citation

  • Xiaoyan Zhang & Xiaona Zhang & Shiyu Yang & Yuxuan Wang, 2019. "Factors influencing residents' decision to sign with family doctors under the new health care reform in China," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1800-1809, October.
    • Handle: RePEc:bla:ijhplm:v:34:y:2019:i:4:p:e1800-e1809
    DOI: 10.1002/hpm.2896
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    References listed on IDEAS

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    1. Zhou, Xu Dong & Li, Lu & Hesketh, Therese, 2014. "Health system reform in rural China: Voices of healthworkers and service-users," Social Science & Medicine, Elsevier, vol. 117(C), pages 134-141.
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    Cited by:

    1. Xinglong Xu & Lingqing Zhao & Jiajie Liu & Sabina Ampon-Wireko, 2023. "Influence Factors for Family Physician Contract Services’ Motivation in China: An Empirical Analysis From Jiangsu Province," SAGE Open, , vol. 13(2), pages 21582440231, June.

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