Background
Methods
Data
Measure of patient’s life satisfaction
Measure of patient’s overall satisfaction with medical service delivery
Measure of patient’s assessment of medical service
Measure of patient’s trust in health delivery system
Description of ordered probit model
Specified ordered probit models
Results
Descriptive statistics
Dummy variables | Descriptions | Mean | Standard deviation | Min | Max |
---|---|---|---|---|---|
Age dummies | Sample person is between 18–30 years old, 1 = Yes, 0 = Otherwise | 0.263 | 0.441 | 0 | 1 |
Sample person is between 31–45 years old, 1 = Yes, 0 = Otherwise | 0.240 | 0.427 | 0 | 1 | |
Sample person is between 46–55 years old, 1 = Yes, 0 = Otherwise | 0.235 | 0.424 | 0 | 1 | |
Gender dummy | 1 = Male, 0 = Female | 0.492 | 0.500 | 0 | 1 |
Marital status dummies | 1 = Unmarried, 0 = Otherwise | 0.016 | 0.124 | 0 | 1 |
1 = Married, 0 = Otherwise | 0.909 | 0.288 | 0 | 1 | |
1 = Divorced, 0 = Otherwise | 0.025 | 0.156 | 0 | 1 | |
1 = Widowed, 0 = Otherwise | 0.048 | 0.213 | 0 | 1 | |
Education dummies | 1 = Primary School or below, 0 = Otherwise | 0.098 | 0.298 | 0 | 1 |
1 = Junior high school, 0 = Otherwise | 0.259 | 0.438 | 0 | 1 | |
1 = Senior high school, 0 = Otherwise | 0.257 | 0.437 | 0 | 1 | |
1 = Secondary, 0 = Otherwise | 0.103 | 0.304 | 0 | 1 | |
1 = College, 0 = Otherwise | 0.172 | 0.378 | 0 | 1 | |
1 = University, 0 = Otherwise | 0.102 | 0.303 | 0 | 1 | |
Income dummies | 1 = Income is less than ¥3390, 0 = Otherwise | 0.116 | 0.321 | 0 | 1 |
1 = Income is between ¥3390 and ¥5410, 0 = Otherwise | 0.118 | 0.323 | 0 | 1 | |
1 = Income is between ¥5411 and ¥7420, 0 = Otherwise | 0.121 | 0.326 | 0 | 1 | |
1 = Income is between ¥7421 and ¥9374, 0 = Otherwise | 0.127 | 0.333 | 0 | 1 | |
1 = Income is between ¥9375 and ¥11700, 0 = Otherwise | 0.127 | 0.333 | 0 | 1 | |
1 = Income is between ¥11701 and ¥15180, 0 = Otherwise | 0.129 | 0.335 | 0 | 1 | |
1 = Income is between ¥15180 and ¥21860, 0 = Otherwise | 0.126 | 0.332 | 0 | 1 | |
Employment status dummies | 1 = Employees of state-owned enterprises, 0 = Otherwise | 0.321 | 0.467 | 0 | 1 |
1 = Employees of various non-state-owned enterprises, 0 = Otherwise | 0.193 | 0.395 | 0 | 1 | |
1 = Urban self-employed and private entrepreneurs, 0 = Otherwise | 0.066 | 0.248 | 0 | 1 | |
1 = Homeworkers, 0 = Otherwise | 0.258 | 0.438 | 0 | 1 | |
1 = Unemployed, to be distributed or other non-employed, 0 = Otherwise | 0.022 | 0.145 | 0 | 1 | |
1 = Students, 0 = Otherwise | 0.041 | 0.198 | 0 | 1 | |
1 = Reemployment of retired or retired personnel, 0 = Otherwise | 0.024 | 0.154 | 0 | 1 | |
Job occupation dummies | 1 = Professional and technical personnel, 0 = Otherwise | 0.029 | 0.167 | 0 | 1 |
1 = Managers in government and government related enterprises, 0 = Otherwise | 0.141 | 0.348 | 0 | 1 | |
1 = The clerk and manager, 0 = Otherwise | 0.211 | 0.408 | 0 | 1 | |
1 = Commercial Staff, 0 = Otherwise | 0.125 | 0.330 | 0 | 1 | |
1 = Service staff, 0 = Otherwise | 0.004 | 0.059 | 0 | 1 | |
1 = Farmers, animal husbandry and fishery workers, 0 = Otherwise | 0.098 | 0.297 | 0 | 1 | |
1 = Production workers, transport workers and associated personnel, 0 = Otherwise | 0.001 | 0.030 | 0 | 1 | |
Health status dummy | 1 = Health status is average or above average, 0 = Otherwise | 0.797 | 0.403 | 0 | 1 |
Medical insurance dummies | 1 = Medical insurance for local urban workers, 0 = Otherwise | 0.549 | 0.498 | 0 | 1 |
1 = Medical insurance for local migrant workers, 0 = Otherwise | 0.004 | 0.062 | 0 | 1 | |
1 = Self-financing medical insurance sponsored by the company or unit, 0 = Otherwise | 0.056 | 0.229 | 0 | 1 | |
1 = Commercial medical insurance bought by employer, 0 = Otherwise | 0.006 | 0.077 | 0 | 1 | |
1 = Privately purchased commercial medical insurance, 0 = Otherwise | 0.057 | 0.232 | 0 | 1 | |
1 = Government funded health care reimbursement, 0 = Otherwise | 0.053 | 0.224 | 0 | 1 | |
1 = The new rural cooperative medical insurance, 0 = Otherwise | 0.058 | 0.233 | 0 | 1 | |
1 = Other medical insurance, 0 = Otherwise | 0.074 | 0.263 | 0 | 1 | |
1 = No medical insurance, 0 = Otherwise | 0.137 | 0.344 | 0 | 1 | |
Reimbursement percentage of medical cost dummies | 1 = Reimbursement percentage of medical cost is 100%, 0 = Otherwise | 0.069 | 0.253 | 0 | 1 |
1 = Reimbursement percentage of medical cost is between 70% and 99%, 0 = Otherwise | 0.174 | 0.379 | 0 | 1 | |
1 = Reimbursement percentage of medical cost is between 40% and 69%, 0 = Otherwise | 0.148 | 0.355 | 0 | 1 | |
1 = Reimbursement percentage of medical cost is between 20% and 39%, 0 = Otherwise | 0.058 | 0.234 | 0 | 1 | |
1 = Reimbursement percentage of medical cost is between 1% and 19%, 0 = Otherwise | 0.031 | 0.173 | 0 | 1 | |
Severity of disease dummies | 1 = Not serious, 0 = Otherwise | 0.265 | 0.441 | 0 | 1 |
1 = General, 0 = Otherwise | 0.517 | 0.500 | 0 | 1 | |
1 = Serious, 0 = Otherwise | 0.172 | 0.378 | 0 | 1 | |
Stage of disease dummies | 1 = Emergency and serious disease, 0 = Otherwise | 0.176 | 0.380 | 0 | 1 |
1 = Non-emergency disease at initial stage, 0 = Otherwise | 0.577 | 0.494 | 0 | 1 | |
1 = Non-emergency disease at medium stage, 0 = Otherwise | 0.156 | 0.363 | 0 | 1 | |
1 = Non-emergency stable disease at late stage, 0 = Otherwise | 0.092 | 0.289 | 0 | 1 |
Mean | Standard deviation | Min | Max | |
---|---|---|---|---|
Life satisfaction | 3.573 | 0.606 | 1 | 5 |
Overall satisfaction with medical service delivery | 3.678 | 0.774 | 1 | 5 |
Assessment of medical treatment process | 3.580 | 0.750 | 1 | 5 |
Assessment of doctor-patient communication | 3.494 | 0.778 | 1 | 5 |
Assessment of waiting time for medical service | 3.139 | 1.030 | 1 | 5 |
Assessment of medical facility and hospital environment | 3.397 | 0.683 | 1 | 5 |
Assessment of medical cost | 3.448 | 0.804 | 1 | 5 |
Trust in medical institution | 2.760 | 1.349 | 1 | 5 |
Trust in doctor | 4.144 | 0.986 | 1 | 5 |
Trust in prescription | 3.482 | 0.911 | 1 | 5 |
Trust in recommended medical examination | 4.189 | 0.996 | 1 | 5 |
Regression results for whole sample
(1) | (2) | (3) | |
---|---|---|---|
Life satisfaction | |||
Overall satisfaction with medical service delivery | 2.741*** | ||
(26.00) | |||
Assessment of medical treatment process | 0.546*** | ||
(9.17) | |||
Assessment of doctor-patient communication | 0.629*** | ||
(10.84) | |||
Assessment of waiting time for medical service | 0.260*** | ||
(5.80) | |||
Assessment of medical facility and hospital environment | 0.513*** | ||
(14.98) | |||
Assessment of medical cost | 0.621*** | ||
(11.58) | |||
Trust in medical institution | 0.0156 | ||
(1.06) | |||
Trust in doctor | 0.156*** | ||
(7.77) | |||
Trust in prescription | 0.157*** | ||
(7.52) | |||
Trust in recommended medical examination | 0.147*** | ||
(7.89) | |||
Age dummies | Yes | Yes | Yes |
Gender dummy | Yes | Yes | Yes |
Marital status dummies | Yes | Yes | Yes |
Education dummies | Yes | Yes | Yes |
Income dummies | Yes | Yes | Yes |
Employment status dummies | Yes | Yes | Yes |
Job occupation dummies | Yes | Yes | Yes |
Health status dummy | Yes | Yes | Yes |
Medical insurance dummies | Yes | Yes | Yes |
Reimbursement percentage of medical cost dummies | Yes | Yes | Yes |
Severity of disease dummies | Yes | Yes | Yes |
Stage of disease dummies | Yes | Yes | Yes |
Cutoff point 1 | 4.086*** | 5.133*** | −0.0979 |
(8.78) | (9.89) | (−0.26) | |
Cutoff point 2 | 7.885*** | 7.222*** | 1.153*** |
(15.27) | (13.72) | (3.08) | |
Cutoff point 3 | 12.15*** | 10.62*** | 3.170*** |
(20.46) | (18.88) | (8.39) | |
Cutoff point 4 | 15.20*** | 13.80*** | 4.819*** |
(22.54) | (22.49) | (12.56) | |
Number of observations | 3386 | 3386 | 3386 |
Log pseudo-likelihood | 3160.5 | 1740.7 | 300.0 |
Regression results for sample in various kinds of hospitals
(1) | (2) | (3) | (4) | (5) | |
---|---|---|---|---|---|
Group for community health center | Group for level 1 hospital | Group for level 2 hospital | Group for level 3 hospital | Group for private hospital | |
Life satisfaction
| |||||
Overall satisfaction with medical service delivery | 2.246*** | 2.463*** | 2.860*** | 3.122*** | 6.837 |
(10.67) | (11.27) | (13.19) | (11.52) | (0.03) | |
Age dummies | Yes | Yes | Yes | Yes | Yes |
Gender dummy | Yes | Yes | Yes | Yes | Yes |
Marital status dummies | Yes | Yes | Yes | Yes | Yes |
Education dummies | Yes | Yes | Yes | Yes | Yes |
Income dummies | Yes | Yes | Yes | Yes | Yes |
Employment status dummies | Yes | Yes | Yes | Yes | Yes |
Job occupation dummies | Yes | Yes | Yes | Yes | Yes |
Health status dummy | Yes | Yes | Yes | Yes | Yes |
Medical insurance dummies | Yes | Yes | Yes | Yes | Yes |
Reimbursement percentage of medical cost dummies | Yes | Yes | Yes | Yes | Yes |
Severity of disease dummies | Yes | Yes | Yes | Yes | Yes |
Stage of disease dummies | Yes | Yes | Yes | Yes | Yes |
Cutoff point 1 | 4.464** | 4.863** | 3.853*** | 4.640*** | 13.47 |
(2.14) | (2.07) | (4.06) | (5.50) | (0.03) | |
Cutoff point 2 | 8.074*** | 8.554*** | 7.716*** | 8.894*** | 21.37 |
(3.79) | (3.62) | (7.29) | (8.50) | (0.03) | |
Cutoff point 3 | 11.84*** | 12.63*** | 12.09*** | 13.52*** | 29.94 |
(5.32) | (5.13) | (9.92) | (10.52) | (0.04) | |
Cutoff point 4 | 14.37*** | 15.73*** | 15.23*** | 16.82*** | 37.03 |
(6.22) | (6.13) | (11.00) | (11.04) | (0.04) | |
Number of observations | 620 | 443 | 936 | 938 | 449 |
Log pseudo-likelihood | 328.7 | 442.8 | 925.0 | 946.9 | 452.8 |
(1) | (2) | (3) | (4) | (5) | |
---|---|---|---|---|---|
Group for community health center | Group for level 1 hospital | Group for level 2 hospital | Group for level 3 hospital | Group for private hospital | |
Life satisfaction
| |||||
Assessment of medical treatment process | 0.789*** | 0.646*** | 0.461*** | 0.433*** | 0.275 |
(6.05) | (5.68) | (3.13) | (2.60) | (1.53) | |
Assessment of doctor-patient communication | 0.575*** | 0.659*** | 0.676*** | 0.757*** | 0.517*** |
(5.57) | (4.62) | (5.57) | (4.16) | (2.75) | |
Assessment of waiting time for medical service | 0.175 | 0.200* | 0.257** | 0.452*** | 0.237 |
(1.40) | (1.95) | (2.50) | (5.04) | (1.51) | |
Assessment of medical facility and hospital environment | 0.621*** | 0.550*** | 0.509*** | 0.449*** | 0.527*** |
(8.18) | (8.20) | (5.72) | (4.83) | (4.55) | |
Assessment of medical cost | 0.525*** | 0.633*** | 0.691*** | 0.854*** | 0.533*** |
(5.48) | (5.39) | (4.27) | (6.04) | (3.18) | |
Age dummies | Yes | Yes | Yes | Yes | Yes |
Gender dummy | Yes | Yes | Yes | Yes | Yes |
Marital status dummies | Yes | Yes | Yes | Yes | Yes |
Education dummies | Yes | Yes | Yes | Yes | Yes |
Income dummies | Yes | Yes | Yes | Yes | Yes |
Employment status dummies | Yes | Yes | Yes | Yes | Yes |
Job occupation dummies | Yes | Yes | Yes | Yes | Yes |
Health status dummy | Yes | Yes | Yes | Yes | Yes |
Medical insurance dummies | Yes | Yes | Yes | Yes | Yes |
Reimbursement percentage of medical cost dummies | Yes | Yes | Yes | Yes | Yes |
Severity of disease dummies | Yes | Yes | Yes | Yes | Yes |
Stage of disease dummies | Yes | Yes | Yes | Yes | Yes |
Cutoff point 1 | 5.085*** | 4.747*** | 5.750*** | 5.896*** | 2.654 |
(3.76) | (3.80) | (4.64) | (6.86) | (1.41) | |
Cutoff point 2 | 9.085*** | 7.223*** | 7.710*** | 7.772*** | 5.445*** |
(4.39) | (5.60) | (6.15) | (8.93) | (2.80) | |
Cutoff point 3 | 12.56*** | 10.98*** | 11.53*** | 11.02*** | 8.792*** |
(5.89) | (7.77) | (8.62) | (11.66) | (4.39) | |
Cutoff point 4 | 15.73*** | 13.94*** | 15.33*** | 14.13*** | 11.64*** |
(7.05) | (8.73) | (10.70) | (13.59) | (5.40) | |
Number of observations | 620 | 443 | 936 | 938 | 449 |
Log pseudo-likelihood | 269.1 | 244.6 | 572.5 | 479.8 | 159.1 |
(1) | (2) | (3) | (4) | (5) | |
---|---|---|---|---|---|
Group for community health center | Group for level 1 hospital | Group for level 2 hospital | Group for level 3 hospital | Group for private hospital | |
Life satisfaction
| |||||
Trust in medical institution | 0.0435 | 0.0610 | −0.00226 | 0.0286 | 0.00469 |
(0.86) | (1.47) | (−0.08) | (1.06) | (0.11) | |
Trust in doctor | 0.196*** | 0.190*** | 0.179*** | 0.129*** | 0.119** |
(3.96) | (4.87) | (2.81) | (3.32) | (2.20) | |
Trust in prescription | 0.176*** | 0.182*** | 0.185*** | 0.204*** | 0.174*** |
(4.51) | (4.82) | (4.58) | (4.55) | (2.83) | |
Trust in recommended medical examination | 0.0989* | 0.170*** | 0.201*** | 0.254*** | 0.127* |
(1.74) | (4.34) | (5.28) | (4.30) | (1.82) | |
Age dummies | Yes | Yes | Yes | Yes | Yes |
Gender dummy | Yes | Yes | Yes | Yes | Yes |
Marital status dummies | Yes | Yes | Yes | Yes | Yes |
Education dummies | Yes | Yes | Yes | Yes | Yes |
Income dummies | Yes | Yes | Yes | Yes | Yes |
Employment status dummies | Yes | Yes | Yes | Yes | Yes |
Job occupation dummies | Yes | Yes | Yes | Yes | Yes |
Health status dummy | Yes | Yes | Yes | Yes | Yes |
Medical insurance dummies | Yes | Yes | Yes | Yes | Yes |
Reimbursement percentage of medical cost dummies | Yes | Yes | Yes | Yes | Yes |
Severity of disease dummies | Yes | Yes | Yes | Yes | Yes |
Stage of disease dummies | Yes | Yes | Yes | Yes | Yes |
Cutoff point 1 | 0.230 | 2.615** | −0.900 | −0.316 | −1.206 |
(0.16) | (2.22) | (−1.18) | (−0.54) | (−0.88) | |
Cutoff point 2 | 1.987 | 4.049*** | 0.288 | 0.861 | 0.184 |
(1.46) | (3.40) | (0.38) | (1.49) | (0.14) | |
Cutoff point 3 | 4.103*** | 6.285*** | 2.276*** | 2.882*** | 2.234 |
(2.99) | (5.21) | (2.98) | (4.93) | (1.64) | |
Cutoff point 4 | 5.899*** | 7.873*** | 3.889*** | 4.529*** | 3.835*** |
(4.26) | (6.39) | (5.06) | (7.56) | (2.79) | |
Number of observations | 620 | 443 | 936 | 938 | 449 |
Log pseudo-likelihood | 50.22 | 83.18 | 96.92 | 92.45 | 35.82 |