{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:26:16Z","timestamp":1775471176709,"version":"3.50.1"},"reference-count":42,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,7,7]],"date-time":"2022-07-07T00:00:00Z","timestamp":1657152000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100012325","name":"National Office for Philosophy and Social Sciences","doi-asserted-by":"publisher","award":["18AGL018"],"award-info":[{"award-number":["18AGL018"]}],"id":[{"id":"10.13039\/501100012325","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012325","name":"National Office for Philosophy and Social Sciences","doi-asserted-by":"publisher","award":["20AZD082"],"award-info":[{"award-number":["20AZD082"]}],"id":[{"id":"10.13039\/501100012325","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Planning &amp; Management"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aims to examine whether participating in the contracted family doctor system increases patients' utilisation of primary care general practitioner for multiple disease outcomes in China.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Binary logistic regression models were estimated using data collected from 372 community residents in nine selected districts of Hangzhou, China.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Findings revealed that (1) for patients with influenza, diabetes, upper respiratory infection, and gingivitis, those who participated in the contracted family doctor system were approximately 4.3 times, 98.4%, 92.5%, and 52.8% more likely to choose primary care general practitioners (GP) for their initial diagnosis, respectively, as compared with their counterparts who did not have contracted family doctors; (2) For patients with stroke or cerebrovascular disease and cholecystitis or cholelithiasis, those who had contracted family doctors were 1.111 times and 80.6% more likely to choose primary care GP for their subsequent disease maintenance, respectively, as compared to their counterparts without contracted family doctors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our findings indicate that the contracted family doctor system not only increases the utilisation of primary care GP for patients with many chronic conditions but also promotes the overall completion of China's hierarchical medical system in the long run. Policy implications were provided to help policymakers actively construct and develop the contracted family doctor system to promote the hierarchical medical system in China.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hpm.3540","type":"journal-article","created":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T06:43:29Z","timestamp":1657262609000},"page":"3089-3102","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["The impact of family doctor system on patients' utilisation of general practitioner in primary care facilities\u2014Evidence from Hangzhou, China"],"prefix":"10.1002","volume":"37","author":[{"given":"Yang","family":"Yu","sequence":"first","affiliation":[{"name":"School of Urban and Environmental Science Central China Normal University  Wuhan Hubei China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aizhen","family":"Ye","sequence":"additional","affiliation":[{"name":"School of Data Sciences Zhejiang University of Finance and Economics  Hangzhou Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cen","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Public Administration Zhejiang University of Finance and Economics  Hangzhou Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0943-6797","authenticated-orcid":false,"given":"Weidong","family":"Dai","sequence":"additional","affiliation":[{"name":"School of Public Administration Zhejiang University of Finance and Economics  Hangzhou Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xu","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Public Administration Zhejiang University of Finance and Economics  Hangzhou Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.5214"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/hpm.2424"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0201887"},{"key":"e_1_2_10_5_1","unstructured":"PRC Government.Decision on several major issues concerning deepening the reform comprehensively;2013. Retrieved on Nov 20 2021.http:\/\/www.gov.cn\/jrzg\/2013\u201011\/15\/content_2528179.htm"},{"key":"e_1_2_10_6_1","unstructured":"China News.Statistics of the contracted family doctor system in Zhejiang. Retrieved on Nov 20 2021.https:\/\/baijiahao.baidu.com\/s?id=1700187619663152256%26wfr=spider%26for=pc"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468\u20100297.2012.02496.x"},{"key":"e_1_2_10_8_1","unstructured":"ZhongJ.Study on the Difficulties and Solutions of Family Doctors' Policy ImplementationDoctoral dissertation of University of Electronic Science and Technology of China;2018. (in Chinese)."},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1920\/wp.ifs.2017.W1715"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(94)90634-3"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.5114\/reum.2016.63663"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.15171\/ijhpm.2018.89"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2008.088526"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h5199"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.4081\/reumatismo.2018.1036"},{"key":"e_1_2_10_16_1","first-page":"3346","article-title":"Reflections on the reform of family doctor contract service and medical insurance payment method","volume":"34","author":"Wu J","year":"2013","journal-title":"Chinese Gen Med"},{"key":"e_1_2_10_17_1","first-page":"86","article-title":"The influence of family doctor contract service on the compliance of patients with chronic diseases","volume":"2","author":"Zhang L","year":"2016","journal-title":"Med Equip"},{"key":"e_1_2_10_18_1","first-page":"3355","article-title":"Influence of family doctor contract service on health management of poor elderly in community","volume":"34","author":"Chen J","year":"2013","journal-title":"Chinese Gen Med"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875\u2010018\u20100708\u20107"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885\u2010018\u20104005\u20106"},{"issue":"451","key":"e_1_2_10_21_1","first-page":"105","article-title":"Patients with cancer holding their own records: a randomized controlled trial","volume":"50","author":"Drury M","year":"2000","journal-title":"Br J Gen Pract"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/02813430310001725"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/qhc.12.4.263"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2016.67.8896"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12548"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.4997\/jrcpe.2012.413"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp13x667231"},{"issue":"456","key":"e_1_2_10_28_1","first-page":"559","article-title":"Are there age and sex differences in the investigation and treatment of heart failure? A population\u2010based study","volume":"50","author":"Hood S","year":"2000","journal-title":"Br J Gen Pract"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1388-9842(00)00081-7"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010013\u20102660\u20105"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.298.6670.366"},{"issue":"233","key":"e_1_2_10_32_1","first-page":"728","article-title":"The health and health care of doctors","volume":"31","author":"Allibone A","year":"1981","journal-title":"J R Coll General Pract"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.326.7390.631"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1808"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2007.025684"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20106\u201023"},{"issue":"6","key":"e_1_2_10_37_1","first-page":"1037","article-title":"Diagnosis and management of rheumatoid arthritis","volume":"72","author":"Rindfleisch AJ","year":"2005","journal-title":"Am Fam Physician"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.jgp.0000206164.56404.ba"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2013.11.003"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmra1411426"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2019.06.039"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2012.04.475"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2017.1407812"}],"container-title":["The International Journal of Health Planning and Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hpm.3540","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hpm.3540","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hpm.3540","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T09:10:29Z","timestamp":1692695429000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hpm.3540"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,7]]},"references-count":42,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["10.1002\/hpm.3540"],"URL":"https:\/\/doi.org\/10.1002\/hpm.3540","archive":["Portico"],"relation":{},"ISSN":["0749-6753","1099-1751"],"issn-type":[{"value":"0749-6753","type":"print"},{"value":"1099-1751","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,7]]},"assertion":[{"value":"2020-04-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}