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Title:
The Ecology of Medical Care in Beijing
Author: Shao, Shuang ; Zhao, FeiFei ; Wang, Jing ; Feng, Lei ; Lu, XiaoQin ; Du, Juan ; Yan, YuXiang ; Wang, Chao ; Fu, YingHong ; Wu, JingJing ; Yu, XinWei ; Khoo, KayKeng ; Wang, YouXin ; Wang, Wei
Source: PLOS ONE
Issued Date: 2013
Volume: 8, Issue:12
Indexed Type: SCI
Department: [Shao, Shuang; Feng, Lei; Lu, XiaoQin; Du, Juan] Capital Med Univ, Gen Practice & Continue Educ Sch, Beijing, Peoples R China. [Shao, Shuang; Zhao, FeiFei; Feng, Lei; Yan, YuXiang; Wu, JingJing; Yu, XinWei; Wang, YouXin; Wang, Wei] Capital Med Univ, Beijing Municipal Key Lab Clin Epidemiol, Sch Publ Hlth, Beijing, Peoples R China. [Shao, Shuang; Fu, YingHong] Capital Med Univ, Sch Yan Jing Med Sci, Beijing, Peoples R China. [Wang, Jing] Chinese Acad Sci, Lab Parallel Software & Math Sci, Inst Software, Beijing, Peoples R China. [Wang, Chao] Beijing Nucl Ind Hosp, Beijing, Peoples R China. [Khoo, KayKeng] Lynwood Med Ctr, Lynwood, WA, Australia. [Wang, YouXin; Wang, Wei] Edith Cowan Univ, Sch Med Sci, Perth, WA, Australia.
Abstract: Background: We presented the pattern of health care consumption, and the utilization of available resources by describing the ecology of medical care in Beijing on a monthly basis and by describing the socio-demographic characteristics associated with receipt care in different settings. Methods: A cohort of 6,592 adults, 15 years of age and older were sampled to estimate the number of urban-resident adults per 1,000 who visited a medical facility at least once in a month, by the method of three-stage stratified and cluster random sampling. Separate logistic regression analyses assessed the association between those receiving care in different types of setting and their socio-demographic characteristics. Results: On average per 1,000 adults, 295 had at least one symptom, 217 considered seeking medical care, 173 consulted a physician, 129 visited western medical practitioners, 127 visited a hospital-based outpatient clinic, 78 visited traditional Chinese medical practitioners, 43 visited a primary care physician, 35 received care in an emergency department, 15 were hospitalized. Health care seeking behaviors varied with socio-demographic characteristics, such as gender, age, ethnicity, resident census register, marital status, education, income, and health insurance status. In term of primary care, the gate-keeping and referral roles of Community Health Centers have not yet been fully established in Beijing. Conclusions: This study represents a first attempt to map the medical care ecology of Beijing urban population and provides timely baseline information for health care reform in China.
English Abstract: Background: We presented the pattern of health care consumption, and the utilization of available resources by describing the ecology of medical care in Beijing on a monthly basis and by describing the socio-demographic characteristics associated with receipt care in different settings. Methods: A cohort of 6,592 adults, 15 years of age and older were sampled to estimate the number of urban-resident adults per 1,000 who visited a medical facility at least once in a month, by the method of three-stage stratified and cluster random sampling. Separate logistic regression analyses assessed the association between those receiving care in different types of setting and their socio-demographic characteristics. Results: On average per 1,000 adults, 295 had at least one symptom, 217 considered seeking medical care, 173 consulted a physician, 129 visited western medical practitioners, 127 visited a hospital-based outpatient clinic, 78 visited traditional Chinese medical practitioners, 43 visited a primary care physician, 35 received care in an emergency department, 15 were hospitalized. Health care seeking behaviors varied with socio-demographic characteristics, such as gender, age, ethnicity, resident census register, marital status, education, income, and health insurance status. In term of primary care, the gate-keeping and referral roles of Community Health Centers have not yet been fully established in Beijing. Conclusions: This study represents a first attempt to map the medical care ecology of Beijing urban population and provides timely baseline information for health care reform in China.
Language: 英语
WOS ID: WOS:000328566100110
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Content Type: 期刊论文
URI: http://ir.iscas.ac.cn/handle/311060/16711
Appears in Collections:软件所图书馆_期刊论文

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Recommended Citation:
Shao, Shuang,Zhao, FeiFei,Wang, Jing,et al. The Ecology of Medical Care in Beijing[J]. PLOS ONE,2013-01-01,8(12).
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