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Factors Contributing to Patients' Preferences for Primary Health Care Institutions in China: A Qualitative Study
Zhang,Weiwei1; Ung,Carolina Oi Lam2; Lin,Guohua1; Liu,Jie1; Li,Wenjun1; Hu,Hao2; Xi,Xiaoyu1
2020-08-18
Source PublicationFrontiers in Public Health
Volume8
Abstract

Background: Primary health care (PHC) is a key component of the health care system in many countries. In China, however, PHC institutions are less preferred by patients, leading to the underuse of PHC services. Factors affecting patients' preferences for PHC institutions in China remain unreported in the current literature, which was first explored in this study. Method: A qualitative interview study was conducted in Nanjing, Jiangsu Province of China. A semi-structured interview guide was applied to ask patients' opinions regarding the PHC institutions in China. Qualitative data analysis was conducted using the thematic framework approach. Results: A total of 142 participants were interviewed. Three themes and their sub-themes emerged from the study: (1) attributes of PHC services, including accessibility of primary healthcare services, consultation time, drug cost, continuity of care, referral system, opening hours, waiting time, and drug accessibility; (2) attributes of PHC doctors' workforce, including doctors' attitude, competence, and accessibility; (3) attributes of PHC facility infrastructure, including basic facilities, diagnostic facilities and department settings. It was identified that some attributes of PHC services had positive impacts on participants' preferences for PHC institutions, while the same attributes of PHC doctors were the opposite. Conclusion: There are three major factors that contribute to patients' preferences for PHC institutions in China. Policy interventions to improve doctors' workforce and facility infrastructure of PHC institutions are needed to promote patients' preferences for PHC.

KeywordChina Patient Preference Primary Health Care Qualitative
DOI10.3389/fpubh.2020.00414
URLView the original
Indexed BySCIE ; SSCI
WOS Research AreaPublic, Environmental & Occupational Health
WOS SubjectPublic, Environmental & Occupational Health
WOS IDWOS:000567882500001
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Cited Times [WOS]:1   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionInstitute of Chinese Medical Sciences
Corresponding AuthorXi,Xiaoyu
Affiliation1.The Research Center of National Drug Policy Ecosystem,China Pharmaceutical University,Nanjing,China
2.State Key Laboratory of Quality Research in Chinese Medicine,Institute of Chinese Medical Sciences,University of Macau,Macao
Recommended Citation
GB/T 7714
Zhang,Weiwei,Ung,Carolina Oi Lam,Lin,Guohua,et al. Factors Contributing to Patients' Preferences for Primary Health Care Institutions in China: A Qualitative Study[J]. Frontiers in Public Health,2020,8.
APA Zhang,Weiwei,Ung,Carolina Oi Lam,Lin,Guohua,Liu,Jie,Li,Wenjun,Hu,Hao,&Xi,Xiaoyu.(2020).Factors Contributing to Patients' Preferences for Primary Health Care Institutions in China: A Qualitative Study.Frontiers in Public Health,8.
MLA Zhang,Weiwei,et al."Factors Contributing to Patients' Preferences for Primary Health Care Institutions in China: A Qualitative Study".Frontiers in Public Health 8(2020).
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