Table 3.
Variable | Group | First contact (utilization) | First contact (accessibility) | Ongoing care | Coordination (referral system) | Coordination (information system) | Comprehensiveness (available) | Comprehensiveness (provided) | Family centeredness | Community orientation | Culturally competent | Total |
---|---|---|---|---|---|---|---|---|---|---|---|---|
B-value | B-value | B-value | B-value | B-value | B-value | B-value | B-value | B-value | B-value | B-value | ||
Without multimorbidity | Reference | |||||||||||
With multimorbidity | 0.076*** | 0.078*** | 0.07*** | 0.033 | −0.031 | 0.035 | 0.051* | 0.000 | 0.07** | 0.009 | 0.355** | |
Sociodemographic characteristics | ||||||||||||
Gender | Male | Reference | ||||||||||
Female | 0.001 | −0.033 | −0.009 | −0.038 | −0.036* | −0.006 | −0.018 | −0.023 | −0.005 | 0.018 | −0.142 | |
Age (year) | ≤ 60 | Reference | ||||||||||
61–70 | −0.02 | 0.05* | −0.049* | −0.019 | −0.07*** | −0.108*** | −0.092*** | −0.076* | −0.101 | −0.096** | −0.623*** | |
≥71 | −0.006 | 0.025 | −0.021 | 0.136* | −0.083*** | −0.158*** | −0.077** | −0.039 | −0.07 | −0.063 | −0.573** | |
Marital Status | Married | Reference | ||||||||||
Unmarried | −0.046 | −0.031 | −0.039 | 0.361 | −0.146* | −0.131 | −0.124 | −0.053 | −0.113 | 0.051 | −0.715 | |
Employment status | Employed | Reference | ||||||||||
Unemployed/retired | 0.012 | −0.038 | −0.030 | −0.006 | 0.058** | 0.122*** | 0.050 | −0.086** | −0.013 | 0.129*** | 0.265 | |
Education | Primary school or below | Reference | ||||||||||
Junior school | −0.092*** | 0.057* | 0.010 | 0.028 | 0.031 | −0.068* | −0.044 | 0.009 | −0.014 | −0.117*** | −0.212 | |
Senior high school | −0.082* | 0.066* | −0.030 | 0.134* | 0.029 | −0.070 | 0.047 | −0.033 | 0.005 | −0.041 | −0.09 | |
College or above | −0.045 | 0.100*** | 0.111*** | 0.371*** | 0.081* | 0.054 | 0.163*** | 0.099 | 0.192*** | 0.016 | 0.826** | |
Average monthly | ≤ 3,000 | Reference | ||||||||||
household income | 3,001–4,000 | −0.058 | −0.008 | 0.011 | 0.050 | −0.026 | 0.040 | −0.009 | 0.01 | −0.009 | 0.039 | −0.027 |
(RMB) | 4,001–6,000 | 0.01 | −0.027 | −0.036 | −0.053 | −0.120*** | 0.028 | −0.044 | −0.087* | −0.023 | −0.003 | −0.366 |
≥6,000 | −0.033 | −0.002 | −0.075* | −0.338*** | −0.154*** | −0.185*** | −0.195*** | −0.344*** | −0.246*** | 0.005 | −1.385*** | |
Not sure | −0.049 | −0.084** | −0.246*** | −0.379*** | −0.147*** | −0.363*** | −0.358*** | −0.283*** | −0.472*** | −0.013 | −2.110*** | |
Medical insurance | No | Reference | ||||||||||
Yes | 0.105*** | −0.034 | 0.073*** | 0.075 | −0.007 | −0.008 | 0.068* | −0.022 | −0.023 | 0.103** | 0.267 | |
District | Urban | Reference | ||||||||||
Suburb | 0.228*** | 0.451*** | 0.109*** | 0.281*** | −0.159*** | 0.424*** | 0.226 | −0.122*** | 0.193*** | 0.167*** | 1.475*** | |
Rural | 0.049 | 0.409*** | −0.148*** | 0.082 | −0.069* | 0.147*** | −0.054 | −0.443*** | −0.023 | −0.062 | −0.284 | |
Health care utilization | ||||||||||||
Frequency of seeking health service in CHC | More than once per month | Reference | ||||||||||
Every 1–3 months | −0.09** | −0.049 | −0.056* | −0.178** | −0.055* | −0.058 | −0.105** | −0.085 | −0.072 | −0.189*** | −0.786*** | |
More than every 3 months | −0.084* | −0.056 | −0.064* | −0.012 | −0.005 | −0.055 | −0.111** | −0.052 | −0.06 | −0.227** | −0.686** | |
Not sure | 0.016 | −0.023 | −0.001 | −0.149 | 0.000 | −0.055 | −0.007 | 0.091 | −0.016 | −0.052 | −0.029 | |
Times of | ≤ 10 | Reference | ||||||||||
outpatient visiting | 10–14 | −0.019 | −0.026 | 0.044 | −0.100 | −0.038 | −0.115*** | −0.050 | 0.056 | −0.106** | −0.012 | −0.281 |
in the previous | 15–20 | −0.021 | −0.124*** | 0.07* | −0.168 | 0.025 | −0.099** | 0.009 | 0.072 | −0.047 | 0.136** | 0.087 |
year | >20 | −0.229*** | −0.219*** | −0.116*** | −0.093 | −0.091*** | −0.226*** | −0.293*** | −0.214*** | −0.332*** | −0.139*** | −1.883*** |
≥2 | 0.08 | 0.059 | 0.109* | 0.042 | 0.011 | 0.006 | 0.034 | 0.107 | 0.048 | −0.094 | 0.346 | |
Self–perceived | Fair/poor | Reference | ||||||||||
health status | Good/very good | 0.03 | 0.017 | 0.054** | −0.07 | 0.019 | −0.069** | −0.002 | 0.113*** | 0.025 | 0.154*** | 0.337* |
Physical or mental | Yes | Reference | ||||||||||
disease lasting | No | 0.034 | −0.112*** | −0.045* | −0.129** | −0.006 | −0.188*** | −0.068** | −0.007 | −0.110*** | 0.012 | −0.444** |
over 1 year | Not sure | 0.094* | −0.33*** | −0.147*** | −0.027 | −0.096** | −0.367*** | −0.184*** | −0.126* | −0.218*** | −0.137** | −1.535*** |
Adjusted R2 | 0.098 | 0.272 | 0.149 | 0.145 | 0.067 | 0.218 | 0.164 | 0.117 | 0.145 | 0.128 | 0.189 |
P <0.05;
P <0.01;
P <0.001.