The Ecology of Medical Care in Beijing

ISCAS OpenIR

	The Ecology of Medical Care in Beijing
	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
	2013
发表期刊	PLOS ONE
ISSN	1932-6203
卷号	8 期号:12
摘要	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.; 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.
收录类别	SCI
部门归属	[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.
语种	英语
WOS记录号	WOS:000328566100110
引用统计	被引频次：40[WOS] [WOS记录] [WOS相关记录]
内容类型	期刊论文
URI标识	http://ir.iscas.ac.cn/handle/311060/16711
专题	中国科学院软件研究所
推荐引用方式 GB/T 7714	Shao, Shuang,Zhao, FeiFei,Wang, Jing,et al. The Ecology of Medical Care in Beijing[J]. PLOS ONE,2013,8(12).
APA	Shao, Shuang.,Zhao, FeiFei.,Wang, Jing.,Feng, Lei.,Lu, XiaoQin.,...&Wang, Wei.(2013).The Ecology of Medical Care in Beijing.PLOS ONE,8(12).
MLA	Shao, Shuang,et al."The Ecology of Medical Care in Beijing".PLOS ONE 8.12(2013).