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The Mediation Effect of Perceived Attitudes toward Medical Service on the Association between Public Satisfaction with the Overall Medical Service and Self-Rated Health among the General Population in China: A Cross-Sectional Study

Author

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  • Wanwan Zheng

    (Graduate School of Management of Technology, Pukyong National University, 365 Sinseon-ro, Nam-gu, Busan 48547, Republic of Korea)

  • Yuqing Liang

    (Graduate School of Management of Technology, Pukyong National University, 365 Sinseon-ro, Nam-gu, Busan 48547, Republic of Korea)

  • Woon Seek Lee

    (Graduate School of Management of Technology, Pukyong National University, 365 Sinseon-ro, Nam-gu, Busan 48547, Republic of Korea)

  • Youngwook Ko

    (Graduate School of Management of Technology, Pukyong National University, 365 Sinseon-ro, Nam-gu, Busan 48547, Republic of Korea
    Institute for Basic Science, Daejeon 34126, Republic of Korea)

Abstract

This study aimed to examine the association between public satisfaction with the overall medical service and individuals’ self-rated health among 18,852 Chinese adults aged 16–60 years by using data from the 2018 China Family Panel Studies. We further test whether such an association is mediated by perceived attitudes toward the medical service. The logistic regression model is used to explore the association between public satisfaction with the overall medical service and individuals’ self-rated health (SRH) outcomes. Mediation analysis was conducted by using the Karlson–Holm–Breen (KHB) method. We found that public satisfaction with the overall medical service was associated with good SRH. Additional results indicated that the association between public satisfaction with the overall medical service and SRH was significantly mediated by perceived attitudes toward the medical service. The degree of mediation is much larger for individuals’ satisfaction with the level of medical expertise than for trusting in doctors, attitudes toward medical service problems, and the attitude toward the level of the hospital. Targeted medical policy interventions are designed to promote individuals’ perceived attitudes toward the medical service, which might help to improve individuals’ health benefits.

Suggested Citation

  • Wanwan Zheng & Yuqing Liang & Woon Seek Lee & Youngwook Ko, 2023. "The Mediation Effect of Perceived Attitudes toward Medical Service on the Association between Public Satisfaction with the Overall Medical Service and Self-Rated Health among the General Population in," IJERPH, MDPI, vol. 20(4), pages 1-16, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:4:p:3369-:d:1068605
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    1. Fei Zhang & Xinjie Shi & Yun Zhou, 2020. "The Impact of Health Insurance on Healthcare Utilization by Migrant Workers in China," IJERPH, MDPI, vol. 17(6), pages 1-14, March.
    2. Kimberly V. Smith & Noreen Goldman, 2007. "Socioeconomic differences in health among older adults in Mexico," Working Papers 283, Princeton University, Woodrow Wilson School of Public and International Affairs, Office of Population Research..
    3. Karim Abu-Omar & Alfred Rütten & Jean-Marie Robine, 2004. "Self-rated health and physical activity in the European Union," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 49(4), pages 235-242, August.
    4. Ulrich Kohler & Kristian Bernt Karlson & Anders Holm, 2011. "Comparing coefficients of nested nonlinear probability models," Stata Journal, StataCorp LP, vol. 11(3), pages 420-438, September.
    5. Jayanta Kumar Bora & Nandita Saikia, 2015. "Gender Differentials in Self-Rated Health and Self-Reported Disability among Adults in India," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-14, November.
    6. Footman, Katharine & Roberts, Bayard & Mills, Anne & Richardson, Erica & McKee, Martin, 2013. "Public satisfaction as a measure of health system performance: A study of nine countries in the former Soviet Union," Health Policy, Elsevier, vol. 112(1), pages 62-69.
    7. Hong Zou & Qianqian Xiong & Hongwei Xu, 2020. "Does Subjective Social Status Predict Self-Rated Health in Chinese Adults and Why?," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 152(2), pages 443-471, November.
    8. He, Alex Jingwei & Qian, Jiwei, 2016. "Explaining medical disputes in Chinese public hospitals: the doctor–patient relationship and its implications for health policy reforms," Health Economics, Policy and Law, Cambridge University Press, vol. 11(4), pages 359-378, October.
    9. Liu, Zhiqiang, 2005. "Institution and inequality: the hukou system in China," Journal of Comparative Economics, Elsevier, vol. 33(1), pages 133-157, March.
    10. Jung-A Lee & Jong Heon Park & Myung Kim, 2015. "Social and Physical Environments and Self-Rated Health in Urban and Rural Communities in Korea," IJERPH, MDPI, vol. 12(11), pages 1-13, November.
    11. Lingpeng Meng & Xiang Yu & Chuanfeng Han & Pihui Liu, 2022. "Does Internet Use Aggravate Public Distrust of Doctors? Evidence from China," Sustainability, MDPI, vol. 14(7), pages 1-18, March.
    12. Ulrich Kohler, 2011. "Comparing coefficients between nested nonlinear probability models," German Stata Users' Group Meetings 2011 08, Stata Users Group.
    13. Mo Zhou & Isao Igarashi & Koichi Kawabuchi, 2023. "Static and Dynamic Impacts of Internet Use on Self-Rated Health among Adults in China: A Hybrid Model Analysis Based on National Panel Survey Data," IJERPH, MDPI, vol. 20(2), pages 1-13, January.
    14. Richard G. Netemeyer & David G. Dobolyi & Ahmed Abbasi & Gari Clifford & Herman Taylor, 2020. "Health Literacy, Health Numeracy, and Trust in Doctor: Effects on Key Patient Health Outcomes," Journal of Consumer Affairs, Wiley Blackwell, vol. 54(1), pages 3-42, March.
    15. He Chen & Tianguang Meng, 2015. "Bonding, Bridging, and Linking Social Capital and Self-Rated Health among Chinese Adults: Use of the Anchoring Vignettes Technique," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-15, November.
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