Explaining public satisfaction with health-care systems: findings from a nationwide survey in China.
Explaining public satisfaction with health-care systems: findings from a nationwide survey in China.
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DOI：
10.1111/hex.12429
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发表时间：
2016-06
期刊：
影响因子：
--
通讯作者：
Duckett J
中科院分区：
文献类型：
--
作者：
Munro N;Duckett J
确定与中国医疗保健系统满意度相关的因素。最近的研究表明，社会人口特征，自我报告的健康，收入和保险，意识形态信仰，医疗保健利用率，媒体使用和对服务的看法可能会影响医疗保健系统的满意度，但这些因素的相对重要性知之甚少。来自中国的新数据为检验有关医疗保健系统满意度来源的理论提供了机会。分层的全国调查样本使用多层次逻辑回归分析。背景和参与者：2012年11月1日至2013年1月17日期间居住在家庭住宅中的3680名中国成年人。对中国医疗体系运行方式的满意度。我们发现满意度与社会人口特征，自我报告的健康和收入之间只有微弱的关联。然而，我们确实发现，满意度与拥有保险和相信个人有责任支付医疗费用密切相关。我们还发现，它与利用率、社交媒体的使用、对获取不平等的看法以及对服务提供者不道德的看法呈负相关。为了提高满意度，中国的政策制定者--以及具有类似医疗体系特征的国家的政策制定者--应该提高保险覆盖率和医疗服务质量，并解决不道德的医疗行为。
To identify factors associated with health‐care system satisfaction in China. Recent research suggests that socio‐demographic characteristics, self‐reported health, income and insurance, ideological beliefs, health‐care utilization, media use and perceptions of services may affect health‐care system satisfaction, but the relative importance of these factors is poorly understood. New data from China offer the opportunity to test theories about the sources of health‐care system satisfaction. Stratified nationwide survey sample analysed using multilevel logistic regression. Setting and participants: 3680 Chinese adults residing in family dwellings between 1 November 2012 and 17 January 2013. Satisfaction with the way the health‐care system in China is run. We find only weak associations between satisfaction and socio‐demographic characteristics, self‐reported health and income. We do, however, find that satisfaction is strongly associated with having insurance and belief in personal responsibility for meeting health‐care costs. We also find it is negatively associated with utilization, social media use, perceptions of access as unequal and perceptions of service providers as unethical. To improve satisfaction, Chinese policymakers – and their counterparts in countries with similar health‐care system characteristics – should improve insurance coverage and the quality of health services, and tackle unethical medical practices.