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Factors Influencing Patients’ Contract Choice With General Practitioners in Shanghai: A Preliminary Study.
- Source :
- Asia-Pacific Journal of Public Health; Mar2015 Supplement, Vol. 27 Issue 2, p77S-85S, 1p
- Publication Year :
- 2015
-
Abstract
- The general practitioner (GP) system has been widely applied around the world and experimented with in Shanghai, China. To analyze some of the influencing factors on patient-GP contracts, we developed a questionnaire and conducted site investigations in 2011 and 2012 to 1200 patients by random sampling from 6 pilot community health service (CHS) centers in Pudong, Shanghai. The t test, χ2 test, factor analysis, and logistic regression analysis were used to analyze the data. The factors influencing patients’ contract behavior were age (OR = 1.03; 95%CI = 1.02-1.04), education level (OR = 0.83; 95% CI = 0.75-0.93), social interaction of social capital (OR = 1.34; 95% CI = 1.15-1.56), acceptance of first contact in community (OR = 3.25; 95% CI = 2.07-5.12), the year of investigation (OR = 2.58; 95% CI = 1.92-3.47), and the exposure to publicity (OR = 1.60; 95% CI = 1.39-1.85). Elderly patients formed a focus group to sign contracts with GPs. To increase trust in GPs by patients, it is recommended to improve the level of CHSs, strengthen publicity, and cultivate social capital among patients. [ABSTRACT FROM PUBLISHER]
- Subjects :
- AGE distribution
CHI-squared test
COMMUNITY health services
CONFIDENCE intervals
CONTRACTS
STATISTICAL correlation
DECISION making
FACTOR analysis
FIELDWORK (Educational method)
PATIENTS
PHYSICIAN-patient relations
GENERAL practitioners
PUBLIC relations
QUESTIONNAIRES
RESEARCH funding
STATISTICAL sampling
T-test (Statistics)
TRUST
URBAN health
LOGISTIC regression analysis
SOCIAL capital
EDUCATIONAL attainment
RETROSPECTIVE studies
DESCRIPTIVE statistics
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 10105395
- Volume :
- 27
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Asia-Pacific Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 101863525
- Full Text :
- https://doi.org/10.1177/1010539514561654