Factors Affecting the Satisfaction of Rural Residents in Accessing to Healthcare Services: A Case Study of Lishui City in Zhejiang Province, China
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Abstract
Access to public health services is a fundamental right for human life across the globe. However, not everyone has equal access to such services due to the differences in public health systems across countries and several other factors that affect accessibility. This study aimed to analyze factors affecting the satisfaction of rural residents in accessing healthcare services in Lishui City, Zhejiang Province, China. The sample group consisted of 400 rural residents of Lishui city in Zhejiang province, China. The sample size was obtained by the Taro Yamane technique, and then proportional sampling and convenience sampling were selected. The research tool used to collect data is a questionnaire. The data were analyzed by frequency, percentage, mean, standard deviation, and multiple regression analysis. The results of the research revealed that 1) the overall mean of the healthcare system factor is moderate ( = 3.31, S.D. = 0.82). When considering each aspect, the highest ranking factor was the family caregiver (
= 3.39, S.D. = 0.692). The second ranking factor was community welfare (
= 3.41, S.D. = 0.79), followed by family resources (
= 3.39, S.D. = 0.82), social support (
= 3.32, S.D. = 0.85) and quality of healthcare service provision (
= 2.98, S.D. = 0.82), respectively. 2) The quality of healthcare service provision (X5) has the strongest positive effect on the satisfaction of rural residents in accessing in healthcare services, followed by social support (X3), community welfare (X4), and family resources (X2). The model can explain 66.5% of the variance in healthcare service access. The research findings indicate that providing quality healthcare services and social support are crucial factors in enhancing healthcare accessibility and satisfaction for individuals residing in rural areas.
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References
Aday, L. A. & Andersen, R. (1974). A Framework for the Study of Access to Medical Care. Health Service Research, 9(3), 208-220.
Ai, J., Feng, J., & Yu, Y. (2022). Elderly Care Provision and the Impact on Caregiver Health in China. China and World Economy, 30(5), 206-226.
Bakeera, S. K., Wamala, S. P., Galea, S., & Peterson, S. (2009). Patterning of functional barriers to accessing healthcare among individuals living with HIV/AIDS in Uganda. BMC Public Health, 9(1), 1-10.
Chansukree, P., Rungjindarat, N., & Jiwtan, P. (2017). Inequalities in access to healthcare services in Thailand: A case study of citizens covered by the universal coverage scheme. National Institute of Development Administration.
Dassah, E., Aldersey, H., McColl, M. A., & Davison, C. (2018). Factors affecting access to primary health care services for persons with disabilities in rural areas: A "best-fit" framework synthesis. Glob Health Res Policy. DOI: 10.1186/s41256-018-0091-x.
Fan, V., Guo, M., Hou, J., Talagi, D., Ke, Y., & Wang, W. (2022). Factors associated with selection of practice in primary care and rural health among medical and nursing students in China. Australian Journal of Primary Health, 28(6) 556-563.
Fu, L., Fang, Y., & Dong, Y. (2022). The healthcare inequality among middle-aged and older adults in China: a comparative analysis between the full samples and the homogeneous population. Health Econ Rev., 12(1), 34.
Hu, Y., Wang, Y., Liang, H., Chen, Y., & Liu, X. (2019). Factors influencing health-seeking behaviors among migrant workers in Beijing, China: A qualitative study. BMC Health Services Research, 19(1), 1-9.
Jiang, L., Chen, X., Liang, W., & Zhang, B. (2023). Alike but also different: a spatiotemporal analysis of the older populations in Zhejiang and Jilin Provinces, China. BMC Public Health, 23(1), 1529. https://doi.org/10.1186/s12889-023-16433-w.
Levesque, J., Harris, M. F., & Russell, G. (2013). Patient-centered Access to Health Care: Conceptualising access at the interface of health systems and population. International Journal for Equity in Health, 12(18), 1-9.
L’Heureux, T., Parmar, J., Dobbs, B., Charles, L., Tian, P. G. J., Sacrey, L.-A., & Anderson, S. (2022). Rural family caregiving: A closer look at the impacts of health, care work, financial distress, and social loneliness on anxiety. Healthcare, 10, 1155.
Li, J., Shi, L., Liang, H., Ding, G., & Xu, L. (2017). Urban-rural disparities in health care utilization among Chinese adults from 1993 to 2011. Journal of Public Health, 39(4), 793-800.
Li, X., Krumholz, H. M., Yip, W., Cheng, K. K., & De Maeseneer, J. (2017). Equity in access to health care in rural China: Evidence from a randomized controlled trial. Journal of the American Medical Association Network Open, 1(4), e181290-e181290.
Long, Q., Xu, L., Bekedam, H., & Tang, S. (2013). Changes in health expenditures in China in 2000s: has the health system reform improved affordability? International Journal for Equity in Health, 12(40). doi:10.1186/1475-9276-12-40
Lu, Q., Mårtensson, J., Zhao, Y., & Johansson, L. (2022). Needs of family members caring for stroke survivors in China: A deductive qualitative content analysis study by using the caregiver task inventory-25. BMC Geriatrics, 22(1), 96.
Meng, Q., Yang, H., Chen, W., Sun, Q., & Liu, X. (2015). People's republic of China health system review. Health Systems in Transition, 5(7), 1-246.
Niramit, R., & Promphakping, B. (2019). Factors affecting access to health services of female Lao's sex and service workers at the border Ubonratchathani province. Journal of Social Development and Management Strategy, 21(2), 78-95.
Nirarat, K., & Kidsom, A. (2017). Factors affecting access to health services for elderly in Bangkok. In Paper presented at the 14th National Academic Conference at Kasetsart University, Kamphaeng Saen Campus. December 7-8, 2017, 1939-1949.
Penchansky, R. & Thomas, J.W. (1981) The concept of access: Definition and relationships to consumer satisfaction. Medical Care, 19, 127-140.
Rovinelli, R. J., & Hambleton, R. K. (1976). On the use of content specialists in the assessment of criterion-referenced test item validity. Dutch Journal of Educational Research, 1(2), 49-60.
Seetamanotch, S. (2002). Access to universal health care coverage of elderly with factors related in Phuket[Master’s thesis, Prince of Songkla University].
Sritart, H., Tuntiwong, K., Miyazaki, H. & Taertulakarn, S.(2021). Disparities in healthcare services and spatial assessments of mobile health Clinics in the border regions of Thailand. International Journal of Environmental Research and Public Health, 18, 10782.
Swe, T. T. H., Lwin, K. T., Khaing, W., & Soe, H. H. K. (2019). Factors influencing self-management behaviors among hypertensive patients with comorbid diabetes in rural Thailand. BMC Public Health, 19(1), 1-8.
Tavakol, M. (2011). Making sense of Cronbach's alpha. International Journal of Medical Education, 2, 53-55.
Vanichbanch, K. (2007). Statistical analysis: statistics for management and research (10th ed.). Chulalongkorn University.
Vedom, J., & Cao, H. (2011). Health care access and regional disparities in China. Espace Populations Sociétés, 1, 63-68.
Wang, H., Wang, J., & Wong, S. Y. (2019). Rural-urban disparities in access to primary care In China: a tale of two reforms. The International Journal of Health Planning and Management, 34(1), e293-e304.
Wang, X., & Yang, Z. (2019). Application of fuzzy optimization model based on entropy weight method in atmospheric quality evaluation: A case study of Zhejiang Province, China. Sustainability, 11(7), 2143.
World Health Organization. (2019). Healthy China: Deepening health reform in China building high-quality and value-based service delivery. International Bank for Reconstruction and Development/The World Bank and World Health Organization.
World Health Organization. (2021). Primary health care. https://www.who.int/news-room/fact-sheets/detail/primaryhealth-care
Wu, X., Huang, Y., Liu, Y., Li, Y., & Chen, Y. (2016). Prevalence of diabetes and impaired fasting glucose in Lishui City, Zhejiang Province, China: A population-based survey. Journal of Diabetes Investigation, 7(5), 701-706.
Yang J.S, & Hao D.J. (2018). Dilemmas for nurses in China. The Lancet, 392(10141), 30. doi:10.1016/S0140-6736(18)31185-1
Yamane, T. (1967). Statistics: An introductory analysis (2nd ed.). Harper and Row.
Ying, M., Wang, S., Bai, C., & Li, Y. (2020). Rural-urban differences in health outcomes, healthcare use, and expenditures among older adults under universal health insurance in China. PLoS ONE, 15(10), e0240194. https://doi.org/10.1371/journal.pone.0240194.
Zhou, X., & Wang, G. (2014). New type of rural cooperative medical care system renewal intention empirical study. Journal of Financial Research, 40(12), 102-113.