Patients’ loyalty to primary care institutions and associated factors in China: a cross-sectional study
Abstract Objectives This study aimed to examine patients’ loyalty and explore some associated factors among PCIs in this country. Methods A multistage stratified random sampling method was employed to collect data for this study. A structured self-administered questionnaire was distributed to 2,697...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-025-12244-4 |
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| author | Liqing Li Qi Zhang Liyong Zhu Guohua Zeng Hongwei Huang Zhensheng Chen Xiaogang Zhou Xiaofang Wang Zisheng Xu Chunmei Wu Di Yang Xiaoting Zhai Sule Yang Zuxun Lu Yong Gan Zuxun Lu |
| author_facet | Liqing Li Qi Zhang Liyong Zhu Guohua Zeng Hongwei Huang Zhensheng Chen Xiaogang Zhou Xiaofang Wang Zisheng Xu Chunmei Wu Di Yang Xiaoting Zhai Sule Yang Zuxun Lu Yong Gan Zuxun Lu |
| author_sort | Liqing Li |
| collection | DOAJ |
| description | Abstract Objectives This study aimed to examine patients’ loyalty and explore some associated factors among PCIs in this country. Methods A multistage stratified random sampling method was employed to collect data for this study. A structured self-administered questionnaire was distributed to 2,697 patients who had ever involved in seeking healthcare from PCIs across China between July and September in 2021. The Patients’ Loyalty Scale (PLS) was measured with a 7-item scale. Group differences of PLS scores were estimated by the t-tests or ANOVA analysis. Stepwise regression analysis was used to identify the factors associated with patients’ loyalty to PCIs. Results Based on the PLS with a total score of 35, the average score of patients’ loyalty was 23.81 (SD = 5.42). Multiple linear regression analysis indicated that respondents who were female (β = 0.502), older (β = 0.040), married (β = 0.568), with bachelor degree (β = 0.481), with more than three family members (β = 0.510), employees of enterprises and institutions (β = 1.079), with better self-reported health status (β = 1.938), or a moderate level of self-reported health status (β = 1.510), without a family doctor contract (β = 0.625), with willingness for medical treatment from PCIs (β = 1.172), with higher patients’ trust (β = 0.311) or with higher patients’ satisfaction (β = 0.368) reported a higher level of loyalty. Conclusion Patients’ loyalty among PCIs was found to be above average in China. Gender, age, marital status, education level, occupation, health status, number of family members, family doctor contract, patients’ trust, patients’ satisfaction, and willingness to obtain medical treatment from PCIs were significant predictors of patients’ loyalty. |
| format | Article |
| id | doaj-art-30d99c80d0dd47b5819f0af3c4d9e997 |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-30d99c80d0dd47b5819f0af3c4d9e9972025-02-02T12:14:06ZengBMCBMC Health Services Research1472-69632025-01-012511910.1186/s12913-025-12244-4Patients’ loyalty to primary care institutions and associated factors in China: a cross-sectional studyLiqing Li0Qi Zhang1Liyong Zhu2Guohua Zeng3Hongwei Huang4Zhensheng Chen5Xiaogang Zhou6Xiaofang Wang7Zisheng Xu8Chunmei Wu9Di Yang10Xiaoting Zhai11Sule Yang12Zuxun Lu13Yong Gan14Zuxun Lu15School of Economics and Management, Jiangxi Science and Technology Normal UniversitySchool of Economics and Management, Jiangxi Science and Technology Normal UniversitySchool of Economics and Management, Jiangxi Science and Technology Normal UniversitySchool of Economics and Management, Jiangxi University of Science and TechnologyDepartment of Health Management Medicine, The Second Affiliated Hospital of Nanchang UniversitySchool of Economics and Management, Jiangxi Science and Technology Normal UniversitySchool of Economics and Management, East China Jiaotong UniversitySchool of Economics and Management, Jiangxi Science and Technology Normal UniversitySchool of Economics and Management, Jiangxi Science and Technology Normal UniversitySchool of Public Health and Health Management, Gannan Medical UniversitySchool of Public Health and Health Management, Gannan Medical UniversitySchool of Economics and Management, Jiangxi Science and Technology Normal UniversitySchool of Economics and Management, Jiangxi Science and Technology Normal UniversitySchool of Public Health, Tongji Medical College, Huazhong University of Science and TechnologySchool of Public Health, Tongji Medical College, Huazhong University of Science and TechnologySchool of Public Health, Tongji Medical College, Huazhong University of Science and TechnologyAbstract Objectives This study aimed to examine patients’ loyalty and explore some associated factors among PCIs in this country. Methods A multistage stratified random sampling method was employed to collect data for this study. A structured self-administered questionnaire was distributed to 2,697 patients who had ever involved in seeking healthcare from PCIs across China between July and September in 2021. The Patients’ Loyalty Scale (PLS) was measured with a 7-item scale. Group differences of PLS scores were estimated by the t-tests or ANOVA analysis. Stepwise regression analysis was used to identify the factors associated with patients’ loyalty to PCIs. Results Based on the PLS with a total score of 35, the average score of patients’ loyalty was 23.81 (SD = 5.42). Multiple linear regression analysis indicated that respondents who were female (β = 0.502), older (β = 0.040), married (β = 0.568), with bachelor degree (β = 0.481), with more than three family members (β = 0.510), employees of enterprises and institutions (β = 1.079), with better self-reported health status (β = 1.938), or a moderate level of self-reported health status (β = 1.510), without a family doctor contract (β = 0.625), with willingness for medical treatment from PCIs (β = 1.172), with higher patients’ trust (β = 0.311) or with higher patients’ satisfaction (β = 0.368) reported a higher level of loyalty. Conclusion Patients’ loyalty among PCIs was found to be above average in China. Gender, age, marital status, education level, occupation, health status, number of family members, family doctor contract, patients’ trust, patients’ satisfaction, and willingness to obtain medical treatment from PCIs were significant predictors of patients’ loyalty.https://doi.org/10.1186/s12913-025-12244-4Patients’ loyaltyPrimary care institutionsInfluencing factors |
| spellingShingle | Liqing Li Qi Zhang Liyong Zhu Guohua Zeng Hongwei Huang Zhensheng Chen Xiaogang Zhou Xiaofang Wang Zisheng Xu Chunmei Wu Di Yang Xiaoting Zhai Sule Yang Zuxun Lu Yong Gan Zuxun Lu Patients’ loyalty to primary care institutions and associated factors in China: a cross-sectional study BMC Health Services Research Patients’ loyalty Primary care institutions Influencing factors |
| title | Patients’ loyalty to primary care institutions and associated factors in China: a cross-sectional study |
| title_full | Patients’ loyalty to primary care institutions and associated factors in China: a cross-sectional study |
| title_fullStr | Patients’ loyalty to primary care institutions and associated factors in China: a cross-sectional study |
| title_full_unstemmed | Patients’ loyalty to primary care institutions and associated factors in China: a cross-sectional study |
| title_short | Patients’ loyalty to primary care institutions and associated factors in China: a cross-sectional study |
| title_sort | patients loyalty to primary care institutions and associated factors in china a cross sectional study |
| topic | Patients’ loyalty Primary care institutions Influencing factors |
| url | https://doi.org/10.1186/s12913-025-12244-4 |
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