Dissatisfaction with Local Medical Services for Middle-Aged and Elderly in China: What Is Relevant?

Fan, Xiaojing, Su, Min, Zhao, Yaxin and Wang, Duolao ORCID: https://orcid.org/0000-0003-2788-2464 (2021) 'Dissatisfaction with Local Medical Services for Middle-Aged and Elderly in China: What Is Relevant?'. International Journal of Environmental Research and Public Health, Vol 18, Issue 8, p. 3931.

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Abstract

As violent clashes between doctors and patients in China intensify, patient dissatisfaction has been identified as a major concern in the current healthcare reform in China. This study aims to investigate the main determinants of dissatisfaction with local medical services attributable to middle-aged and elderly characteristics and identify areas for improvement. A total of 14,263 rural participants and 4898 urban participants were drawn from the China Health and Retirement Longitudinal Study in 2018. Dissatisfaction was measured by two methods: binary outcome (1 = Dissatisfaction; 0 = No) demonstrated the risk of occurring dissatisfaction among various characteristics, and continuous outcome (ranges from score 1 to 5) showed the degree. The mean score of dissatisfaction was 2.73 ± 1.08. Sixteen percent of rural participants and 19% of urban participants reported dissatisfaction with local medical services, respectively. The multilevel analyses demonstrated that participants’ utilization of paid family doctor services decreased the risk of occurring dissatisfaction; dissatisfaction was less focused on females; having chronic diseases increased the risk of dissatisfaction. This study suggests promotion of family doctor services can effectively reduce middle-aged and elderly dissatisfaction with the local medical services. In addition, more attention should be focused on males and middle-aged and elderly with chronic diseases in order to decrease dissatisfaction.

Item Type:	Article
Subjects:	W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 85 Patients. Attitude and compliance W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 84.4 Quality of Health Care WA Public Health > Health Administration and Organization > WA 546 Local Health Administration. Community Health Services WT Geriatrics. Chronic Disease > Geriatrics > WT 100 General works
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.3390/ijerph18083931
SWORD Depositor:	JISC Pubrouter
Depositing User:	Stacy Murtagh
Date Deposited:	19 Apr 2021 10:23
Last Modified:	19 Apr 2021 10:23
URI:	https://archive.lstmed.ac.uk/id/eprint/17625

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