Key result
In a 1-month period, out of 1,000 Shanghai residents, 444 reported sickness, 433 received treatment, 288 visited medical institutions, and 7 were hospitalized.
Why the study?
To describe healthcare-seeking behavior in Shanghai to better understand resource distribution and consumption patterns across different ethnic groups and levels of economic development.
Cross-Sectional (n=23,198)
This cross-sectional survey mapped the ecology of healthcare in Shanghai, finding that out of 1000 individuals per month, 444 reported sickness and 288 visited medical institutions, with utilization patterns significantly influenced by age, income, and residency status.
Provides baseline utilization rates in Shanghai; leaves open causal drivers and generalizability for policy or other settings.
BACKGROUND: To better understand the distribution and consumption patterns of resources in different ethnic groups and at different levels of economic development, this paper chose to describe the healthcare seeking behavior in Shanghai. METHODS: The data are from the Sixth Health Service Survey of Shanghai, which encompasses 23,198 permanent residents. Descriptive analyses were conducted to estimate the number of patients who reported health-related symptoms and healthcare-seeking behaviors per 1,000 residents. Logistic regression analyses were conducted to examine differences in reporting health-related symptoms and healthcare-seeking behaviors by age, gender and area of residence. RESULTS: This paper have mapped the ecology of healthcare in Shanghai in 2018. Of 1000 individuals considered during a 1-month period, 444 reported sickness, 433 received treatment, 288 went to medical institutions, 195 went to primary medical institutions, 86 took a self-healing approach, 26 received TCM services, 7 were hospitalized, and 3 underwent surgery. CONCLUSIONS: Age is a risk factor leading to disease, medical treatment, self-medication, medical institution visits, TCM service, hospitalization and surgery. But age is a protective factor in the use of primary health care services. By gender, the number of people receiving medical services was similar, but women were statistically more likely to have surgery. As the income level increased, the number of patients and people receiving medical services showed a decreasing trend. Compared with the local population, the probability of non-local people visiting medical institutions was lower and statistically significant. Compared with the people who had health insurance, fewer uninsured people reported sickness and utilized healthcare services.
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Xiong et al. (2021) conducted a cross-sectional in Healthcare seeking behavior (n=23,198). Sociodemographic factors was evaluated on Reported sickness per 1,000 individuals in a 1-month period. In a 1-month period, out of 1,000 Shanghai residents, 444 reported sickness, 433 received treatment, 288 visited medical institutions, and 7 were hospitalized.
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