Author:
Lv Bo,Zhang Ling,Meng Kai
Abstract
Abstract
Background
China's family doctor contracting service is an important part of deepening the reform of the healthcare systems, aiming to further develop chronic disease management services, enhance the capacity of primary health care services and improve the health of residents. The purpose of this study was to explore the influence of multiple chronic conditions in the elderly on family doctor contracting and whether socioeconomic status played a moderating role.
Methods
A cross-sectional survey was conducted in Beijing, China. A total of 1814 elderly people over 60 years old were included in this study using a whole-group sampling method. The univariate analysis and logistic regression analysis was used to analyze the data.
Results
21.72% of the elderly signed up with family doctors. The multiple chronic conditions was a factor influencing the elderly to sign up with family doctors (OR = 1.44, 95%CI = 1.28–1.61), and the higher the degree of multiple chronic conditions, the stronger willingness to sign up. Socioeconomic status positively moderates the effect of multiple chronic conditions on signing. Also, physical activity intensity (OR = 1.25, 95%CI = 1.03–1.54) and willingness to first visit primary care facilities (OR = 1.38, 95%CI = 1.25–1.54) influenced the elderly to sign up with family doctors.
Conclusions
The elderly with a high degree of multiple chronic conditions, high activity intensity, and a strong willingness to first visit primary care facilities were more likely to sign up with family doctors. The health literacy of the elderly should be further improved, and publicity on the family doctor contracting service policies for the elderly with lower socioeconomic status should be strengthened to guide them to sign up with family doctors. At the same time, the service capacity of primary care facilities should be further improved to meet the health needs of the elderly.
Funder
National Key Research and Development Program of China
National Natural Science Foundation of China
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference61 articles.
1. Li L. China’s population aging from the data of the Seventh National Congress. Chin Econ Trade J. 2021;10:62–4.
2. Wang LM, Chen ZH, Zhang M, Zhao ZP, Huang ZJ, Zhang X, et al. Study on the prevalence and disease burden of chronic diseases in the Chinese elderly population. Chin J Epidemiol. 2019;40(3):277–83.
3. Liu Y, Duan Y, He Y. The evolutionary trends of health inequality among elderly Chinese people and influencing factors of these trends from 2005 to 2017. Int J Health Plann Manage. 2022;37(5):2918–35.
4. Reynolds R, Dennis S, Hasan I, Slewa J, Chen W, Tian D, et al. A systematic review of chronic disease management interventions in primary care. Bmc Fam Pract. 2018;19(1):11.
5. Kruk ME, Porignon D, Rockers PC, Van Lerberghe W. The contribution of primary care to health and health systems in low- and middle-income countries: A critical review of major primary care initiatives. Soc Sci Med. 2010;70(6):904–11.