Can family doctor contracted services facilitate orderly visits in the referral system? A frontier policy study from Shanghai, China.

ABSTRACT:

Background

China committed to establishing a family doctor (FD)-based referral system following the medical reform in 2009. This paper explored the effect of FD on establishing the anticipated system.

Methods

Two waves of survey were conducted in Shanghai, China. 2754 and 1995 individuals were sampled in 2013 and 2016 respectively. We compared orderly visiting behaviour between contracted and non-contracted residents. Logistic regression models were performed to further test the effect of FD on orderly visits.

Results

More contracted residents first-contacted community health service centres (CHSCs; 45.48%) than non-contracted residents (28.93%). Contracted residents were also more likely to refer to specialists via CHSCs than the non-contracted (9.84% vs. 2.60%). The

SUBMITTER: Huang J 

PROVIDER: S-EPMC9293337 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature