2023-09-28 14:46:10 +00:00
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abstract: 'Objective For a long time in China, public hospitals have been the most
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prominent provider of healthcare. However, recent policy reforms mean
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the private sector is experiencing rapid development. Thus, the purpose
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of this study is to detect whether the policies published by the
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government aimed to improve the quality of healthcare services were
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catering to patient''s preferences.
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Participants and methods Our work uses dental care as an example of
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services provided in outpatient setting and takes advantage of a
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labelled discrete choice experiment with a random sample of respondents
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from Beijing. Participants were asked to make a choice between four
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healthcare providers with different attributes. Mixed logit and latent
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class models were used for the analysis.
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Result Care provided by high-level private hospitals and community
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hospitals were valued RMB154 and 216 less, respectively, than care
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provided by class A tertiary hospitals, while the most disliked provider
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was private clinics. This was the most valued attribute of dental care.
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Respondents also value: lower waiting times, the option to choose their
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doctor, lower treatment costs, shorter travel times and a clean waiting
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room. However, when the level of provider was analysed, the prevailing
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notion that patients in China were always likely to choose public
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services than private services no longer holds. Four classes of patients
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with distinct preferences for dental care provider choice were
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identified, which can partly be explained by age, income, experience and
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Hukou status-a household registration permit.
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Discussion The study to some extent challenged the overwhelming
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predominance of public healthcare providers in China. The preference
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heterogeneity we found was relatively large. Our findings are
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significant for providers in developing more specific services for
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patients and for policymakers in weighing the pros and cons of future
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initiatives in medical reform.'
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affiliation: 'Li, JL (Corresponding Author), Beijing Inst Technol, Sch Management
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\& Econ, Beijing, Peoples R China.
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Zhu, Jingrong; Li, Jinlin; Zhang, Zengbo; Li, Hao; Cai, Lingfei, Beijing Inst Technol,
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Sch Management \& Econ, Beijing, Peoples R China.'
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article-number: e023363
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author: Zhu, Jingrong and Li, Jinlin and Zhang, Zengbo and Li, Hao and Cai, Lingfei
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author-email: 1013899896@qq.com
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author_list:
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- family: Zhu
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given: Jingrong
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- family: Li
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given: Jinlin
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- family: Zhang
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given: Zengbo
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- family: Li
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given: Hao
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- family: Cai
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given: Lingfei
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da: '2023-09-28'
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doi: 10.1136/bmjopen-2018-023363
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files: []
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issn: 2044-6055
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journal: BMJ OPEN
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keywords-plus: URBAN CHINA; CARE; SATISFACTION; HOSPITALS; PHYSICIAN; REFORM
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language: English
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month: JUN
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number: '4'
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number-of-cited-references: '49'
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orcid-numbers: 'Zhu, Jingrong/0000-0002-5607-0329
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Zhu, Jingrong/0000-0002-4508-2340
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Li, Hao/0000-0001-9149-9457'
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papis_id: 15dc7635de32ce1d0e74aea3f50b1749
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ref: Zhu2019exploringdeterminant
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times-cited: '15'
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title: 'Exploring determinants of health provider choice and heterogeneity in preference
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among outpatients in Beijing: a labelled discrete choice experiment'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000471157200025
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usage-count-last-180-days: '1'
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usage-count-since-2013: '18'
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volume: '9'
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web-of-science-categories: Medicine, General \& Internal
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year: '2019'
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