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