IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i2p193-d196835.html
   My bibliography  Save this article

Public Hospitals in China: Is There a Variation in Patient Experience with Inpatient Care

Author

Listed:
  • Wenhua Wang

    (Department of Family Medicine, McGill University, Montreal, Quebec H3T 1M5, Canada)

  • Ekaterina (Katya) Loban

    (Department of Family Medicine, McGill University, Montreal, Quebec H3T 1M5, Canada)

  • Emilie Dionne

    (Department of Family Medicine, McGill University, Montreal, Quebec H3T 1M5, Canada)

Abstract

In China, public hospitals are the main provider of inpatient service. The Chinese public hospital reform has recently shifted towards health care organizations and delivery to improve health care quality. This study analyzes the variation of one of the dimensions of health care quality, patient-centeredness, among inpatients with different socioeconomic status and geographical residency in China. 1471 respondents who received inpatient care in public hospitals were included in our analysis. Patient-centeredness performance was assessed on the dimensions of Communication, Autonomy, Dignity, and Confidentiality. Variations of inpatient experience were estimated using binary logistic regression models according to: residency, region, age, gender, education, income quintile, self-rated health, and number of hospital admissions. Our results indicate that older patients, and patients living in rural areas and Eastern China are more likely to report positive experience of their public hospital stay according to the care aspects of Dignity, Communication, Confidentiality and Autonomy. However, there remains a gap between China and other countries in relation to inpatient experience. Noticeable disparities in inpatient experience also persist between different geographical regions in China. These variations of patient experience pose a challenge that China’s health policy makers would need to consider in their future reform efforts.

Suggested Citation

  • Wenhua Wang & Ekaterina (Katya) Loban & Emilie Dionne, 2019. "Public Hospitals in China: Is There a Variation in Patient Experience with Inpatient Care," IJERPH, MDPI, vol. 16(2), pages 1-12, January.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:2:p:193-:d:196835
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/2/193/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/16/2/193/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Valentine, Nicole & Darby, Charles & Bonsel, Gouke J., 2008. "Which aspects of non-clinical quality of care are most important? Results from WHO's general population surveys of "health systems responsiveness" in 41 countries," Social Science & Medicine, Elsevier, vol. 66(9), pages 1939-1950, May.
    2. Linghan Shan & Ye Li & Ding Ding & Qunhong Wu & Chaojie Liu & Mingli Jiao & Yanhua Hao & Yuzhen Han & Lijun Gao & Jiejing Hao & Lan Wang & Weilan Xu & Jiaojiao Ren, 2016. "Patient Satisfaction with Hospital Inpatient Care: Effects of Trust, Medical Insurance and Perceived Quality of Care," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-18, October.
    3. David Hipgrave & Sufang Guo & Yan Mu & Yan Guo & Fei Yan & Robert Scherpbier & Hana Brixi, 2012. "Chinese-Style Decentralization and Health System Reform," PLOS Medicine, Public Library of Science, vol. 9(11), pages 1-4, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. White-Means, Shelley & Gaskin, Darrell J. & Osmani, Ahmad Reshad, 2019. "Intervention and Public Policy Pathways to Achieve Health Care Equity," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 16(14), pages 1-11.
    2. Qingbin Guo & Kang Luo & Ruodi Hu, 2020. "The Spatial Correlations of Health Resource Agglomeration Capacities and Their Influencing Factors: Evidence from China," IJERPH, MDPI, vol. 17(22), pages 1-18, November.

    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. Röttger, Julia & Blümel, Miriam & Fuchs, Sabine & Busse, Reinhard, 2014. "Assessing the responsiveness of chronic disease care - Is the World Health Organization's concept of health system responsiveness applicable?," Social Science & Medicine, Elsevier, vol. 113(C), pages 87-94.
    2. Mitchell, Ellen M.H. & Kwizera, Amata & Usta, Momade & Gebreselassie, Hailemichael, 2010. "Choosing early pregnancy termination methods in Urban Mozambique," Social Science & Medicine, Elsevier, vol. 71(1), pages 62-70, July.
    3. Wenxin & W. & Bentum-Micah & G. & Zhiqiang & M. & Bing & L. & Asabea Addo & A. & Boadi & B.E. & Atuahene & A.S. & Bondzie-Micah & V., 2020. "The Influence of Encounter Service Quality on Patient Satisfaction: An Empirical Study in Chinese Public Hospitals," International Journal of Economics & Business Administration (IJEBA), International Journal of Economics & Business Administration (IJEBA), vol. 0(3), pages 461-477.
    4. Qian Long & Weixi Jiang & Di Dong & Jiaying Chen & Li Xiang & Qiang Li & Fei Huang & Henry Lucas & Shenglan Tang, 2020. "A New Financing Model for Tuberculosis (TB) Care in China: Challenges of Policy Development and Lessons Learned from the Implementation," IJERPH, MDPI, vol. 17(4), pages 1-11, February.
    5. Runtang Meng & Jingjing Li & Yunquan Zhang & Yong Yu & Yi Luo & Xiaohan Liu & Yanxia Zhao & Yuantao Hao & Ying Hu & Chuanhua Yu, 2018. "Evaluation of Patient and Medical Staff Satisfaction regarding Healthcare Services in Wuhan Public Hospitals," IJERPH, MDPI, vol. 15(4), pages 1-17, April.
    6. Ashill, Nicholas J. & Rod, Michel, 2011. "Burnout processes in non-clinical health service encounters," Journal of Business Research, Elsevier, vol. 64(10), pages 1116-1127, October.
    7. Qing Luo & Qi Wang & Zuxun Lu & Junan Liu, 2013. "Evaluation of Responsiveness of Community Health Services in Urban China: A Quantitative Study in Wuhan City," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-8, May.
    8. Bereket Yakob & Busisiwe Purity Ncama, 2016. "Correlates of perceived access and implications for health system strengthening – lessons from HIV/AIDS treatment and care services in Ethiopia," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-19, August.
    9. Zainab Zahran & Marcelle Tauber & Holly Howe Watson & Phoebe Coghlan & Sarah White & Sue Procter & Gulen Addis & Christine Norton, 2016. "Systematic review: what interventions improve dignity for older patients in hospital?," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(3-4), pages 311-321, February.
    10. Marcelle Tauber‐Gilmore & Gulen Addis & Zainab Zahran & Sally Black & Lesley Baillie & Sue Procter & Christine Norton, 2018. "The views of older people and health professionals about dignity in acute hospital care," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 223-234, January.
    11. Fiorentini, Gianluca & Ragazzi, Giovanni & Robone, Silvana, 2015. "Are bad health and pain making us grumpy? An empirical evaluation of reporting heterogeneity in rating health system responsiveness," Social Science & Medicine, Elsevier, vol. 144(C), pages 48-58.
    12. Fei Chen & Min Yang & Qian Li & Jay Pan & Xiaosong Li & Qun Meng, 2018. "Does providing more services increase the primary hospitals’ revenue? An assessment of national essential medicine policy based on 2,675 counties in China," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-16, January.
    13. Mijal Michał & Winter Małgorzata, 2017. "Factors Influencing Teamwork in Health Care," Engineering Management in Production and Services, Sciendo, vol. 9(2), pages 90-96, June.
    14. London, Jonathan D., 2013. "The promises and perils of hospital autonomy," Social Science & Medicine, Elsevier, vol. 96(C), pages 232-240.
    15. Xiaojing Fan & Min Su & Yaxin Zhao & Duolao Wang, 2021. "Dissatisfaction with Local Medical Services for Middle-Aged and Elderly in China: What Is Relevant?," IJERPH, MDPI, vol. 18(8), pages 1-12, April.
    16. Jongnam Hwang & Giang Thu Vu & Bach Xuan Tran & Thu Hong Thi Nguyen & Bang Van Nguyen & Long Hoang Nguyen & Huong Lan Thi Nguyen & Carl A Latkin & Cyrus S H Ho & Roger C M Ho, 2020. "Measuring satisfaction with health care services for Vietnamese patients with cardiovascular diseases," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-15, June.
    17. Fernández-Pérez, Ángel & Jiménez-Rubio, Dolores & Robone, Silvana, 2022. "Freedom of choice and health services’ performance: Evidence from a national health system," Health Policy, Elsevier, vol. 126(12), pages 1283-1290.
    18. Ya Zhao & Lennon H. T. Choy & Kwong Wing Chau, 2023. "Political Circles and Land Supply for the Service and Industrial Sectors: Evidence from 284 Cities in China," Land, MDPI, vol. 12(3), pages 1-16, February.
    19. Alibrandi, Angela & Gitto, Lara & Limosani, Michele & Mustica, Paolo Fabrizio, 2023. "Patient satisfaction and quality of hospital care," Evaluation and Program Planning, Elsevier, vol. 97(C).
    20. Wenxin & W. & Bentum-Micah & G. & Zhiqiang & M. & Bing & L. & Asabea Addo & A. & Boadi & B.E. & Atuahene & A.S. & Bondzie-Micah & V., 2020. "The Influence of Encounter Service Quality on Patient Satisfaction: An Empirical Study in Chinese Public Hospitals," International Journal of Economics & Business Administration (IJEBA), International Journal of Economics & Business Administration (IJEBA), vol. 0(3), pages 466-482.

    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:gam:jijerp:v:16:y:2019:i:2:p:193-:d:196835. 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: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    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.