Study on residents′ preference for traditional Chinese medicine health management services in community health service institutions
10.3760/cma.j.cn111325-20250402-00259
- VernacularTitle:居民利用社区卫生服务机构中医健康管理服务的偏好研究
- Author:
Xiaojing MA
1
;
Hang XU
;
Yuna PAN
;
Jianping REN
Author Information
1. 杭州师范大学公共管理学院，杭州 310036
- Publication Type:Journal Article
- Keywords:
Community health service;
Traditional Chinese medicine health management services;
Preferences;
Discrete choice experiment;
Residents
- From:
Chinese Journal of Hospital Administration
2025;41(8):636-642
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate Beijing residents′ preferences, marginal willingness to pay (mWTP), and utilization probabilities regarding the traditional Chinese medicine (TCM) health management services provided by community health service institutions, and to provide references for promoting the application and dissemination of TCM health management at the grassroots level.Methods:A questionnaire was designed based on a discrete choice experiment involving six attributes influencing residents′ utilization of TCM health management services: medical insurance coverage, technical effectiveness, service provider, physician seniority, treatment modality, and individual average out-of-pocket cost. A multi-stage stratified random sampling method was used to select 800 residents from three community health service institutions across three administrative districts of Beijing. The survey was conducted from November to December 2024. A mixed logit model was employed to analyze the factors influencing service utilization preferences, mWTP, and utilization probabilities.Results:A total of 733 valid questionnaires were included in the analysis. All six attributes significantly influenced residents′ service utilization preferences ( P<0.05). Residents showed stronger preferences for services with lower individual average out-of-pocket costs ( β=-0.214), combination therapies involving both internal medication and external treatments ( β=0.314), provision by senior-level professionals ( β= 0.522), fixed service providers ( β=0.851), longer treatment courses with better efficacy ( β=1.323), and services covered by medical insurance ( β=1.843). When services were covered by insurance, featured longer courses with better efficacy, and involved fixed service providers, the probability of service utilization increased to 76.52%. Heterogeneity in service utilization preferences was observed across different ages, genders and chronic health conditions ( P<0.05). Conclusions:Medical insurance coverage, technical efficacy and doctor service continuity are the most influential factors affecting residents′ service utilization. Optimizing the combination of TCM health management service attributes can enhance residents′ willingness to utilize these services. It is recommended to develop multi-tiered medical security strategies, selectively include high-value TCM health management services into insurance coverage, strengthen physician-patient trust, and design differentiated " disease prevention" service packages for residents with different characteristics to improve overall population health.
