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Table 2 Binary logistic regression analysis of the factors associated with contracting with family doctors by province

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

 

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

               

 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

               

 < 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

               

 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

               

 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

               

 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

               

 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

           

 ≤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

           

 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

           

 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

          

 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

           

 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

           

 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

           

 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

           

 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

  1. R2 = Nagelkerkes coefficient of determination