IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i5p4288-d1083047.html
   My bibliography  Save this article

Association between Health-Related Quality of Life and Access to Chronic Disease Management by Primary Care Facilities in Mainland China: A Cross-Sectional Study

Author

Listed:
  • Yang Wang

    (School of Public Health, Peking University, Beijing 100191, China
    China Center for Health Development Studies, Peking University, Beijing 100191, China
    These authors contributed equally to this work.)

  • Yibo Wu

    (School of Public Health, Peking University, Beijing 100191, China
    These authors contributed equally to this work.)

  • Hongling Chu

    (Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing 100191, China)

  • Zhijie Xu

    (Department of General Practice, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China)

  • Xinying Sun

    (School of Public Health, Peking University, Beijing 100191, China)

  • Hai Fang

    (China Center for Health Development Studies, Peking University, Beijing 100191, China)

Abstract

The integration of chronic disease management (CDM) services into the essential public health services offered by primary care facilities has been a major strategy in China’s healthcare reform since 2009. We aimed to measure the percentage of patients with chronic diseases in China who believed that they could easily obtain CDM services at a nearby primary care facility in mainland China and determine its association with the EQ visual analog scale (EQ-VAS) score and the utility index of the 5-level EQ-5D version (EQ-5D-5L). A cross-sectional survey was conducted nationwide between 20 June 2022 and 31 August 2022, involving 5525 patients with chronic diseases from 32 provincial-level administrative divisions, of which 48.1% ( n = 2659) were female with a median age of 55.0 years. The median EQ-VAS score was 73.0 and the utility index of the EQ-5D-5L was 0.942. A majority of patients reported definite (24.3%) or mostly (45.9%) easy access to CDM services from nearby primary care facilities. Multivariable logistic regression analysis revealed that easy access to CDM services in primary care facilities was positively associated with higher HRQoL. Our findings indicate that, as of 2022, approximately 70% of patients with chronic diseases in mainland China had easy access to CDM services provided by primary care facilities, which was significantly and positively associated with their health status.

Suggested Citation

  • Yang Wang & Yibo Wu & Hongling Chu & Zhijie Xu & Xinying Sun & Hai Fang, 2023. "Association between Health-Related Quality of Life and Access to Chronic Disease Management by Primary Care Facilities in Mainland China: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(5), pages 1-15, February.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:4288-:d:1083047
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/5/4288/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/20/5/4288/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Frank W. Porell & Helen B. Miltiades, 2001. "Access to Care and Functional Status Change Among Aged Medicare Beneficiaries," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(2), pages 69-83.
    2. Alonso, J. & Orfila, F. & Ruigómez, A. & Ferrer, M. & Antó, J.M., 1997. "Unmet health care needs and mortality among Spanish elderly," American Journal of Public Health, American Public Health Association, vol. 87(3), pages 365-370.
    3. Tao Zhang & Chaojie Liu & Ziling Ni, 2019. "Association of Access to Healthcare with Self-Assessed Health and Quality of Life among Old Adults with Chronic Disease in China: Urban Versus Rural Populations," IJERPH, MDPI, vol. 16(14), pages 1-14, July.
    4. Haimeng Liu & Chuanglin Fang & Yupeng Fan, 2020. "Mapping the inequalities of medical resource provision in China," Regional Studies, Regional Science, Taylor & Francis Journals, vol. 7(1), pages 568-570, January.
    5. Jiawei Zhang & Peien Han & Yan Sun & Jingyu Zhao & Li Yang, 2021. "Assessing Spatial Accessibility to Primary Health Care Services in Beijing, China," IJERPH, MDPI, vol. 18(24), pages 1-13, December.
    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. Tao Zhang & Chaojie Liu & Ziling Ni, 2019. "Association of Access to Healthcare with Self-Assessed Health and Quality of Life among Old Adults with Chronic Disease in China: Urban Versus Rural Populations," IJERPH, MDPI, vol. 16(14), pages 1-14, July.
    2. Gu, Danan & Zhang, Zhenmei & Zeng, Yi, 2009. "Access to healthcare services makes a difference in healthy longevity among older Chinese adults," Social Science & Medicine, Elsevier, vol. 68(2), pages 210-219, January.
    3. Hye Yin Park & Yun-Chul Hong & Ichiro Kawachi & Juhwan Oh, 2018. "Gaps in universal health coverage in South Korea: Association with depression onset in a community cohort," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-11, June.
    4. Evelina Pappa & Nick Kontodimopoulos & Angelos Papadopoulos & Yannis Tountas & Dimitris Niakas, 2013. "Investigating Unmet Health Needs in Primary Health Care Services in a Representative Sample of the Greek Population," IJERPH, MDPI, vol. 10(5), pages 1-11, May.
    5. Ling Yang & Kai Zhao & Zhen Fan, 2019. "Exploring Determinants of Population Ageing in Northeast China: From a Socio-Economic Perspective," IJERPH, MDPI, vol. 16(21), pages 1-19, November.
    6. Benedetta Contoli & Valentina Possenti & Rosaria Gallo & Valentina Minardi & Maria Masocco, 2022. "Data from the PASSI d’Argento Surveillance System on Difficulties Met by Older Adults in Accessing Health Services in Italy as Major Risk Factor to Health Outcomes," IJERPH, MDPI, vol. 19(16), pages 1-11, August.
    7. Cristina Vilaplana & Sergi Jiménez Martín, 2010. "A double sample selection model for unmet needs, formal care and informal caregiving hours of dependent people in Spain," Working Papers 2010-25, FEDEA.
    8. Sergi Jiménez-Martín & Cristina Vilaplana Prieto, 2015. "Do Spanish Informal Caregivers Come to the Rescue of Dependent People with Formal Care Unmet Needs?," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 37(2), pages 243-259.
    9. Pavitra Paul & Ulrich Nguemdjo & Natalia Kovtun & Bruno Ventelou, 2021. "Does Self-Assessed Health Reflect the True Health State?," IJERPH, MDPI, vol. 18(21), pages 1-16, October.
    10. Jinhui Ma & Haijing Huang & Daibin Liu, 2023. "Influences of Spatial Accessibility and Service Capacity on the Utilization of Elderly-Care Facilities: A Case Study of the Main Urban Area of Chongqing," IJERPH, MDPI, vol. 20(6), pages 1-19, March.
    11. Jin Li & Jie Li & Jian Huang, 2022. "Research on the Equity and Optimal Allocation of Basic Medical Services in Guangzhou in the Context of COVID-19," IJERPH, MDPI, vol. 19(22), pages 1-15, November.
    12. Hye-Young Jang & Young Ko & Song-Yi Han, 2020. "The Effects of Social Networks of the Older Adults with Limited Instrumental Activities of Daily Living on Unmet Medical Needs," IJERPH, MDPI, vol. 18(1), pages 1-10, December.
    13. Ryuichi Ohta & Yoshinori Ryu & Chiaki Sano, 2022. "Older People’s Help-Seeking Behaviors in Rural Contexts: A Systematic Review," IJERPH, MDPI, vol. 19(6), pages 1-12, March.
    14. Xueling Wu & Ruiqi Mao & Xiaojia Guo, 2022. "Equilibrium of Tiered Healthcare Resources during the COVID-19 Pandemic in China: A Case Study of Taiyuan, Shanxi Province," IJERPH, MDPI, vol. 19(12), pages 1-17, June.
    15. Julien Bergeot & Florence Jusot, 2024. "The impact of unmet health care needs on self-assessed health and functional limitations during the first wave of the Covid-19 pandemic," Post-Print hal-04564156, HAL.
    16. Sime Smolic & Nikola Blazevski & Margareta Fabijancic, 2024. "Perceived unmet healthcare needs among older Europeans in the COVID-19 pandemic and beyond: the telemedicine solution," Public Sector Economics, Institute of Public Finance, vol. 48(2), pages 125-150.
    17. Jingya Luan & Yuhong Tian & Chi Yung Jim & Xu Liu & Mengxuan Yan & Lizhu Wu, 2023. "Assessing Spatial Accessibility of Community Hospitals for the Elderly in Beijing, China," IJERPH, MDPI, vol. 20(1), pages 1-19, January.
    18. Hector Galindo Silva; Nibene Habib Somé; Guy Tchuente & Nibene Habib Somé & Guy Tchuente, 2019. "Does Obamacare Care? A Fuzzy Difference-in-discontinuities Approach," Vniversitas Económica 17211, Universidad Javeriana - Bogotá.
    19. Ju Young Kim & Dae In Kim & Hwa Yeon Park & Yuliya Pak & Phap Ngoc Hoang Tran & Truc Thanh Thai & Mai Thi Thanh Thuy & Do Van Dung, 2020. "Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(17), pages 1-12, August.
    20. Park, Sojung & Kim, BoRin & Kim, Soojung, 2016. "Poverty and working status in changes of unmet health care need in old age," Health Policy, Elsevier, vol. 120(6), pages 638-645.

    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:20:y:2023:i:5:p:4288-:d:1083047. 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.