ArticleBMC health services research2025
Outpatient pooling policy and healthcare satisfaction among middle-aged and older adults: evidence from China.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Measurement of the coupling coordination level and influencing factors of community healthcare services and older adults care services in China.BMC geriatrics · 2026Article
- Barriers to Electronic Prescription Circulation Under Employee Medical Insurance Outpatient Coordination: Evidence from a Pilot City in China.Risk management and healthcare policy · 2026Article
- Exploring the Effect of Doctor-Nurse Collaboration on Overall Satisfaction Among the Older Patients: A Moderated Mediation Model of Responsiveness and Environment.Patient preference and adherence · 2026Article
- Article
- The shift of expenditure of medical service for diagnosis and treatment of colorectal cancer from 2005 to 2014: a hospital-based retrospective survey in Guangxi.Frontiers in public health · 2025Article
- Health Services Accessibility and Self-Reported Health Among Chinese Middle-Aged and Older Adults: Propensity Score Matching and Mixed-Effects Ordinal Logit Analysis.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
3 authors.
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Abstract
objectivePrevious studies have shown that health insurance and financial burden affect satisfaction with healthcare. This study aims to examine the relationship between China's outpatient pooling policies and healthcare satisfaction among middle-aged and older adults. Additionally, it investigates how demographic, socioeconomic, health status, healthcare utilization, and regional healthcare resource variables influence satisfaction levels.
methodsUsing data from the 2015 and 2018 China Health and Retirement Longitudinal Study, a mixed-effects ordered logit model was employed to assess the relationship between outpatient pooling policies and healthcare satisfaction.
resultsOutpatient pooling policies for Urban Employee Basic Medical Insurance were significantly associated with higher healthcare satisfaction (AOR = 1.29, 95% CI = [1.03, 1.62]), with particularly strong effects observed in the middle (AOR = 2.55, 95% CI = [1.05, 6.18]) and eastern regions of China (AOR = 3.05, 95% CI = [1.46, 6.39]). Higher financial levels of outpatient insurance protection were also associated with greater healthcare satisfaction (AOR = 1.44, 95% CI = [1.11, 1.86]). However, no significant association was observed regarding the outpatient pooling policies for Urban and Rural Residents Basic Medical Insurance. Additionally, demographic, socioeconomic, health, and healthcare utilization variables, along with regional healthcare resources, were significantly associated with healthcare satisfaction.
conclusionsThis study highlights the role of implementing outpatient pooling policies, especially a higher level of protection under these policies, in improving healthcare satisfaction among middle-aged and elderly individuals in China.
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