中国基层医疗卫生服务首次就诊意愿率及其相关因素：一项Meta分析

Willingness rate of the first visit to primary healthcare services and the associated factors in China: a meta-analysis.

作者信息

Liu Chong, Qiu Lei, Wang Huimin

机构信息

Research Institute of Management Science, Hohai University, No. 8 Fucheng West Road, Jiangning District, Nanjing 211100, Jiangsu, China; and Personnel Department, Nanjing University of Finance and Economics, No. 3 Wenyuan Road, Xianlin Street, Qixia District, Nanjing 210023, Jiangsu, China.

Research Institute of Management Science, Hohai University, No. 8 Fucheng West Road, Jiangning District, Nanjing 211100, Jiangsu, China.

出版信息

Aust J Prim Health. 2022 Dec;28(6):459-468. doi: 10.1071/PY21296.

DOI:10.1071/PY21296

PMID:35858635

Abstract

BACKGROUND

In September 2015, the State Council of China issued guidelines on building a hierarchical medical system, stating that the first visit rate to primary healthcare (PHC) facilities should be increased to 70% for all medical facilities by 2017. This meta-analysis aims to estimate the willingness of the first visit to PHC services in China after the year 2015 and identify its determinants.

METHODS

A meta-analysis was conducted.

RESULTS

The combined estimate from 23 studies in China for the willingness rate of the first visit to PHC services was 56% (95% CI: 47-65). Chronic diseases may be one source of heterogeneity. We identified five main associated factors with the pooled odds ratio ranging from 1.39 to 10.28, including fair self-reported health status; high understanding of service content; good service attitude; solid expertise and advanced diagnostic methods; and a good medical environment.

CONCLUSION

In comparison with China's State Council recommendations, the willingness rate for the first visit to PHC services was significantly lower. The Government should develop strategies to facilitate the implementation of a hierarchical system for diagnosis and treatment.

摘要