Skip to main content

Table 1 Health needs and healthcare seeking behaviors before and after China’s health system reform

From: Synergy of policies to strengthen primary care: evidence from a national repeated cross-sectional study

  2008 2013 Relative change (%) P value
Health needs
 Prevalence within 2 weeks (mean‰[mean ± SD]) 18.9 (15.1, 22.8) 24.1 (19.9, 28.3) 27.5% < 0.001
 Prevalence of chronic diseases (mean‰[mean ± SD]) 24.1 (20.4, 27.8) 33.1 (29.0, 37.2) 37.3% < 0.001
Outpatient healthcare seeking behavior
Outpatient visits within 2 weeks (mean%[mean ± SD]) 14.5 (8.4, 20.6) 13.0 (7.9, 18.1) −10.3% 0.105
healthcare-seeking behaviors for people in a need for outpatient care (%)     < 0.001
  Outpatient care 39.1 37.2 −4.8%  
  Self-medication 27.1 14.1 −48.0%  
  Continued treatment that took two weeks before 23.3 47.2 102.6%  
  No treatment 10.6 1.4 − 86.8%  
The percentage of non-treatment or self-medication due to financial difficulties (%) 24.4 13.6 −44.3% < 0.001
Percentage of outpatient healthcare provider (%)     < 0.001
  Village/community healthcare stations 49.5 50.2 1.4%  
  Township/community healthcare centers 24.2 22.4 −7.4%  
  County hospitals 17.3 16.9 −2.3%  
  Municipal and higher-level hospitals 8.9 10.5 18.0%  
Inpatient healthcare seeking behavior
Admissions within 1 year (mean%[mean ± SD]) 6.8
(6.5–7.1)
9.0
(8.6–9.4)
32.4% < 0.001
The percentage of people reported a need for admission but did not receive inpatient care (%) 25.1 17.1 − 31.9% < 0.001
The percentage of non-hospitalized due to financial difficulties (%) 70.3 43.2 −38.5% < 0.001
Percentage of inpatient healthcare provider (%)     < 0.001
  Township/community healthcare centers 28.7 21.0 −26.8%  
  County hospitals 48.2 51.6 7.1%  
  Municipal hospitals 11.9 17.9 50.4%  
  Provincial hospitals 8.2 7.3 −11.0%  
N 177,501 273,687