Community residents’ preferences for chronic disease management in Primary Care Facilities in China: a stated preference survey

Abstract Background Although Chinese government has dedicated the past decades to treating chronic diseases by primary healthcare system, many more residents are apt to choose higher-tier facilities to treat minor chronic diseases. Understanding residents’ preferences for chronic disease management...

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Autores principales:	Xianglin Li, Mingzhu Jiang, Yingying Peng, Xiao Shen, Erping Jia, Juyang Xiong
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Chronic diseases Primary care Healthcare China Discrete choice experiment Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/5f956d394554461292ee69a42105c0e4
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spelling	oai:doaj.org-article:5f956d394554461292ee69a42105c0e42021-11-28T12:13:17ZCommunity residents’ preferences for chronic disease management in Primary Care Facilities in China: a stated preference survey10.1186/s13690-021-00728-82049-3258https://doaj.org/article/5f956d394554461292ee69a42105c0e42021-11-01T00:00:00Zhttps://doi.org/10.1186/s13690-021-00728-8https://doaj.org/toc/2049-3258Abstract Background Although Chinese government has dedicated the past decades to treating chronic diseases by primary healthcare system, many more residents are apt to choose higher-tier facilities to treat minor chronic diseases. Understanding residents’ preferences for chronic disease management in primary care facilities can bridge the gap between residents’ choices and policy implementation. This study aims to elicit residents’ preferences for chronic disease management in primary care facilities in the hypothetical minor chronic disease scenario. Methods Six hundred eighty residents were administered a discrete choice experiment that elicited preferences for chronic disease management in primary care facilities. Services attributes were service mode, treatment measure, out-of-pocket expenditure (OOP), traveling time to healthcare facility and title of physician. Mixed logit models were used to estimate stated preferences and willingness to pay for attributes. WTP confidence intervals were estimated by the delta method. Results A total of 94.44% of the completed questionnaires were valid (680 of 720 respondents). The participants preferred chronic disease management service with modern medicine, traveling time ≤ 30mins, and less OOP expenditure. Compared with Traditional Chinese Medicine (TCM), residents prefer modern medicine, willing to pay 155.53 CNY ($21.97) to change from TCM to modern medicine. Compensation about 86.02 CNY ($12.15) was needed to enable residents to change the choice of the nearer primary care facility to a further one. Integrated medicine in community clinics by experts was residents’ most preferred scenario while TCM in the tertiary hospital was their least preferred one. Conclusion In order to increase the utilization of primary healthcare services in chronic diseases management, policy makers need to concern more about the services of medical treatment type, price and convenience. Therefore, we advise policy makers to provide nearer primary healthcare services for residents especially for residents in surrounding areas. Furthermore, balancing the resource allocation between Traditional Chinese Medicine and modern medicine is worthy of consideration.Xianglin LiMingzhu JiangYingying PengXiao ShenErping JiaJuyang XiongBMCarticleChronic diseasesPrimary careHealthcareChinaDiscrete choice experimentPublic aspects of medicineRA1-1270ENArchives of Public Health, Vol 79, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Chronic diseases Primary care Healthcare China Discrete choice experiment Public aspects of medicine RA1-1270
spellingShingle	Chronic diseases Primary care Healthcare China Discrete choice experiment Public aspects of medicine RA1-1270 Xianglin Li Mingzhu Jiang Yingying Peng Xiao Shen Erping Jia Juyang Xiong Community residents’ preferences for chronic disease management in Primary Care Facilities in China: a stated preference survey
description	Abstract Background Although Chinese government has dedicated the past decades to treating chronic diseases by primary healthcare system, many more residents are apt to choose higher-tier facilities to treat minor chronic diseases. Understanding residents’ preferences for chronic disease management in primary care facilities can bridge the gap between residents’ choices and policy implementation. This study aims to elicit residents’ preferences for chronic disease management in primary care facilities in the hypothetical minor chronic disease scenario. Methods Six hundred eighty residents were administered a discrete choice experiment that elicited preferences for chronic disease management in primary care facilities. Services attributes were service mode, treatment measure, out-of-pocket expenditure (OOP), traveling time to healthcare facility and title of physician. Mixed logit models were used to estimate stated preferences and willingness to pay for attributes. WTP confidence intervals were estimated by the delta method. Results A total of 94.44% of the completed questionnaires were valid (680 of 720 respondents). The participants preferred chronic disease management service with modern medicine, traveling time ≤ 30mins, and less OOP expenditure. Compared with Traditional Chinese Medicine (TCM), residents prefer modern medicine, willing to pay 155.53 CNY ($21.97) to change from TCM to modern medicine. Compensation about 86.02 CNY ($12.15) was needed to enable residents to change the choice of the nearer primary care facility to a further one. Integrated medicine in community clinics by experts was residents’ most preferred scenario while TCM in the tertiary hospital was their least preferred one. Conclusion In order to increase the utilization of primary healthcare services in chronic diseases management, policy makers need to concern more about the services of medical treatment type, price and convenience. Therefore, we advise policy makers to provide nearer primary healthcare services for residents especially for residents in surrounding areas. Furthermore, balancing the resource allocation between Traditional Chinese Medicine and modern medicine is worthy of consideration.
format	article
author	Xianglin Li Mingzhu Jiang Yingying Peng Xiao Shen Erping Jia Juyang Xiong
author_facet	Xianglin Li Mingzhu Jiang Yingying Peng Xiao Shen Erping Jia Juyang Xiong
author_sort	Xianglin Li
title	Community residents’ preferences for chronic disease management in Primary Care Facilities in China: a stated preference survey
title_short	Community residents’ preferences for chronic disease management in Primary Care Facilities in China: a stated preference survey
title_full	Community residents’ preferences for chronic disease management in Primary Care Facilities in China: a stated preference survey
title_fullStr	Community residents’ preferences for chronic disease management in Primary Care Facilities in China: a stated preference survey
title_full_unstemmed	Community residents’ preferences for chronic disease management in Primary Care Facilities in China: a stated preference survey
title_sort	community residents’ preferences for chronic disease management in primary care facilities in china: a stated preference survey
publisher	BMC
publishDate	2021
url	https://doaj.org/article/5f956d394554461292ee69a42105c0e4
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Community residents’ preferences for chronic disease management in Primary Care Facilities in China: a stated preference survey

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