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Published in: Journal of Community Health 5/2013

01-10-2013 | Original Paper

Do Patients Choose Community Health Services (CHS) for First Treatment in China? Results from a Community Health Survey in Urban Areas

Authors: Changmin Tang, Zhenni Luo, Pengqian Fang, Fengfan Zhang

Published in: Journal of Community Health | Issue 5/2013

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Abstract

In recent years, the government has paid more attention to the development of community health service (CHS) in urban areas in China. Therefore, determining if it plays important roles and establishing methods to evaluate the effects of CHS are critical emphases in research. This study measured the effects of CHS through the choices of patients and their evaluation of CHS, and aimed to contribute to the development of primary health services. Face-to-face interviews were performed using the questionnaire with a random sample of 865 patients in CHS institutions from five provinces in China. Pearson’s Chi square tests and binary logistic regression were used to analyze influencing factors that are associated with the patients’ choices and evaluations. A total of 62.2 % of the patients would choose CHS for their first treatment. Patient choice was mainly affected by the following: (1) social demographic factors of the patients, namely, age, educational level, medical insurance, and survey areas; (2) evaluation of CHS by the patients: convenience, reasonable charges, and attitude of the doctors. In addition, the patients showed more satisfaction with convenience, waiting time, and communication with doctors, and less satisfaction with the medical charges, drug costs, and medical equipment of CHS. Through the results, we suggest that the government should provide more regard to the convenience, reasonable charges, and the attitude of the doctors as important factors to attract the patients to CHS. The government should also exert efforts to reduce the medical charges (especially the drug costs) for CHS.
Literature
1.
go back to reference Weller, D., & Dunbar, J. (2005). General Practice in Australia: 2004. Australia: National Capital Printing. Weller, D., & Dunbar, J. (2005). General Practice in Australia: 2004. Australia: National Capital Printing.
2.
go back to reference Bhattacharyya, O., Delu, Y., Wong, S. T., & Bowen, C. (2011). Evolution of primary care in China 1997–2009. Health Policy, 100(2–3), 174–180.PubMedCrossRef Bhattacharyya, O., Delu, Y., Wong, S. T., & Bowen, C. (2011). Evolution of primary care in China 1997–2009. Health Policy, 100(2–3), 174–180.PubMedCrossRef
3.
go back to reference The National Health Service in June (2012). Ministry of Health of the People’s Republic of China. The National Health Service in June (2012). Ministry of Health of the People’s Republic of China.
4.
go back to reference Jian, W., Lina, W., & Qingyue, M. (2006). Analysis on benefit of patients flow from general hospitals to community health service facilities. Chinese Health Economics, 25(4), 45–47. Jian, W., Lina, W., & Qingyue, M. (2006). Analysis on benefit of patients flow from general hospitals to community health service facilities. Chinese Health Economics, 25(4), 45–47.
5.
go back to reference Ling-li, L., Guohua, L., & Bi-xian, Z. (2009). People’s perception about the services provided at the community hospitals. Chinese Hospital Management, 29(12), 85–86. Ling-li, L., Guohua, L., & Bi-xian, Z. (2009). People’s perception about the services provided at the community hospitals. Chinese Hospital Management, 29(12), 85–86.
6.
go back to reference Hongbing, T., Shilin, G., Xinping, Z., & Yao, Y. (2007). Reasons and strategies analysis of incorrect treatment habits of unban community residents. Medicine and Society, 20(6), 16–17. Hongbing, T., Shilin, G., Xinping, Z., & Yao, Y. (2007). Reasons and strategies analysis of incorrect treatment habits of unban community residents. Medicine and Society, 20(6), 16–17.
7.
go back to reference Fotaki, M., Roland, M., Boyd, A., McDonald, R., Scheaff, R., & Smith, L. (2008). What benefits will choice bring to patients? Literature review and assessment of implications. Journal of health services research and policy, 13(3), 178–184.PubMedCrossRef Fotaki, M., Roland, M., Boyd, A., McDonald, R., Scheaff, R., & Smith, L. (2008). What benefits will choice bring to patients? Literature review and assessment of implications. Journal of health services research and policy, 13(3), 178–184.PubMedCrossRef
8.
go back to reference Victoor, A., Delnoij, D. M., Friele, R. D., & Rademakers, J. J. (2012). Determinants of patient choice of healthcare providers: A scoping review. BMC Health Services Research, 12, 272–288.PubMedCrossRef Victoor, A., Delnoij, D. M., Friele, R. D., & Rademakers, J. J. (2012). Determinants of patient choice of healthcare providers: A scoping review. BMC Health Services Research, 12, 272–288.PubMedCrossRef
9.
go back to reference Saltman, R. B. (2012). Viewing second opinions in terms of recent developments in patient choice. Israel Journal of Health Policy Research, 1(1), 31.PubMedCrossRef Saltman, R. B. (2012). Viewing second opinions in terms of recent developments in patient choice. Israel Journal of Health Policy Research, 1(1), 31.PubMedCrossRef
10.
go back to reference Vrangbaek, K., Ostergren, K., Birk, H. O., & Winblad, U. (2007). Patient reactions to hospital choice in Norway, Denmark, and Sweden. Health Economics, Policy and Law, 2(Pt 2), 125–152.CrossRef Vrangbaek, K., Ostergren, K., Birk, H. O., & Winblad, U. (2007). Patient reactions to hospital choice in Norway, Denmark, and Sweden. Health Economics, Policy and Law, 2(Pt 2), 125–152.CrossRef
11.
go back to reference Victoor, A., Friele, R. D., Delnoij, D. M., & Rademakers, J. J. (2012). Free choice of healthcare providers in the Netherlands is both a goal in itself and a precondition: Modelling the policy assumptions underlying the promotion of patient choice through documentary analysis and interviews. BMC Health Services Research, 12, 441–452.PubMedCrossRef Victoor, A., Friele, R. D., Delnoij, D. M., & Rademakers, J. J. (2012). Free choice of healthcare providers in the Netherlands is both a goal in itself and a precondition: Modelling the policy assumptions underlying the promotion of patient choice through documentary analysis and interviews. BMC Health Services Research, 12, 441–452.PubMedCrossRef
12.
go back to reference Li, Z., Hou, J., Lu, L., Tang, S., & Ma, J. (2012). On residents’ satisfaction with community health services after health care system reform in Shanghai, China, 2011. BMC Public Health, 12(Suppl 1), S9.PubMedCrossRef Li, Z., Hou, J., Lu, L., Tang, S., & Ma, J. (2012). On residents’ satisfaction with community health services after health care system reform in Shanghai, China, 2011. BMC Public Health, 12(Suppl 1), S9.PubMedCrossRef
13.
go back to reference Moret, L., Nguyen, J. M., Volteau, C., Falissard, B., & Lombrail, P. (2007). Gasquet I: Evidence of a non-linear influence of patient age on satisfaction with hospital care. International Journal for Quality in Health Care, 19(6), 382–389.PubMedCrossRef Moret, L., Nguyen, J. M., Volteau, C., Falissard, B., & Lombrail, P. (2007). Gasquet I: Evidence of a non-linear influence of patient age on satisfaction with hospital care. International Journal for Quality in Health Care, 19(6), 382–389.PubMedCrossRef
14.
go back to reference Ringard, A. (2012). Equitable access to elective hospital services: The introduction of patient choice in a decentralised healthcare system. Scandinavian Journal of Public Health, 40(1), 10–17.PubMedCrossRef Ringard, A. (2012). Equitable access to elective hospital services: The introduction of patient choice in a decentralised healthcare system. Scandinavian Journal of Public Health, 40(1), 10–17.PubMedCrossRef
15.
go back to reference Marang-van, D. M. P., Dijs-Elsinga, J., Otten, W., et al. (2011). The relative importance of quality of care information when choosing a hospital for surgical treatment: A hospital choice experiment. Medical Decision Making, 31(6), 816–827. Marang-van, D. M. P., Dijs-Elsinga, J., Otten, W., et al. (2011). The relative importance of quality of care information when choosing a hospital for surgical treatment: A hospital choice experiment. Medical Decision Making, 31(6), 816–827.
16.
go back to reference Lux, M. P., Fasching, P. A., Schrauder, M., et al. (2011). The era of centers: The influence of establishing specialized centers on patients’ choice of hospital. Archives of Gynecology and Obstetrics, 283(3), 559–568.PubMedCrossRef Lux, M. P., Fasching, P. A., Schrauder, M., et al. (2011). The era of centers: The influence of establishing specialized centers on patients’ choice of hospital. Archives of Gynecology and Obstetrics, 283(3), 559–568.PubMedCrossRef
17.
go back to reference Huppertz, J. W., & Carlson, J. P. (2010). Consumers’ use of HCAHPS ratings and word-of-mouth in hospital choice. Health Services Research, 45(6 Pt 1), 1602–1613.PubMedCrossRef Huppertz, J. W., & Carlson, J. P. (2010). Consumers’ use of HCAHPS ratings and word-of-mouth in hospital choice. Health Services Research, 45(6 Pt 1), 1602–1613.PubMedCrossRef
18.
go back to reference Aryankhesal, A., & Sheldon, T. (2010). Effect of the Iranian hospital grading system on patients’ and general practitioners’ behaviour: An examination of awareness, belief and choice. Health Services Management Research, 23(3), 139–144.PubMedCrossRef Aryankhesal, A., & Sheldon, T. (2010). Effect of the Iranian hospital grading system on patients’ and general practitioners’ behaviour: An examination of awareness, belief and choice. Health Services Management Research, 23(3), 139–144.PubMedCrossRef
19.
go back to reference Escarce, J. J., & Kapur, K. (2009). Do patients bypass rural hospitals? Determinants of inpatient hospital choice in rural California. Journal of Health Care for the Poor and Underserved, 20(3), 625–644.PubMedCrossRef Escarce, J. J., & Kapur, K. (2009). Do patients bypass rural hospitals? Determinants of inpatient hospital choice in rural California. Journal of Health Care for the Poor and Underserved, 20(3), 625–644.PubMedCrossRef
20.
go back to reference Roh, C. Y., Lee, K. H., & Fottler, M. D. (2008). Determinants of hospital choice of rural hospital patients: The impact of networks, service scopes, and market competition. Journal of Medical Systems, 32(4), 343–353.PubMedCrossRef Roh, C. Y., Lee, K. H., & Fottler, M. D. (2008). Determinants of hospital choice of rural hospital patients: The impact of networks, service scopes, and market competition. Journal of Medical Systems, 32(4), 343–353.PubMedCrossRef
21.
go back to reference Albada, A., & Triemstra, M. (2009). Patients’ priorities for ambulatory hospital care centres. A survey and discrete choice experiment among elderly and chronically ill patients of a Dutch hospital. Health Expectations, 12(1), 92–105.PubMedCrossRef Albada, A., & Triemstra, M. (2009). Patients’ priorities for ambulatory hospital care centres. A survey and discrete choice experiment among elderly and chronically ill patients of a Dutch hospital. Health Expectations, 12(1), 92–105.PubMedCrossRef
22.
go back to reference Vonberg, R. P., Sander, C., & Gastmeier, P. (2008). Consumer attitudes about health care acquired infections: A German survey on factors considered important in the choice of a hospital. American Journal of Medical Quality, 23(1), 56–59.PubMedCrossRef Vonberg, R. P., Sander, C., & Gastmeier, P. (2008). Consumer attitudes about health care acquired infections: A German survey on factors considered important in the choice of a hospital. American Journal of Medical Quality, 23(1), 56–59.PubMedCrossRef
23.
go back to reference Yildlz, Z., & Erdogmus, S. (2004). Measuring patient satisfaction of the quality of health care: A study of hospitals in Turkey. Journal of Medical Systems, 28(6), 581–589.PubMedCrossRef Yildlz, Z., & Erdogmus, S. (2004). Measuring patient satisfaction of the quality of health care: A study of hospitals in Turkey. Journal of Medical Systems, 28(6), 581–589.PubMedCrossRef
24.
go back to reference Cheng, S. H., Yang, M. C., & Chiang, T. L. (2003). Patient satisfaction with and recommendation of a hospital: Effects of interpersonal and technical aspects of hospital care. International Journal for Quality in Health Care, 15(4), 345–355.PubMedCrossRef Cheng, S. H., Yang, M. C., & Chiang, T. L. (2003). Patient satisfaction with and recommendation of a hospital: Effects of interpersonal and technical aspects of hospital care. International Journal for Quality in Health Care, 15(4), 345–355.PubMedCrossRef
25.
go back to reference Ng, C. W., Lim, G. H., McMaster, F., Molina, J., Seow, E., & Heng, B. H. (2009). Patient satisfaction in an observation unit: The consumer assessment of health providers and systems hospital survey. Emergency Medicine Journal, 26(8), 586–589.PubMedCrossRef Ng, C. W., Lim, G. H., McMaster, F., Molina, J., Seow, E., & Heng, B. H. (2009). Patient satisfaction in an observation unit: The consumer assessment of health providers and systems hospital survey. Emergency Medicine Journal, 26(8), 586–589.PubMedCrossRef
26.
go back to reference Matis, G. K., Birbilis, T. A., & Chrysou, O. I. (2009). Patient satisfaction questionnaire and quality achievement in hospital care: The case of a Greek public university hospital. Health Services Management Research, 22(4), 191–196.PubMedCrossRef Matis, G. K., Birbilis, T. A., & Chrysou, O. I. (2009). Patient satisfaction questionnaire and quality achievement in hospital care: The case of a Greek public university hospital. Health Services Management Research, 22(4), 191–196.PubMedCrossRef
27.
go back to reference Tung, Y. C., & Chang, G. M. (2009). Patient satisfaction with and recommendation of a primary care provider: Associations of perceived quality and patient education. International Journal for Quality in Health Care, 21(3), 206–213.PubMedCrossRef Tung, Y. C., & Chang, G. M. (2009). Patient satisfaction with and recommendation of a primary care provider: Associations of perceived quality and patient education. International Journal for Quality in Health Care, 21(3), 206–213.PubMedCrossRef
28.
go back to reference Mpinga, E. K., & Chastonay, P. (2011). Satisfaction of patients: A right to health indicator? Health Policy, 100(2–3), 144–150.PubMedCrossRef Mpinga, E. K., & Chastonay, P. (2011). Satisfaction of patients: A right to health indicator? Health Policy, 100(2–3), 144–150.PubMedCrossRef
29.
go back to reference Sack, C., Scherag, A., Lutkes, P., Gunther, W., Jockel, K. H., & Holtmann, G. (2011). Is there an association between hospital accreditation and patient satisfaction with hospital care? A survey of 37,000 patients treated by 73 hospitals. International Journal for Quality in Health Care, 23(3), 278–283.PubMedCrossRef Sack, C., Scherag, A., Lutkes, P., Gunther, W., Jockel, K. H., & Holtmann, G. (2011). Is there an association between hospital accreditation and patient satisfaction with hospital care? A survey of 37,000 patients treated by 73 hospitals. International Journal for Quality in Health Care, 23(3), 278–283.PubMedCrossRef
Metadata
Title
Do Patients Choose Community Health Services (CHS) for First Treatment in China? Results from a Community Health Survey in Urban Areas
Authors
Changmin Tang
Zhenni Luo
Pengqian Fang
Fengfan Zhang
Publication date
01-10-2013
Publisher
Springer US
Published in
Journal of Community Health / Issue 5/2013
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-013-9691-z

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