ArticleBMC public health2025
Public satisfaction and trust towards the health system in China and associated factors: a mixed-methods study.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- A systems approach to understanding injury care in LMICs using causal loop diagrams.BMJ global health · 2026Article
- Public perceptions of genetic sequencing in China: barriers and drivers of adoption.European journal of human genetics : EJHG · 2026Article
- Behavioral Determinants of Hospital Selection in Urological Care: Evidence From China's Hierarchical Healthcare System.Risk management and healthcare policy · 2025Article
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Authors and funding
3 authors.
Funding
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Abstract
backgroundPublic's perceptions of the health system provide valuable insights into its performance and inform future directions for improvement. This research aims to evaluate changes in public satisfaction and trust towards China's health system from 2011 to 2021 and to identify the key factors influencing these perceptions.
methodsUsing a mixed-methods design, this study examined changes in public satisfaction and trust in China's health system from 2011 to 2021 and explored the key factors associated with public satisfactionand trust. Quantitative data were drawn from the Health and Healthcare module of the Chinese General Social Survey, and qualitative in-depth interviews with 31 key informants were conducted to investigate these issues and uncover the underlying reasons for public satisfaction and trust in China's health system.
resultsPublic satisfaction with China's health system increased from 60.58% in 2011 to 78.61% in 2021, and public trust increased from 48.43% to 71.46%. Factors such as age, education, and income significantly impacted public satisfaction and trust. Logistic regression results showed that trust in doctors and perception of healthcare accessibility were key factors influencing public satisfaction and trust in the health system. Negative healthcare experiences lowered satisfaction, partly by reshaping trust in doctors and perceptions of healthcare accessibility, though they did not significantly affect trust in the health system. Qualitative findings highlighted the importance of healthcare experiences and doctor-patient interactions in shaping satisfaction and trust, with poor interactions identified as a key factor in dissatisfaction.
conclusionThere were significant improvements in public satisfaction and trust towards the health system in China from 2011 to 2021. Perceptions of healthcare service performance, negative healthcare experiences, trust in doctors, and perceptions of healthcare accessibility are key factors influencing public satisfaction and trust. To further enhance public satisfaction and trust, continued reforms to the integrated delivery system are needed to reduce financial barriers, improve doctor-patient interactions, and strengthen communication with the broader public.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.