The choice of medical facility and associated factors among Chinese advanced colorectal cancer patients: a cross-sectional multi-center study

Wang, Xiaoyang; Wang, Wenjun; Zhao, Yuqian; Liu, Yin; Wang, Xiaohui; Du, Lingbin; Duan, Shuang-Xia; Zhang, Xi; Yu, Yan-Qin; Ma, Li; Liu, Yunyong; Huang, Juan-Xiu; Cao, Ji; Li, Li; Gu, Xiao-Fen; Fan, Yihang; Feng, Chang-Yan; Lian, Xuemei; Du, Jing-Chang; Zhang, Jian-Gong; Qiao, You‐Lin

doi:10.21037/atm-22-1020

Cited by 2 publications

(2 citation statements)

References 30 publications

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“…The quali cations or expertise of medical service providers was an important determinant of patients' medical institution choice (32,36). Additionally, the subgroup analysis further revealed that patients in the female group and the non-elderly group showed a preference for seeking inpatient treatment in large provincial and municipal tertiary hospitals (35).…”

Section: Discussionmentioning

confidence: 96%

“…Institutional scale was the second most important attribute of patients' preference for inpatient institutions. Since many tertiary hospitals in China's provinces and cities were medical institutions with better technical capability and e ciency (35), it is not hard to understand that MCC patients were more willing to go to large provincial and municipal tertiary hospitals to obtain high-quality medical services. The quali cations or expertise of medical service providers was an important determinant of patients' medical institution choice (32,36).…”

Section: Discussionmentioning

confidence: 99%

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Inpatient preference among patients with multiple chronic conditions in China: a discrete choice experiment

Wang,

Chen,

Xiao

et al. 2024

Preprint

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Background Multiple chronic conditions (MCC) have become a leading cause of hypovitalism and death among the population. Although the role of chronic disease management has been strengthened for primary health institutions, patients still have a preference for a higher level of inpatient service, leading to a considerable hindrance in the efficient utilization of healthcare resources. Thus, this study aimed to identify factors that affected MCC patients' inpatient preference and the extent to which these factors impact their decisions, guiding for inpatient service utilization among MCC patients. Methods Five attributes (institutional scale, waiting time for hospital admission, with or without acquaintances, time from residence to hospital, out-of-pocket expenses per time) were identified to estimate inpatient choice for MCC patients through a discrete choice experiment. Partial factor analysis was performed to generate selection sets. Data were collected from MCC patients between 35 and 75 years old, in Fuqing, Fujian Province. A mixed logit model was performed to analyze MCC patients' preferences for each attribute. Willingness to pay was estimated by regression coefficients, and subgroup analysis was conducted based on the patient’s demographic characteristics and overall perceived disease severity. Results Totally 504 valid questionnaires were included in the analysis. MCC patients preferred to have a shorter time from their residence to the hospital (β = 0.7602, p < 0.001), large provincial and municipal tertiary hospitals (β = 0.2635, p < 0.001), and have beds available on the day (β = 0.1962, p = 0.0028). Out-of-pocket expenses per time (β=-0.0006, p < 0.001) are a negative predictor of patients' inpatient preference. Additionally, Patients were willing to pay ¥1253, ¥434, and ¥323 for higher institutional scale, shorter waiting time, and shorter time from residence-to-hospital, respectively. The findings of subgroup analysis indicated that some demographic characteristics (age, gender, education and total household income) and overall perceived disease severity also influence MCC patients' inpatient preferences. Conclusion This study provides evidence on the inpatient preferences among MCC patients. To better meet patients’ needs, it is recommended to improve the geographical accessibility of medical and health services, strengthen the service capacity of medical personnel in county and community-level medical institutions, streamline the inpatient diagnosis and treatment process, and so on.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Inpatient preference among patients with multiple chronic conditions in China: a discrete choice experiment

Wang,

Chen,

Xiao

et al. 2024

Preprint

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Determinants of Malaria treatment seeking time for under five years children in Uganda. A Case Study of Apac District

Nabulya,

Mbaka,

Walekhwa

et al. 2023

Preprint

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Background Malaria is a public health threat in sub–Saharan Africa and endemic in Uganda with Apac one of high burden districts. Malaria is known to be leading cause of morbidity and mortality among children under five years old in Uganda. However, little is known about the community management of malaria and treatment-seeking patterns. We aimed to assess determinants of malaria treatment-seeking behaviour for children under-five years by their caretakers in Apac district. Methods A cross sectional descriptive study was designed with quantitative data collection methods. Simple random sampling technique was used in identifying the caretakers as study participants for this study. Structured questionnaires were administered to caregivers in 240 households. Survival analysis was done to investigate the socio-economic, demographic, and behavioural factors that affect time to seek malaria treatment for children by their caretakers/parents using R. Results We had 100% response rate. All caregivers sought treatment for their children and out of the 240 caregivers, (70%) are female. Our results showed that education level, employment status, marital status, household wealth index, choice of the hospital and reason for delayed treatment were significantly associated with malaria treatment seeking time among caretakers of children under five years. Conclusion Timely drug supply to the main hospital and to households by the Village Health Teams to effectively ensure early treatment-seeking behaviours for malaria and sensitization of caregivers on early malaria treatment attendance of their ill children. The government should expand education financing for basic, intermediate, and university institutions, as well as adult education initiatives. Non-governmental organizations (NGOs) should be encouraged to play a role in educating caregivers, particularly on treatment-seeking behaviours for malaria-infected children under the age of five. Early malaria treatment in children under the age of five requires efficient medicine supply to primary hospitals and families by Village Health Teams (VHTs). It is also critical to educate caregivers on early treatment and suitable healthcare options for fever. Trial registration Not applicable

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The choice of medical facility and associated factors among Chinese advanced colorectal cancer patients: a cross-sectional multi-center study

Cited by 2 publications

References 30 publications

Inpatient preference among patients with multiple chronic conditions in China: a discrete choice experiment

Inpatient preference among patients with multiple chronic conditions in China: a discrete choice experiment

Determinants of Malaria treatment seeking time for under five years children in Uganda. A Case Study of Apac District

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