Patient preferences and attitudes towards first choice medical services in Shenzhen, China: a cross-sectional study.


Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
24 05 2022
Historique:
entrez: 25 5 2022
pubmed: 26 5 2022
medline: 28 5 2022
Statut: epublish

Résumé

This study aimed to explore the characteristics of Shenzhen residents' preferences and influencing factors regarding their first choice of medical institution at various medical levels, and to understand their attitudes towards community health services. Cross-sectional survey. A total of 1612 participants at least 18 years of age were randomly sampled with stratification among 10 districts in Shenzhen. Data were gathered through a self-designed questionnaire. The effective questionnaire response rate was 93.05%. All patients participated in the study voluntarily, provided written informed consent and were able to complete the questionnaire. We measured and compared the participants' expected and actual preferences and influencing factors regarding their first choice of medical service at various medical levels. More than 50% of the participants preferred municipal and district hospitals as their first choice, and 27.5% chose medical institutions according to specific circumstances. Univariate analysis indicated that age, education, income, medical insurance, housing conditions and registered permanent residence were significantly associated with the actual and expected preferred first medical institution. The main factors influencing participants' actual and expected preferred medical institution differed. With the actual preferred first medical institution as the dependent variable, education, monthly income, medical technology, convenience and providers' service attitude and medical ethics were the main factors (χ The main factors influencing participants' preferred medical institution and their actual first visit differed. Patients with high education or income or registered permanent residence preferred high-level medical institutions for the first visit.

Identifiants

pubmed: 35613747
pii: bmjopen-2021-057280
doi: 10.1136/bmjopen-2021-057280
pmc: PMC9174822
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e057280

Informations de copyright

© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Xinyu Zhao (X)

Department of Epidemiology and Statistics, School of Public Health, Guangdong Medical University, Dongguan, Guangdong, China.

Junhui Xiao (J)

Institute of Health Law and Policy, Guangdong Medical University, Dongguan, Guangdong, China.

Huida Chen (H)

Department of Epidemiology and Statistics, School of Public Health, Guangdong Medical University, Dongguan, Guangdong, China.

Kena Lin (K)

Department of Epidemiology and Statistics, School of Public Health, Guangdong Medical University, Dongguan, Guangdong, China.

Xiaoman Li (X)

Department of Epidemiology and Statistics, School of Public Health, Guangdong Medical University, Dongguan, Guangdong, China.

Zhiwen Zeng (Z)

Department of Epidemiology and Statistics, School of Public Health, Guangdong Medical University, Dongguan, Guangdong, China.

Shuyun Huang (S)

Department of Epidemiology and Statistics, School of Public Health, Guangdong Medical University, Dongguan, Guangdong, China.

Zhikui Xie (Z)

Shenzhen Administration Institute, Shenzhen, Guangdong, China.

Jinlin Du (J)

Department of Epidemiology and Statistics, School of Public Health, Guangdong Medical University, Dongguan, Guangdong, China dujinlin@gdmu.edu.cn.

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