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BMC Public Health
Published in: BMC Public Health 1/2021

Open Access 01-12-2021 | Research

Family characteristics associated with rural households’ willingness to renew the family doctor contract services: a cross-sectional study in Shandong, China

Authors: Wenjuan Li, Jie Li, Peipei Fu, Yan Chen, Yemin Yuan, Shijun Yang, Jie Li, Zhixian Li, Chen Yan, Zhen Gui, Chengchao Zhou

Published in: BMC Public Health | Issue 1/2021

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Abstract

Background

In China, some previous studies have investigated the signing rate and willingness of residents to sign the family doctor contract services (FDCS). Few studies have explored residents’ willingness to renew the FDCS. This study is designed to understand the family characteristics difference towards rural households’ willingness of maintaining the FDCS.

Methods

A total of 823 rural households were included in the analysis. A descriptive analysis was conducted to describe the sample characteristics. The binary logistic regression model was used to explore the family characteristics that influence the renewal willingness for FDCS among rural households in Shandong province, China.

Results

Our study found that about 95.5% rural households had willingness to maintain the FDCS in Shandong, China. Those households with catastrophic health expenditures (CHE) (OR = 0.328, 95%CI = 0.153–0.703), with highest level of education at graduate or above (OR = 0.303, 95%CI = 0.123–0.747) were less willing to maintain the FDCS. Those whose households have more than half of the labor force (OR = 0.403, 95%CI = 0.173–0.941) and those households living in economically higher condition were less willing to maintain the FDCS.

Conclusions

This study demonstrates a significant association between family characteristics (CHE, highest education in households, proportion of the household labor force) and willingness to maintain FDCS among rural households in Shandong, China. Targeted policies should be made for rural residents of identified at-risk families.
Appendix
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Literature
1.
International Conference on Primary Health C. Declaration of Alma-Ata. WHO chronicle. 1978;32(11):428–30.
2.
3.
The Central People’s Government of the People’s Republic of China: Guiding Opinions on Establishing a General Practitioner System. 2011.
4.
Zhao J, Zhang X, Wang M. Residents' willingness for renewing the contract of family doctor Service in Xicheng District of Beijing and its influencing factors. Chin Gen Pract. 2015;18(28):3417–22.
5.
National Medical Reform Office: Notice on promoting guidance for family doctor contract services. 2016.
6.
Shandong Provincial Health Commission: The Implementation Advice on Accelerating and Improving the Signing Service of Family Doctors. 2016.
7.
Shandong Provincial Health and Family Planning Commission: Shandong Province Family Doctor Contract Service Guide (Trial Version). 2017.
8.
Bowman MA, Lucan SC, Rosenthal TC, Mainous AG, James PA. Family medicine research in the United States from the late 1960s into the future. Fam Med. 2017;49(4):289–95.PubMedPubMedCentral
9.
10.
White B, Twiddy D. The state of family medicine: 2017. Fam Pract Manag. 2017;24(1):26–33.PubMed
11.
Ezatabadi MR, Rashidian A, Shariati M, Foroushani AR, Sari AA. Using conjoint analysis to elicit GPs' preferences for family physician contracts: a case study in Iran. Iran Red Crescent Med J. 2016;18(11):e29194.
12.
Huang J, Liang H, Zhang Y, Wang X, Zhang W, Wang C, et al. Promoting the localization dilemma and strategy for the family doctor system: a case study of Hong Kou District, Shanghai. Chin J Health Policy. 2016;9(08):37–43.
13.
Huang J, Fang S, Liang H, Liu S, Wang L, Lu W, et al. Effect of the collaborative reform of family doctor contract service on residents’ health management. Chin Health Resour. 2018;21(04):329–332+341.
14.
Huang J, Gao Z. Health management and effect analysis of family doctor system: a case study from changing district of Shanghai. China Health Insure. 2017;02:33–6.
15.
Huang JL, Zhang T, Wang L, Guo DF, Liu SS, Lu W, et al. The effect of family doctor-contracted services on noncommunicable disease self-management in Shanghai, China. Int J Health Plann Manag. 2019;34(3):935–46. https://​doi.​org/​10.​1002/​hpm.​2865.
16.
Shang XP, Huang YM, Li BE, Yang Q, Zhao YR, Wang W, et al. Residents' awareness of family doctor contract services, status of contract with a family doctor, and contract service needs in Zhejiang Province, China: A cross-sectional study. Int J Environ Res Public Health. 2019;16(18):3312.
17.
Gu JL, Zhen TM, Song Y, Xu LZ. Job satisfaction of certified primary care physicians in rural Shandong Province, China: a cross-sectional study. BMC Health Serv Res. 2019;19(1):75.
18.
Gu LN, Zhu R, Li Z, Zhang SF, Li J, Tian DH, et al. Factors associated with rural residents' contract behavior with village doctors in three counties: a cross-sectional study from China. Int J Environ Res Public Health. 2020;17(23):8969.
19.
Li LN, Zhong CW, Mei J, Liang Y, Li L, Kuang L. Effect of family practice contract services on the quality of primary care in Guangzhou, China: a cross-sectional study using PCAT-AE. BMJ Open. 2018;8(11):e021317.
20.
Liu C, Jiang D, Wang Q. Intention and associated factors of renewing the contract with family doctors. Chin Gen Pract. 2018;21(25):3073–8.
21.
Ni Y, Zhou P, Li Z, Yang C, Ying L, He A, et al. Willingness to renew the health service contract with family doctors and the influencing factors in Zhejiang Province. Chin Rural Health Serv Adm. 2020;40(08):552–6.
22.
Wang C, Yan S, Jiang H, Nie Z, Miller M, He Y, et al. Residents' willingness to maintain contracts with family doctors: a cross-sectional study in China. J Gen Intern Med. 2021;36(3):622-31.
23.
Zhang Q, Zheng Y, Li H, Xu S, Chen Y. Intention of renewing the health service contract with the family doctor and associated factors among contracted residents in Lanzhou new area. Chin Gen Pract. 2019;22(07):789–93.
24.
25.
Liu J, Qiao Y, Gan Y, Lu Z. Evaluation of family doctor services and intention of renewing the contract with the family doctor among contracted residents in Shenzhen. Chin J Health Policy. 2020;23(01):40–44+45.
26.
Sun Z. Medical statistics (third edition). Beijing: People's Medical Publishing House (PMPH) China; 2002. p. 110–78.
27.
Shen P, Liu X, Li R. An analysis of development status of family doctor's contract service in China. China Med Herald. 2017;14(26):169–72.
28.
Lu W. Implementation and impact of family doctor policy in Changning District: an investigation on demand and supply. Fudan University; 2014.
29.
Xu K, Organization WH. Distribution of health payments and catastrophic expenditures methodology. Geneva: World Health Organization; 2005.
30.
31.
32.
Yang Z-K, Han Q-F, Zhu T-Y, Ren Y-P, Chen J-H, Zhao H-P, et al. The associations between the family education and mortality of patients on peritoneal dialysis. PLoS One. 2014;9(5):e95894.
33.
Liu D, Yang W, Gong Q. Influencing factors and differences of farmers' fallow willingness in heavy metal contaminated area. J China Agric Univ. 2019;24(02):215–27.
34.
zhou W. Study on the Influence of Rural Household Labor Structure in Anxi, Fujian Province on Farmers' Livelihood Strategy. Fujian Agric Forestry Univ. 2019.
35.
Gu H, Li D, Zhang X, Mi Y, Zhu C, Zhu H. Structural Model Analysis of Factors Affecting Family Doctors' Contracts from the Perspective of Demand Side. Chin Prim Health Care. 2020;34(09):41–43+63.
36.
Zhao M, Zhu Z, Sun H, Sun G. Survey on awareness and utilization of community family doctors service on residents in Beijing and influential factors. Chin J Hosp Adm. 2016;32(05):382–4.
37.
Zhen XM, Zhang H, Hu XQ, Gu SY, Li YY, Gu YX, et al. A comparative study of catastrophic health expenditure in Zhejiang and Qinghai province, China. BMC Health Serv Res. 2018;18(1):844.
38.
39.
Zheng L, Niu M, He X, Liu G, Qiu Y, Mai J, et al. Willingness to renew residents and significant factors of residents signing family medical service in Yinchuan City. J Community Med. 2020;18(11):775–8.
40.
Deng Y, Wang C, Gan Y, Lu Z. The current status of family doctors' contracting service utilization and its influencing factors: based on a survey of 31 provinces and cities in China. Chin J Health Policy. 2020;13(09):47–54.
41.
Zhou J, Wang Q, Tian Z, Li H, Tang W, Zhai M. Study on residents' cognition, satisfaction and influencing factors of family doctor contract service. J Jining Med Univ. 2020;43(03):165–9.
42.
Cui J. Survey on out-patient service utilization for rural residents in Dongying City. Shandong University; 2011.
Metadata
Title
Family characteristics associated with rural households’ willingness to renew the family doctor contract services: a cross-sectional study in Shandong, China
Authors
Wenjuan Li
Jie Li
Peipei Fu
Yan Chen
Yemin Yuan
Shijun Yang
Jie Li
Zhixian Li
Chen Yan
Zhen Gui
Chengchao Zhou
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-021-11048-5

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