Factors influencing contracting of residents with family doctors in China: a national cross-sectional survey

Zhao, Ning; Gu, Mei; Li, Jin; Zhang, Haiyan; Yang, Jia

doi:10.1186/s12913-024-10606-y

BMC Health Services Research

Table 1 Contracting status of FDCS among residents

From: Factors influencing contracting of residents with family doctors in China: a national cross-sectional survey

Variables	Province			Cases	χ²	P
Variables	Beijing	Fujian	Qinghai	Cases	χ²	P
Total	519	428	508	1455
Gender					1.034	0.596
Male	229	202	226	657
Female	290	226	282	798
Age (years)					15.551	0.016
< 45	323	219	289	831
45–54	117	120	117	354
55–64	55	68	81	204
≥ 65	24	21	21	66
Education					11.588	0.021
Junior or below	21	22	43	86
Senior high school	352	271	327	950
Bachelor or above	146	135	138	419
Household status					5.294	0.258
Downtown	157	114	131	402
Suburbs	118	94	103	315
Outside the city	244	220	274	738
Length of residence					9.561	0.049
Less than 1 year	40	35	46	121
1–2 years	81	92	112	285
More than 2 years	398	301	350	1049
Average monthly medical expense					12.601	0.013
≤CNY 300 (US$ 42)	91	75	95	261
CNY 301–800 (US$ 42–112)	299	285	311	895
>CNY 800 (US$ 112)	129	68	102	299
Chronic disease status					72.743	0.000
Yes	476	426	508	1410
No	43	2	0	45
Medical institution of choice for common diseases					31.655	0.000
Pharmacy	117	142	190	449
Community health service center	253	181	196	630
Secondary Hospital	84	69	76	229
Tertiary Hospitals	27	17	23	67
Others	38	19	23	80
Medical institution of choice for chronic diseases					34.274	0.000
Pharmacy	102	131	176	409
Community health service center	193	139	142	474
Secondary Hospital	129	99	119	347
Tertiary Hospitals	81	47	57	185
Others	14	12	14	40
Understanding of the family doctor contract services policy					55.945	0.000
Yes	103	386	150	639
No	416	42	358	816
Signing of family doctors					408.413	0.000
Yes	71	276	57	404
No	448	152	451	1051
Understanding of the community first visit policy					18.996	0.000
Yes	76	383	32	491
No	443	45	476	964
Attitudes toward the community first visit policy					355.900	0.000
Not recognize	77	213	290	580
Moderate	77	109	124	310
Partly recognize	238	67	69	374
Completely recognize	127	39	25	191
Attitudes toward the hierarchical medical system					37.534	0.000
Support	232	169	233	634
Worry	43	61	68	172
Still many problems	105	69	122	296
Not clear	139	129	85	353
Recognition of the hierarchical medical system					57.062	0.000
Not recognize	45	35	31	111
Moderate	184	96	108	388
Partly recognize	241	207	253	701
Completely recognize	49	90	116	255

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ISSN: 1472-6963

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