Volume 21 Issue 10
Oct.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(10): 1757-1761
XIANG Tong, LI Wentao, ZHAO Jingwei, HUANG Yafang, WU Hao. A systematic review of factors influencing utilization of primary medical service at home and abroad based on the Andersen model[J]. Chinese Journal of General Practice, 2023, 21(10): 1757-1761. doi: 10.16766/j.cnki.issn.1674-4152.003218
Citation: XIANG Tong, LI Wentao, ZHAO Jingwei, HUANG Yafang, WU Hao. A systematic review of factors influencing utilization of primary medical service at home and abroad based on the Andersen model[J]. Chinese Journal of General Practice, 2023, 21(10): 1757-1761. doi: 10.16766/j.cnki.issn.1674-4152.003218
shu

A systematic review of factors influencing utilization of primary medical service at home and abroad based on the Andersen model

doi: 10.16766/j.cnki.issn.1674-4152.003218

  • School of General Practice and Continuing Education, Capital Medical University, Beijing 100069, China

Funds:

 首发2022-1-7052

  • Received Date: 2022-06-21
    Available Online: 2023-11-23
    Abstract
  • With the promotion of the "Healthy China" strategy, analyzing the factors affecting the utilization of primary healthcare services is crucial for the rational allocation of healthcare resources. At present, there is no review study on the influencing factors of primary healthcare service utilization at home and abroad, and this article is based on Andersen ' s behavioral model of healthcare service utilization to systematically sort out the influencing factors of primary healthcare service utilization. The study finds that the needing factor is the most significant factor influencing the utilization of healthcare services, having chronic diseases, number of chronic diseases, disability and degree of illness significantly influenced the utilization of healthcare services. Among the enabling factors, population health policies, universal health insurance coverage, and increased economic income are positive factors affecting the utilization of healthcare services. Among the predisposing factors, the effect of gender, age, marital status, and education on health service utilization, the findings are inconsistent and may be related to the selection of the study population and the selection of the study area, but each factor has a varying degree of influence on health service utilization. In addition, health behaviors and correct treatment concepts have a positive impact on the use of health services. Previous studies have analyzed and compared healthcare service utilization in terms of geography, economy, healthcare insurance, etc., with fewer factors incorporating patient health outcomes and satisfaction, resulting in insufficient evidence for judgement in analyzing the influencing factors. Moreover, previous studies have paid little attention to the utilization of primary healthcare services, and the data are scarce and incomplete. In future studies, we need to focus on the utilization of primary healthcare services and its influencing factors in different regions of China, and carry out scientific and systematic data analysis, so that we can provide scientific and reliable evidence support and practical policy recommendations for the balanced development of primary healthcare services and precise policy interventions.

     

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