| Beijing (N = 519) (R2 = 0.346 P < 0.001) | Fujian (N = 428) (R2= 0.200, P < 0.001) | Qinghai (N = 508) (R2 = 0.169, P < 0.05) | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 | N | β | S.E | OR | P | N | β | S.E | OR | P | N | β | S.E | OR | P |
Sex | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 Male | 229 | Reference |  |  | 202 | Reference |  |  | 226 | Reference |  |  | |||
 Female | 290 | -0.075 | 0.360 | 0.928(0.458–1.88) | 0.836 | 226 | -0.561 | 0.232 | 0.571(0.362-0.9) | 0.016 | 282 | 0.234 | 0.320 | 1.264(0.675–2.365) | 0.464 |
Age | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 < 45 | 323 | Reference |  |  | 219 | Reference |  |  | 289 | Reference |  |  | |||
 45–54 | 117 | 0.130 | 0.421 | 1.138(0.499–2.597) | 0.758 | 120 | 0.604 | 0.267 | 0.547(0.324–0.922) | 0.024 | 117 | -0.501 | 0.411 | 0.606(0.271–1.354) | 0.222 |
 55–64 | 55 | 1.295 | 0.519 | 3.651(1.319–10.105) | 0.013 | 68 | 0.665 | 0.330 | 0.514(0.269–0.983) | 0.044 | 81 | 0.195 | 0.397 | 1.216(0.558–2.648) | 0.623 |
 ≥ 65 | 24 | 1.572 | 0.804 | 4.817(0.995–23.314) | 0.051 | 21 | 0.883 | 0.702 | 2.418(0.611–9.562) | 0.208 | 21 | -0.600 | 0.854 | 0.549(0.103–2.928) | 0.483 |
Education | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 Junior or below | 21 | Reference |  |  | 22 | Reference |  |  | 43 | Reference |  |  | |||
 Senior high school | 352 | 0.300 | 0.852 | 1.350(0.254–7.163) | 0.725 | 271 | 0.985 | 0.532 | 2.679(0.945–7.594) | 0.064 | 327 | 0.464 | 0.665 | 1.590(0.432–5.857) | 0.486 |
 Bachelor or above | 146 | 0.841 | 0.867 | 2.319(0.424–12.682) | 0.332 | 135 | 1.316 | 0.558 | 3.728(1.249–11.126) | 0.018 | 138 | 0.795 | 0.696 | 2.215(0.566–8.668) | 0.253 |
Household status | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 Downtown | 157 | Reference |  |  | 114 | Reference |  |  | 131 | Reference |  |  | |||
 Suburbs | 118 | -0.211 | 0.261 | 0.810(0.360–1.822) | 0.610 | 94 | -0.967 | 0.344 | 2.630(1.339–5.166) | 0.005 | 103 | -0.017 | 0.485 | 0.983(0.3804–2.544) | 0.973 |
 Outside the city | 244 | -1.304 | 10.54 | 0.271(0.123–0.596) | 0.001 | 220 | -0.607 | 0.278 | 1.835(1.064–3.163) | 0.029 | 274 | 0.610 | 0.394 | 1.840(0.850–3.981) | 0.122 |
Length of residence | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 Less than 1 year | 40 | Reference |  |  | 35 | Reference |  |  | 46 | Reference |  |  | |||
 1–2 years | 81 | 2.039 | 1.284 | 7.685(0.62-95.217) | 0.112 | 92 | 0.322 | 0.449 | 1.380(0.573–3.323) | 0.473 | 112 | 0.622 | 0.724 | 1.863(0.451-7.700) | 0.390 |
 More than 2 years | 398 | 2.021 | 1.249 | 7.549(0.653–87.298) | 0.106 | 301 | 0.433 | 0.400 | 1.542(0.704–3.377) | 0.278 | 350 | 0.879 | 0.655 | 2.409(0.667–8.703) | 0.180 |
Chronic disease status | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 Yes | 476 | Reference |  |  | 426 | Reference |  |  | 508 | Reference |  |  | |||
 No | 43 | -1.463 | 0.630 | 0.232(0.067–0.796) | 0.020 | 2 | -21.368 | 28420.757 | 0.000 | 0.999 | 0 | - | |||
Average monthly medical expense | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | ||||
 ≤CNY 300 (US$ 42) | 91 | Reference |  |  | 75 | Reference |  |  | 95 | Reference |  |  | |||
 CNY 301–800 (US$ 42–112) | 299 | 0.506 | 0.496 | 1.659(0.628–4.383) | 0.307 | 285 | 0.855 | 0.310 | 2.351(1.280–4.317) | 0.006 | 311 | 0.014 | 0.390 | 1.014(0.472–2.178) | 0.971 |
 >CNY 800 (US$ 112) | 129 | -0.347 | 0.621 | 0.707(0.209–2.385) | 0.576 | 68 | 1.101 | 0.400 | 3.008(1.373–6.590) | 0.006 | 102 | -0.690 | 0.549 | 0.502(0.171–1.472) | 0.209 |
Medical institution of choice for common diseases | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | ||||
 Pharmacy | 117 | Reference |  |  | 142 | Reference |  |  | 190 | Reference |  |  | |||
 Community health service center | 253 | 0.327 | 0.428 | 1.386(0.599–3.209) | 0.446 | 181 | 0.491 | 0.270 | 1.633(0.962–2.774) | 0.069 | 196 | 0.662 | 0.362 | 1.939(0.953–3.943) | 0.068 |
 Secondary Hospital | 84 | -0.390 | 0.690 | 0.677(0.175–2.617) | 0.572 | 69 | -0.236 | 0.346 | 0.790(0.401–1.557) | 0.496 | 76 | -0.443 | 0.599 | 0.642(0.198–2.078) | 0.460 |
 Tertiary Hospitals | 27 | 0.471 | 0.745 | 1.601(0.372–6.895) | 0.528 | 17 | -0.418 | 0.565 | 0.658(0.217–1.993) | 0.460 | 23 | 1.191 | 0.616 | 3.290(0.983–11.014) | 0.053 |
 Others | 38 | 0.897 | 0.675 | 2.453(0.654–9.201) | 0.183 | 19 | 0.385 | 0.599 | 1.470(0.455–4.751) | 0.520 | 23 | -0.783 | 1.101 | 0.457(0.053–3.955) | 0.477 |
Medical institution of choice for chronic diseases | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | ||||
 Pharmacy | 102 | Reference |  |  | 131 | Reference |  |  | 176 | Reference |  |  | |||
 Community health service center | 193 | 1.191 | 0.526 | 3.291(1.173–9.236) | 0.024 | 139 | -0.056 | 0.301 | 0.946(0.524–1.707) | 0.853 | 142 | 0.703 | 0.396 | 2.021(0.929–4.394) | 0.076 |
 Secondary Hospital | 129 | 0.254 | 0.596 | 1.289(0.401–4.149) | 0.670 | 99 | 0.068 | 0.320 | 1.071(0.572–2.005) | 0.831 | 119 | 0.690 | 0.424 | 1.994(0.869–4.580) | 0.104 |
 Tertiary Hospitals | 81 | -0.126 | 0.685 | 0.882(0.230–3.379) | 0.855 | 47 | -0.725 | 0.409 | 0.485(0.217–1.080) | 0.076 | 57 | -0.620 | 0.687 | 0.538(0.140–2.066) | 0.366 |
 Others | 14 | 2.915 | 0.957 | 18.456(2.828-120.429) | 0.002 | 12 | 0.662 | 0.775 | 1.94(0.425–8.862) | 0.393 | 14 | 1.814 | 0.724 | 6.133(1.484–25.342) | 0.012 |
Understanding of the family doctor contract services policy | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | |||||
 Yes | 103 | Reference |  |  | 386 | Reference |  |  | 150 | Reference |  |  | |||
 No | 416 | 0.927 | 0.398 | 2.526(1.157–5.513) | 0.020 | 42 | -1.052 | 0.397 | 0.349(0.160–0.760) | 0.008 | 358 | -0.277 | 0.348 | 0.758(0.383-1.500) | 0.426 |
Understanding of the community first visit policy | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | ||||
 Yes | 76 | Reference |  |  | 383 | Reference |  |  | 32 | Reference |  |  | |||
 No | 443 | -1.058 | 0.445 | 0.347(0.145–0.830) | 0.017 | 45 | 0.125 | 0.376 | 1.133(0.543–2.366) | 0.739 | 476 | 0.163 | 0.667 | 1.177(0.318–4.355) | 0.807 |
Attitudes toward the community first visit policy | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | ||||
 Not recognize | 77 | Reference |  |  | 213 | Reference |  |  | 290 | Reference |  |  | |||
 Moderate | 77 | 2.905 | 0.884 | 18.263(3.231-103.219) | 0.001 | 109 | 0.210 | 0.289 | 1.234(0.700-2.176) | 0.468 | 124 | 0.705 | 0.368 | 2.025(0.985–4.161) | 0.055 |
 Partly recognize | 238 | 2.190 | 0.823 | 8.938(1.783–44.815) | 0.008 | 67 | -0.126 | 0.329 | 0.882(0.463–1.68) | 0.703 | 69 | 0.090 | 0.482 | 1.094(0.425–2.815) | 0.853 |
 Completely recognize | 127 | 2.111 | 0.848 | 8.257(1.567–43.52) | 0.013 | 39 | -0.146 | 0.405 | 0.864(0.391–1.911) | 0.718 | 25 | -1.004 | 1.073 | 0.366(0.045–3.004) | 0.350 |
Attitudes toward the hierarchical medical system | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | ||||
 Support | 232 | Reference |  |  | 169 | Reference |  |  | 233 | Reference |  |  | |||
 Worry | 43 | -0.009 | 0.873 | 0.991(0.179–5.488) | 0.992 | 61 | 0.228 | 0.367 | 1.257(0.612–2.582) | 0.534 | 68 | -0.059 | 0.518 | 0.943(0.342–2.601) | 0.910 |
 Still many problems | 105 | 0.024 | 0.449 | 1.025(0.425–2.472) | 0.957 | 69 | -0.333 | 0.329 | 0.717(0.376–1.366) | 0.311 | 122 | 0.706 | 0.377 | 2.025(0.967–4.243) | 0.062 |
 Not clear | 139 | 0.596 | 0.424 | 1.815(0.790–4.17) | 0.160 | 129 | -0.030 | 0.287 | 0.971(0.553–1.704) | 0.917 | 85 | 0.710 | 0.423 | 2.035(0.888–4.662) | 0.093 |
Recognition of the hierarchical medical system | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | ||||
 Not recognize | 45 | Reference |  |  | 35 | Reference |  |  | 31 | Reference |  |  | |||
 Moderate | 184 | 0.647 | 0.721 | 1.910(0.464–7.855) | 0.370 | 96 | -0.107 | 0.472 | 0.898(0.356–2.265) | 0.820 | 108 | -0.141 | 0.784 | 0.868(0.187–4.041) | 0.857 |
 Partly recognize | 241 | 1.141 | 0.721 | 3.129(0.762–12.857) | 0.114 | 207 | -0.306 | 0.439 | 0.736(0.312–1.741) | 0.486 | 253 | 0.255 | 0.713 | 1.290(0.319–5.213) | 0.721 |
 Completely recognize | 49 | 1.394 | 0.903 | 4.030(0.686–23.661) | 0.123 | 90 | 0.472 | 0.495 | 1.603(0.608–4.227) | 0.340 | 116 | 0.216 | 0.740 | 1.241(0.291–5.294) | 0.770 |