Kestrel McNeill, Sierra Vaillancourt, Stella Choe, Ilun Yang, Ranil Sonnadara
"I don't know if I can keep doing this": a qualitative investigation of surgeon burnout and opportunities for organization-level improvement
Frontiers in public health
hierarchical healthcare delivery system important measure improve allocation medical resources promote equitable distribution basic medical health services one key factors success failure chinas medical reform study aims analyze factors influencing patients healthcareseeking behaviors including socioeconomic clinical outcomes chinas hierarchical healthcare delivery system provide potential solutions patients receiving outpatient treatment past 14 days inpatient care past 1 year investigated multivariate logistic regression used analyze influencing factors patients medical treatment behavior selection compare whether clinical outcomes primary medical institutions grade hospitals nine thousand ninetyeight persontimes included study 4538 patients outpatients 6827 patients treated primary medical institutions 4560 patients hospitalized 5853 chose hospitalized grade hospitals provinces cities urban rural areas occupation education level medical insurance type income whether comorbid diseases doctors medical behavior factors affecting choice medical treatment behavior patients choose primary medical institutions grade hospitals different control levels control rate blood pressure blood lipids blood glucose hierarchical diagnosis treatment system patients choice hospital mainly affected level education medical insurance types inpatients also affected whether comorbid conditions clinical outcomes choosing different levels hospitals different