IDEAS home Printed from https://ideas.repec.org/a/bla/ijhplm/v37y2022i1p403-416.html

Can family doctor contracted services facilitate orderly visits in the referral system? A frontier policy study from Shanghai, China

Author

Listed:
  • Jiaoling Huang
  • Yan Liu
  • Tao Zhang
  • Luan Wang
  • Shanshan Liu
  • Hong Liang
  • Yimin Zhang
  • Gang Chen
  • Chengjun Liu

Abstract

Background China committed to establishing a family doctor (FD)‐based referral system following the medical reform in 2009. This paper explored the effect of FD on establishing the anticipated system. Methods Two waves of survey were conducted in Shanghai, China. 2754 and 1995 individuals were sampled in 2013 and 2016 respectively. We compared orderly visiting behaviour between contracted and non‐contracted residents. Logistic regression models were performed to further test the effect of FD on orderly visits. Results More contracted residents first‐contacted community health service centres (CHSCs; 45.48%) than non‐contracted residents (28.93%). Contracted residents were also more likely to refer to specialists via CHSCs than the non‐contracted (9.84% vs. 2.60%). The odds ratio (OR) for first‐contact at CHSCs by contract status was 1.569 in 2013, but increased to 1.675 in 2016. Being contracted with a FD was associated with referral behaviour, but the OR declined from 2.692 to 2.487 over years. Conclusion The survey from Shanghai showed that FD had a significant effect on attracting first‐contact at CHSCs and referral via CHSCs; however, the effect on the latter decreased. The effectiveness of the FD role on referral behaviour requires a well‐established referral system, which has not yet been completely achieved in China.

Suggested Citation

  • Jiaoling Huang & Yan Liu & Tao Zhang & Luan Wang & Shanshan Liu & Hong Liang & Yimin Zhang & Gang Chen & Chengjun Liu, 2022. "Can family doctor contracted services facilitate orderly visits in the referral system? A frontier policy study from Shanghai, China," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(1), pages 403-416, January.
    • Handle: RePEc:bla:ijhplm:v:37:y:2022:i:1:p:403-416
    DOI: 10.1002/hpm.3346
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hpm.3346
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hpm.3346?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Forrest, C.B. & Glade, G.B. & Starfield, B. & Baker, A.E. & Kang, M. & Reid, R.J., 1999. "Gatekeeping and Referral of Children and Adolescents to Specialty Care," Centre for Health Services and Policy Research 99:11, University of British Columbia - Centre for Health Services and Policy Research..
    2. Cueto, M., 2004. "The origins of primary health care and selective primary health care," American Journal of Public Health, American Public Health Association, vol. 94(11), pages 1864-1874.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gorsky, Martin & Manton, John, 2023. "The political economy of ‘strengthening health services’: The view from WHO AFRO, 1951-c.1985," Social Science & Medicine, Elsevier, vol. 319(C).
    2. Viola, Lora Anne, 2008. "WHO says competition is healthy: How civil society can change IGOs [Die WHO sagt: Wettbewerb ist gesund. Wie Zivilgesellschaft IGOs verändern kann]," Discussion Papers, Research Unit: Global Governance SP IV 2008-307, WZB Berlin Social Science Center.
    3. Wolfgang Hein & Lars Kohlmorgen, 2005. "Global Health Governance: Conflicts on Global Social Rights," HEW 0509001, University Library of Munich, Germany.
    4. Hanrieder, Tine, 2017. "The public valuation of religion in global health governance: spiritual health and the faith factor," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 23(1), pages 81-99.
    5. Hanrieder, Tine, 2015. "The path-dependent design of international organizations: Federalism in the World Health Organization," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 21(1), pages 215-239.
    6. Matthew M. Kavanagh & Renu Singh, 2023. "Vaccine politics: Law and inequality in the pandemic response to COVID‐19," Global Policy, London School of Economics and Political Science, vol. 14(2), pages 229-246, May.
    7. Faiza Manzoor & Longbao Wei & Abid Hussain & Muhammad Asif & Syed Irshad Ali Shah, 2019. "Patient Satisfaction with Health Care Services; An Application of Physician’s Behavior as a Moderator," IJERPH, MDPI, vol. 16(18), pages 1-16, September.
    8. Solheim, Karen & McElmurry, Beverly J. & Kim, Mi Ja, 2007. "Multidisciplinary teamwork in US primary health care," Social Science & Medicine, Elsevier, vol. 65(3), pages 622-634, August.
    9. Yu, Hao, 2015. "Universal health insurance coverage for 1.3 billion people: What accounts for China's success?," Health Policy, Elsevier, vol. 119(9), pages 1145-1152.
    10. van Ginneken, Nadja & Lewin, Simon & Berridge, Virginia, 2010. "The emergence of community health worker programmes in the late apartheid era in South Africa: An historical analysis," Social Science & Medicine, Elsevier, vol. 71(6), pages 1110-1118, September.
    11. Atina Krajewska, 2015. "Bioethics and Human Rights in the Constitutional Formation of Global Health," Laws, MDPI, vol. 4(4), pages 1-32, December.
    12. Sherin Susan Paul & Satya Sivaraman & Tracie Muraya & Kerstin Åkerfeldt & Anna Karin Sjöblom & Mirfin Mpundu, 2026. "The Silent Evolution in Global Healthcare Crisis: Transcending the Clinical Realm to Address Antimicrobial Resistance," Development, Palgrave Macmillan;Society for International Deveopment, vol. 69(1), pages 85-93, March.
    13. Smithers, Daniel & Waitzkin, Howard, 2022. "Universal health coverage as hegemonic health policy in low- and middle-income countries: A mixed-methods analysis," Social Science & Medicine, Elsevier, vol. 302(C).
    14. Mihajlo Jakovljevic & Paula Odete Fernandes & João Paulo Teixeira & Nemanja Rancic & Yuriy Timofeyev & Vladimir Reshetnikov, 2019. "Underlying Differences in Health Spending Within the World Health Organisation Europe Region—Comparing EU15, EU Post-2004, CIS, EU Candidate, and CARINFONET Countries," IJERPH, MDPI, vol. 16(17), pages 1-15, August.
    15. Julia Ngozi Chukwuma, 2023. "Implementing Health Policy in Nigeria: The Basic Health Care Provision Fund as a Catalyst for Achieving Universal Health Coverage?," Development and Change, International Institute of Social Studies, vol. 54(6), pages 1480-1503, November.
    16. Fritzen, Scott A., 2007. "Legacies of primary health care in an age of health sector reform: Vietnam's commune clinics in transition," Social Science & Medicine, Elsevier, vol. 64(8), pages 1611-1623, April.
    17. Jiaoling Huang & Qin Zhu & Jing Guo, 2020. "Can Health Disparity Be Eliminated? The Role of Family Doctor Played in Shanghai, China," IJERPH, MDPI, vol. 17(15), pages 1-15, July.
    18. Rifat Atun & Thyra de Jongh & Federica V. Secci & Kelechi Ohiri & Olusoji Adeyi, 2009. "Clearing the Global Health Fog : A Systematic Review of the Evidence on Integration of Health Systems and Targeted Interventions," World Bank Publications - Books, The World Bank Group, number 5946, April.
    19. Bridget O'Laughlin & Anne-Emanuelle Birn & Laura Nervi & Eduardo Siqueira, 2016. "Forum 2016," Development and Change, International Institute of Social Studies, vol. 47(4), pages 734-759, July.
    20. George Weisz & Etienne Vignola-Gagné, 2015. "The World Health Organization and the Globalization of Chronic Noncommunicable Disease," Population and Development Review, The Population Council, Inc., vol. 41(3), pages 507-532, September.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:ijhplm:v:37:y:2022:i:1:p:403-416. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www.blackwellpublishing.com/journal.asp?ref=0749-6753 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.