Impact of the hierarchical medical system on the perceived quality of primary care in China: a quasi-experimental study.

ABSTRACT:

Background

Although the implementation of a hierarchical medical system (HMS) has been shown to improve the allocation of medical resources and patient health-seeking behaviour, its role in patient's perceived quality of primary care remains unexplored. This study aimed to assess the impact of HMS implementation on rural and urban residents' perceived quality of primary care.

Methods

Data were obtained from the China Family Panel Study for 2012, 2014, 2016, and 2018. A total of 40,011 rural and 22,482 urban residents were included in the research participants for analysis. This study adopted a quasi-natural experimental design, and the multiple-period difference-in-differences method was used to capture changes in patient's perceived quality of primary care before and after

SUBMITTER: Zhao Y 

PROVIDER: S-EPMC11837713 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature