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Dissatisfaction with Local Medical Services for Middle-Aged and Elderly in China: What Is Relevant?

Author

Listed:
  • Xiaojing Fan

    (School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an 710049, China)

  • Min Su

    (School of Public Administration, Inner Mongolia University, Hohhot 010021, China)

  • Yaxin Zhao

    (School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an 710061, China)

  • Duolao Wang

    (Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK)

Abstract

As violent clashes between doctors and patients in China intensify, patient dissatisfaction has been identified as a major concern in the current healthcare reform in China. This study aims to investigate the main determinants of dissatisfaction with local medical services attributable to middle-aged and elderly characteristics and identify areas for improvement. A total of 14,263 rural participants and 4898 urban participants were drawn from the China Health and Retirement Longitudinal Study in 2018. Dissatisfaction was measured by two methods: binary outcome (1 = Dissatisfaction; 0 = No) demonstrated the risk of occurring dissatisfaction among various characteristics, and continuous outcome (ranges from score 1 to 5) showed the degree. The mean score of dissatisfaction was 2.73 ± 1.08. Sixteen percent of rural participants and 19% of urban participants reported dissatisfaction with local medical services, respectively. The multilevel analyses demonstrated that participants’ utilization of paid family doctor services decreased the risk of occurring dissatisfaction; dissatisfaction was less focused on females; having chronic diseases increased the risk of dissatisfaction. This study suggests promotion of family doctor services can effectively reduce middle-aged and elderly dissatisfaction with the local medical services. In addition, more attention should be focused on males and middle-aged and elderly with chronic diseases in order to decrease dissatisfaction.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:3931-:d:532657
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    References listed on IDEAS

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    1. Abid Hussain & Muhammad Asif & Arif Jameel & Jinsoo Hwang & Noman Sahito & Shahida Kanwel, 2019. "Promoting OPD Patient Satisfaction through Different Healthcare Determinants: A Study of Public Sector Hospitals," IJERPH, MDPI, vol. 16(19), pages 1-12, October.
    2. Pratika Satghare & Mithila Valli Mahesh & Edimansyah Abdin & Siow Ann Chong & Mythily Subramaniam, 2019. "The Relative Associations of Body Image Dissatisfaction among Psychiatric Out-Patients in Singapore," IJERPH, MDPI, vol. 16(24), pages 1-12, December.
    3. Bing Hu & Daiyan Peng & Yuedong Zhang & Jiyu Yu, 2020. "Rural Population Aging and the Hospital Utilization in Cities: The Rise of Medical Tourism in China," IJERPH, MDPI, vol. 17(13), pages 1-17, July.
    4. 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.
    5. Abid Hussain & Muhammad Asif & Arif Jameel & Jinsoo Hwang, 2019. "Measuring OPD Patient Satisfaction with Different Service Delivery Aspects at Public Hospitals in Pakistan," IJERPH, MDPI, vol. 16(13), pages 1-9, July.
    6. Ware, John E. & Snyder, Mary K. & Wright, W. Russell & Davies, Allyson R., 1983. "Defining and measuring patient satisfaction with medical care," Evaluation and Program Planning, Elsevier, vol. 6(3-4), pages 247-263, January.
    7. Arif Jameel & Muhammad Asif & Abid Hussain & Jinsoo Hwang & Mussawar Hussain Bukhari & Sidra Mubeen & Insin Kim, 2019. "Improving Patient behavioral Consent through Different Service Quality Dimensions: Assessing the Mediating Role of Patient Satisfaction," IJERPH, MDPI, vol. 16(23), pages 1-13, November.
    8. Muhammad Majid Aziz & Wenjing Ji & Imran Masood & Muhammad Farooq & Muhammad Zubair Malik & Jie Chang & Minghuan Jiang & Naveel Atif & Yu Fang, 2018. "Patient Satisfaction with Community Pharmacies Services: A Cross-Sectional Survey from Punjab; Pakistan," IJERPH, MDPI, vol. 15(12), pages 1-14, December.
    9. Pan, Jay & Liu, Dan & Ali, Shehzad, 2015. "Patient dissatisfaction in China: What matters," Social Science & Medicine, Elsevier, vol. 143(C), pages 145-153.
    10. Cohen, G., 1996. "Age and health status in a patient satisfaction survey," Social Science & Medicine, Elsevier, vol. 42(7), pages 1085-1093, April.
    11. Saad Ahmed Javed & Sifeng Liu & Amin Mahmoudi & Muhammad Nawaz, 2019. "Patients' satisfaction and public and private sectors' health care service quality in Pakistan: Application of grey decision analysis approaches," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 168-182, January.
    12. Stevens, Lindsay M., 2018. "“We have to be mythbusters”: Clinician attitudes about the legitimacy of patient concerns and dissatisfaction with contraception," Social Science & Medicine, Elsevier, vol. 212(C), pages 145-152.
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