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Patient experience in community health services and first choice for medical attention: A cross-sectional study in Wuhan, China

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Listed:
  • Changmin Tang
  • Pengqian Fang
  • Xue Bai
  • Rui Min
  • Chaojie Liu

Abstract

Objectives: In China, it is up to the patients to choose between hospitals and primary care facilities to initiate their medical care. This study aimed to determine the association between patient experience with community health centres (CHCs, a predominant provider of community-based primary care) and patient preference of taking community-based primary care facilities as a first choice for medical attention. Methods: A questionnaire survey was conducted on 1919 patients who sought medical care in 55 CHCs in Wuhan, China. Respondents were asked to identify their preferred first choice for medical attention and rate their satisfaction with eight aspects of CHCs (basic facility, medical equipment, medical services, nursing services, treatment process, courtesy and responsiveness, time spent with medical doctor, pharmacy services). Multivariate logistic regression models were established to determine the association between the CHC experience and the first choice of providers after adjustment for variations in sociodemographic characteristics. Results: Over 90% of respondents were satisfied or very satisfied with the eight aspects of CHCs; but only 75% preferred to take community-based primary care facilities as their first choice for medical attention. Those who were older and had a lower income were more likely to choose community-based primary care facilities. Geographic proximity and higher levels of satisfaction with the basic facility, courtesy and responsiveness, and pharmacy services in the CHCs were associated with a higher likelihood of taking community-based primary care facilities as a first choice for medical attention. Conclusion: The consumers of CHCs are generally satisfied with the services they received. However, one quarter of the CHC patients are yet to be convinced to accept community-based primary care facilities as a preferred first provider for medical care. Geographic proximity and patient experience with CHCs are associated with the patient choice.

Suggested Citation

  • Changmin Tang & Pengqian Fang & Xue Bai & Rui Min & Chaojie Liu, 2023. "Patient experience in community health services and first choice for medical attention: A cross-sectional study in Wuhan, China," PLOS ONE, Public Library of Science, vol. 18(7), pages 1-13, July.
    • Handle: RePEc:plo:pone00:0288164
    DOI: 10.1371/journal.pone.0288164
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    References listed on IDEAS

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    1. Kruk, Margaret Elizabeth & Porignon, Denis & Rockers, Peter C. & Van Lerberghe, Wim, 2010. "The contribution of primary care to health and health systems in low- and middle-income countries: A critical review of major primary care initiatives," Social Science & Medicine, Elsevier, vol. 70(6), pages 904-911, March.
    2. Aniza Ismail & Yan Nee Gan & Norfazilah Ahmad, 2020. "Factors associated with patient satisfaction towards pharmacy services among out-patients attending public health clinics: Questionnaire development and its application," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-12, November.
    3. Li-hua Fan & Lei Gao & Xin Liu & Shi-hong Zhao & Hui-tong Mu & Zhe Li & Lei Shi & Ling-ling Wang & Xiao-li Jia & Min Ha & Feng-ge Lou, 2017. "Patients’ perceptions of service quality in China: An investigation using the SERVQUAL model," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-13, December.
    4. Yuqing Tang & Chaojie Liu & Xinping Zhang, 2017. "Delivery of Essential Medicines to Primary Care Institutions and its Association with Procurement Volume and Price: A Case Study in Hubei Province, China," Applied Health Economics and Health Policy, Springer, vol. 15(1), pages 57-64, February.
    5. Jishnu Das & Jeffrey Hammer, 2014. "Quality of Primary Care in Low-Income Countries: Facts and Economics," Annual Review of Economics, Annual Reviews, vol. 6(1), pages 525-553, August.
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