The effect of family doctor-contracted services on noncommunicable disease self-management in Shanghai, China

The International Journal of Health Planning and Management
Jiaoling HuangChengjun Liu

Abstract

Noncommunicable diseases (NCDs) are a major threat to population health worldwide. In Shanghai, China, a new pattern of NCD management-self-management-has been developed in community health service centres (CHSCs). To clarify how contracting with CHSC-based family doctors (FDs) influences the engagement in and effectiveness of self-management behaviour among NCD patients. We conducted two waves of a questionnaire survey (in 2013 and 2016) to collect data on patients with NCDs. Separate logistic regression models and longitudinal analysis were performed to examine the effect of contracting with an FD on NCD self-management and the effectiveness of this self-management. Nearly all contracted patients (80.79%) had implemented NCD self-management, while only 55.57% of non-contracted patients did so. The self-management effectiveness rate was also higher among contracted patients than among non-contracted ones (86.66% vs. 54.79%). In the population-averaged models, contracted patients had 2.25 and 2.91 times greater odds of implementing self-management and reporting that the self-management was effective, respectively, after controlling for all related variables. Additionally, awareness of FD-contracted services, satisfaction with C...Continue Reading

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Citations

Jul 30, 2020·The International Journal of Health Planning and Management·Dunfu Zhang, K M Atikur Rahman
Jan 8, 2021·International Journal for Equity in Health·Sha LaiXiaolong Zhang
Apr 20, 2021·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Jiaoling HuangYimin Zhang
May 13, 2021·Health & Social Care in the Community·Lu ShiQingming Zheng

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