Analysis of factors influencing the willingness of primary healthcare visit among Jiangsu Residents Based on Andersen Model 10.55131/jphd/2026/240106
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Abstract
Primary healthcare services are of great significance for the protection of residents’ health. The aim of the present study is to explore additional factors influencing the Primary healthcare visit among community residents, based on the Andersen model for health service utilization. A combination of cluster and convenience sampling methods was employed to survey 424 urban and rural residents in Jiangsu Province and to analyze the factors influencing residents' utilization rate of Primary healthcare services. The instrument used was a questionnaire based on the Andersen Model as the theoretical framework. Qualitative variables were analyzed using the chi-square test, and quantitative variables were analyzed with the Mann-Whitney U test. Univariate analysis was conducted. The results showed a willingness of residents’ primary healthcare visit rate of 52.6% among residents, with influencing factors being place of gender (P=0.002), education level (P=0.022), residence (P<0.001), monthly medical expenditure (P=0.004), distance from home to the large hospital (P=0.031) and whether the primary level hospital equipment should be improved (P=0.049). Then, Variables with a P-value lower than 0.25 in univariate analysis were taken as independent variables. Logistic regression analysis identified gender (OR=1.812), residence (OR=2.041), whether the primary level hospital equipment should be improved (OR=1.824) and whether the responsibility of primary care doctors is to conduct regular physical examinations for residents (OR=0.590) as the main influencing factors. This study provides a scientific basis for optimizing primary healthcare services and suggests that the future health reforms in China should focus on the quality of rural primary healthcare services.
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