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Impact of basic public health service utilization on residents’ willingness to the first choice of medical institutions for treatment: an empirical analysis based on propensity score matching
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Xing CHEN1, Zhi-peng HAN1, Yu-lin WANG1, Guang-tong WANG1, Zhen-jie YU1, Qi JING1, Shan-ju HU1, Ying-rong YU2
Modern Preventive Medicine | 2025, 52(6) : 1079 - 1084
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Modern Preventive Medicine | 2025, 52(6): 1079-1084
Primary Health Services
Impact of basic public health service utilization on residents’ willingness to the first choice of medical institutions for treatment: an empirical analysis based on propensity score matching
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Xing CHEN1, Zhi-peng HAN1, Yu-lin WANG1, Guang-tong WANG1, Zhen-jie YU1, Qi JING1, Shan-ju HU1, Ying-rong YU2
Affiliations
  • School of management, Shandong Second Medical University, Weifang, Shandong 261053, China
Published: 2025-03-25 doi: 10.20043/j.cnki.MPM.202410222
Outline
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Objective

To assess the impact of the utilization of basic public health services on residents’ willingness to the first choice of medical institutions for treatment.

Methods

This study utilized information from a resident survey conducted by the Provincial Natural Science Foundation Project. The project adopted a multi-stage sampling method and utilized the resident household survey questionnaire, which was conducted from January 2020 to October 2021 in Shandong Province. A total of 2 917 valid questionnaires were obtained, and the survey respondents were residents aged 15 and above. Binary logistic regression model and propensity score matching (PSM) method were used for analysis.

Results

The proportion of residents who have established health records was 63.9%, and the utilization rate of health education was 49.6%.83.8% respondents preferred to choose primary healthinstitutions for treatment. The results of propensity score matching showed that under the three methods of kernel matching, radius matching, and nearest neighbor matching, the average treatment effect on the treated (ATT) for the utilization of health education in residents’ willingness to the first choice of healthcare institutions were 0.084 3, 0.088 9, and 0.090 3, respectively.

Conclusion

The consultation rate of primary health institutions is performing well. Essential public Health services usage had a positive effect on residents’ willingness to choose primary health institutions for medical treatment. It is recommended to increase constructive investment in primary health institutions, enhance the service supply capacity of providers and strengthen the relevanceof basic public health services for demanders.

Basic public health services  /  First visit medical institution  /  Willingness  /  Propensity score matching
Xing CHEN, Zhi-peng HAN, Yu-lin WANG, Guang-tong WANG, Zhen-jie YU, Qi JING, Shan-ju HU, Ying-rong YU. Impact of basic public health service utilization on residents’ willingness to the first choice of medical institutions for treatment: an empirical analysis based on propensity score matching[J]. Modern Preventive Medicine, 2025 , 52 (6) : 1079 -1084 . DOI: 10.20043/j.cnki.MPM.202410222
Year 2025 volume 52 Issue 6
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Article Info
doi: 10.20043/j.cnki.MPM.202410222
  • Receive Date:2024-10-16
  • Online Date:2026-03-18
  • Published:2025-03-25
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  • Received:2024-10-16
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    School of management, Shandong Second Medical University, Weifang, Shandong 261053, China
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表12种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
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Genus
种数
Number of
species
占总种数比例
Percentage of total
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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