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Determinants of Initial Utilization of Community Healthcare Services among Patients with Major Non-Communicable Chronic Diseases in South China

Author

Listed:
  • Huajie Yang
  • Xiang Huang
  • Zhiheng Zhou
  • Harry H X Wang
  • Xinyue Tong
  • Zhihong Wang
  • Jiaji Wang
  • Zuxun Lu

Abstract

Background: Although expected to act as gate-keeping primary care providers, as community health service (CHS) facilities are severely under-utilized; Chinese people in both rural and urban areas used predominantly higher-tier facilities for primary care purpose, with significant financial and outcome consequences. This study intends to explore the determinants of initial utilization of CHS among patients with major non-communicable chronic diseases (NCDs) in order to understand the care-seeking behavior among urban and rural residents in South China. Methods: A multi-stage cluster random sampling methodology was adopted to create a sample of 19,466 adults with NCDs from 7,970 urban households and 32,035 adults with NCDs from 3,860 rural households in Guangdong, China. Interviews and physical examinations were conducted in 2010 to collect data on patient characteristics, medical conditions, and awareness and utilization of healthcare. Descriptive analysis and logistic regression analysis were performed to study utilization patterns and the factors associated with the patterns. Results: Prevalence of major NCDs in urban areas was significantly higher than that in rural areas (12.55% vs. 8.70%; p

Suggested Citation

  • Huajie Yang & Xiang Huang & Zhiheng Zhou & Harry H X Wang & Xinyue Tong & Zhihong Wang & Jiaji Wang & Zuxun Lu, 2014. "Determinants of Initial Utilization of Community Healthcare Services among Patients with Major Non-Communicable Chronic Diseases in South China," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-15, December.
    • Handle: RePEc:plo:pone00:0116051
    DOI: 10.1371/journal.pone.0116051
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    References listed on IDEAS

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    1. Yuxi Zhao & Linqi Mao & Jun Lu & Qi Zhang & Gang Chen & Mei Sun & Fengshui Chang & Xiaohong Li, 2020. "Status and Factors Associated with Healthcare Choices among Older Adults and Children in an Urbanized County: A Cross-Sectional Study in Kunshan, China," IJERPH, MDPI, vol. 17(22), pages 1-12, November.
    2. Xiang Huang & Huajie Yang & Harry H.X. Wang & Yongjun Qiu & Xiujuan Lai & Zhiheng Zhou & Fangjian Li & Liwei Zhang & Jiaji Wang & Jimin Lei, 2015. "The Association Between Physical Activity, Mental Status, and Social and Family Support with Five Major Non-Communicable Chronic Diseases Among Elderly People: A Cross-Sectional Study of a Rural Popul," IJERPH, MDPI, vol. 12(10), pages 1-15, October.
    3. Jiazhi Zeng & Leiyu Shi & Xia Zou & Wen Chen & Li Ling, 2015. "Rural-to-Urban Migrants' Experiences with Primary Care under Different Types of Medical Institutions in Guangzhou, China," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-21, October.
    4. Yun Liu & Qingxia Kong & Shasha Yuan & Joris van de Klundert, 2018. "Factors influencing choice of health system access level in China: A systematic review," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-21, August.

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