Older adults’ choices of first-contact care and related factors in Zhejiang and Qinghai Province, China
Xiaoqian Hu
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Xiaoqian Hu and Hao Zhang contributed equally to this work.Search for more papers by this authorHao Zhang
Hangzhou Normal University, School of Medicine, Hangzhou, China
Xiaoqian Hu and Hao Zhang contributed equally to this work.Search for more papers by this authorXueshan Sun
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Search for more papers by this authorYuxuan Gu
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Search for more papers by this authorXuemei Zhen
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Search for more papers by this authorShuyan Gu
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Search for more papers by this authorYuanyuan Li
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Search for more papers by this authorMinzhuo Huang
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Search for more papers by this authorJingming Wei
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Search for more papers by this authorCorresponding Author
Hengjin Dong
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Correspondence
Professor Hengjin Dong PhD, Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Zijingang Campus, 866 Yuhangtang Rd, Hangzhou 310058, China.
Email: [email protected]
Search for more papers by this authorXiaoqian Hu
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Xiaoqian Hu and Hao Zhang contributed equally to this work.Search for more papers by this authorHao Zhang
Hangzhou Normal University, School of Medicine, Hangzhou, China
Xiaoqian Hu and Hao Zhang contributed equally to this work.Search for more papers by this authorXueshan Sun
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Search for more papers by this authorYuxuan Gu
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Search for more papers by this authorXuemei Zhen
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Search for more papers by this authorShuyan Gu
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Search for more papers by this authorYuanyuan Li
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Search for more papers by this authorMinzhuo Huang
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Search for more papers by this authorJingming Wei
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Search for more papers by this authorCorresponding Author
Hengjin Dong
Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China
Correspondence
Professor Hengjin Dong PhD, Center for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Zijingang Campus, 866 Yuhangtang Rd, Hangzhou 310058, China.
Email: [email protected]
Search for more papers by this authorAbstract
Aim
This study aimed to investigate older adults’ choices of first-contact care when they felt ill in Zhejiang and Qinghai province, and the related potential pathways.
Methods
Data were from a cross-sectional survey in Zhejiang and Qinghai. We firstly compared older adults’ choices of first-contact care in two provinces. Then, we applied structural equation modeling to explore pathways from socioeconomic status, accessibility and health status to older adults’ choices of first-contact care.
Results
The proportion of older adults who selected primary healthcare institutions as first-contact care in Qinghai was higher than that in Zhejiang. Socioeconomic status played an important role in the Zhejiang model through direct and indirect pathways. In the Qinghai model, accessibility to primary healthcare institutions was the leading cause for choosing preferred first-contact care.
Conclusions
A better understanding of complex pathways from factors to older adults’ choices of first-contact care was essential, which might inform priorities for further maximizing the utilization of primary care. Geriatr Gerontol Int 2019; 19: 938–944.
Supporting Information
| Filename | Description |
|---|---|
| ggi13746-sup-0001-FileS1.docxWord 2007 document , 14.5 KB | File S1. Basic situation of Zhejiang and Qinghai provinces. This file shows the basic situation of Zhejiang and Qinghai provinces. |
| ggi13746-sup-0002-FileS2.docxWord 2007 document , 12.6 KB | File S2. Indicator and variables. This file introduces the details of the indicator and variables. |
| ggi13746-sup-0003-FileS3.docxWord 2007 document , 16.7 KB | File S3. Medical insurance policies in Zhejiang and Qinghai provinces. This file introduces the details of medical insurance policies in Zhejiang and Qinghai provinces. |
| ggi13746-sup-0004-TableS1.docxWord 2007 document , 11.9 KB | Table S1 Fit statistics from Zhejiang and Qinghai structural equation models. Table S1 shows the fit statistics from the Zhejiang and Qinghai structural equation models. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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