Why the oldest old in China bypass primary care: culture, family, and health system limitations.

ABSTRACT:

Purpose

This study contributes to the understanding of primary care bypassing in China by focusing on an underexplored demographic: the oldest old (individuals aged 80 years and above). While previous research has predominantly focused on health system determinants of bypassing, this study also considers social and cultural factors involved in the oldest old's health-related decision-making and health-seeking behaviour.

Methods

Data were collected through 20 in-depth interviews with participants from Shandong, Henan, and Shanghai. Data analysis combined inductive and deductive approaches. Initially, we used the constructive grounded theory approach of inductive coding to allow codes to emerge from participants' narratives. Later, we integrated the emerging categories within

SUBMITTER: Wamsiedel M 

PROVIDER: S-EPMC12278461 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature