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Multidimensional analysis reveals factors affecting demand and utilization of family doctor services for older adults, suggesting improvements are needed.
Guided by the Andersen Model, this study used 2023 CLASS data to examine older adults' perceived demand for Family Doctor Contract Services (FDCS), actual utilization, and health associations. Logistic and ordinal logistic regressions showed that predisposing, enabling, need, and community service factors shaped perceived demand. Among those with demand, users differed significantly from non-users, revealing a demand-uptake gap. FDCS utilization was associated with better self-reported health, less physical pain, and higher life satisfaction, with urban-rural variations. Findings highlight the need to improve health awareness, reduce access barriers, and support demand-to-use conversion through context-sensitive service delivery.
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Zhang et al. (2026) studied this question.
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