Factors Influencing Residents’ Willingness to Contract With General Practitioners in Guangzhou, China, During the GP Policy Trial Phase: A Cross-Sectional Study Based on Andersen’s Behavioral Model of Health Services Use
This study aimed to investigate the current contract rate and residents’ willingness to contract with general practitioner (GP) services in Guangzhou, China, during the policy trial phase, and also to explore the association of behavior contract and contract willingness with variables based on Ander...
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Online Access: | https://doi.org/10.1177/0046958019845484 |
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doaj-37e2b571232f4021b4a5853aa0ce32f82020-11-25T03:25:09ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432019-05-015610.1177/0046958019845484Factors Influencing Residents’ Willingness to Contract With General Practitioners in Guangzhou, China, During the GP Policy Trial Phase: A Cross-Sectional Study Based on Andersen’s Behavioral Model of Health Services UseZhongqi Liu MB0Yawen Tan MB1Haiqing Liang MB2Yijun Gu MB3Xiaowen Wang MB4Yuantao Hao PhD5Jing Gu PhD6Chun Hao PhD7Health Information Research Center & Guangdong Key Laboratory of Medicine, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, People’s Republic of ChinaPeking University Sixth Hospital/Institute of Mental Health, ChinaHaizhu District Center for Disease Control and Prevention, Guangzhou, ChinaInstitute of Clinical Epidemiology and Evidence - based Medicine, Tongji University School of Medicine, Shanghai, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, ChinaHealth Information Research Center & Guangdong Key Laboratory of Medicine, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, People’s Republic of ChinaHealth Information Research Center & Guangdong Key Laboratory of Medicine, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, People’s Republic of ChinaHealth Information Research Center & Guangdong Key Laboratory of Medicine, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, People’s Republic of ChinaThis study aimed to investigate the current contract rate and residents’ willingness to contract with general practitioner (GP) services in Guangzhou, China, during the policy trial phase, and also to explore the association of behavior contract and contract willingness with variables based on Andersen’s Behavioral Model of Health Services Use (ABM). In total, 160 residents from community health centers (CHCs) and 202 residents from hospitals were recruited in this study. The outcome variables were behavior contract and contract willingness. Based on the framework of ABM, independent variables were categorized as predisposing factors, enabling factors, need factors, and CHC service utilization experiences. Univariate and multivariate logistic regression analysis models were applied to explore the associated factors. Out of 362 participants, 14.4% had contracted with GP services. For those who had not contracted with GP services, only 16.4% (51 out of 310) claimed they were willing to do so. The contract rate for community-based participants was significantly higher than that for hospital-based participants. Major reasons for not choosing to contract were perceiving no benefit from the service and concerns about the quality of CHCs. Community health center experiences and satisfaction were significantly associated with contracting among hospital-based participants. A need factor (diagnosed with hypertension or diabetes) and CHC service utilization experiences (have gotten services from the same doctor in CHCs) were significantly associated with contract willingness among CHC-based participants. Intervention to improve awareness of GP services may help to promote this service. Different intervention strategies should be used for varying resident populations.https://doi.org/10.1177/0046958019845484 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Zhongqi Liu MB Yawen Tan MB Haiqing Liang MB Yijun Gu MB Xiaowen Wang MB Yuantao Hao PhD Jing Gu PhD Chun Hao PhD |
spellingShingle |
Zhongqi Liu MB Yawen Tan MB Haiqing Liang MB Yijun Gu MB Xiaowen Wang MB Yuantao Hao PhD Jing Gu PhD Chun Hao PhD Factors Influencing Residents’ Willingness to Contract With General Practitioners in Guangzhou, China, During the GP Policy Trial Phase: A Cross-Sectional Study Based on Andersen’s Behavioral Model of Health Services Use Inquiry: The Journal of Health Care Organization, Provision, and Financing |
author_facet |
Zhongqi Liu MB Yawen Tan MB Haiqing Liang MB Yijun Gu MB Xiaowen Wang MB Yuantao Hao PhD Jing Gu PhD Chun Hao PhD |
author_sort |
Zhongqi Liu MB |
title |
Factors Influencing Residents’ Willingness to Contract With General Practitioners in Guangzhou, China, During the GP Policy Trial Phase: A Cross-Sectional Study Based on Andersen’s Behavioral Model of Health Services Use |
title_short |
Factors Influencing Residents’ Willingness to Contract With General Practitioners in Guangzhou, China, During the GP Policy Trial Phase: A Cross-Sectional Study Based on Andersen’s Behavioral Model of Health Services Use |
title_full |
Factors Influencing Residents’ Willingness to Contract With General Practitioners in Guangzhou, China, During the GP Policy Trial Phase: A Cross-Sectional Study Based on Andersen’s Behavioral Model of Health Services Use |
title_fullStr |
Factors Influencing Residents’ Willingness to Contract With General Practitioners in Guangzhou, China, During the GP Policy Trial Phase: A Cross-Sectional Study Based on Andersen’s Behavioral Model of Health Services Use |
title_full_unstemmed |
Factors Influencing Residents’ Willingness to Contract With General Practitioners in Guangzhou, China, During the GP Policy Trial Phase: A Cross-Sectional Study Based on Andersen’s Behavioral Model of Health Services Use |
title_sort |
factors influencing residents’ willingness to contract with general practitioners in guangzhou, china, during the gp policy trial phase: a cross-sectional study based on andersen’s behavioral model of health services use |
publisher |
SAGE Publishing |
series |
Inquiry: The Journal of Health Care Organization, Provision, and Financing |
issn |
0046-9580 1945-7243 |
publishDate |
2019-05-01 |
description |
This study aimed to investigate the current contract rate and residents’ willingness to contract with general practitioner (GP) services in Guangzhou, China, during the policy trial phase, and also to explore the association of behavior contract and contract willingness with variables based on Andersen’s Behavioral Model of Health Services Use (ABM). In total, 160 residents from community health centers (CHCs) and 202 residents from hospitals were recruited in this study. The outcome variables were behavior contract and contract willingness. Based on the framework of ABM, independent variables were categorized as predisposing factors, enabling factors, need factors, and CHC service utilization experiences. Univariate and multivariate logistic regression analysis models were applied to explore the associated factors. Out of 362 participants, 14.4% had contracted with GP services. For those who had not contracted with GP services, only 16.4% (51 out of 310) claimed they were willing to do so. The contract rate for community-based participants was significantly higher than that for hospital-based participants. Major reasons for not choosing to contract were perceiving no benefit from the service and concerns about the quality of CHCs. Community health center experiences and satisfaction were significantly associated with contracting among hospital-based participants. A need factor (diagnosed with hypertension or diabetes) and CHC service utilization experiences (have gotten services from the same doctor in CHCs) were significantly associated with contract willingness among CHC-based participants. Intervention to improve awareness of GP services may help to promote this service. Different intervention strategies should be used for varying resident populations. |
url |
https://doi.org/10.1177/0046958019845484 |
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