[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-426061-105":59,"doc-detail-426061-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","impact-of-family-doctor-contract-services-on-healthcare-utilization-among-older-adults-in-china-issue-s2-471-study-results","IMPACT OF FAMILY DOCTOR CONTRACT SERVICES ON HEALTHCARE UTILIZATION AMONG OLDER ADULTS IN CHINA - Issue S2 471 - Study results","","Family doctor contract services were introduced in China to strengthen primary care and stabilize patient-provider relationships, but their effect on older adults’ healthcare access remained uncertain. This study evaluates impacts on healthcare utilization and expenditures among adults aged 45+ using Shandong Province Health Service Survey data from 2018 and 2023. With 36,027 participants and a panel data design, regressions assess service use and spending, and instrumental variable analysis addresses endogeneity via regional contract signing rates. Results show increased outpatient utilization, especially in rural areas, modest inpatient gains, and mixed spending effects.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/impact-of-family-doctor-contract-services-on-healthcare-utilization-among-older-adults-in-china-issue-s2-471-study-results/426061/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/impact-of-family-doctor-contract-services-on-healthcare-utilization-among-older-adults-in-china-issue-s2-471-study-results/426061.png","ImageObject",300,407,{"name":92,"@type":93},"Rizky","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-14","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":24},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What problem does the study address about family doctor contract services in China?","Question",{"text":112,"@type":113},"The study examines whether family doctor contract services improve healthcare access for middle-aged and older adults, especially given rural-urban disparities.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Which data and sample does the study use?",{"text":117,"@type":113},"It uses the sixth (2018) and seventh (2023) Shandong Province Health Service Survey, analyzing 36,027 adults aged 45 and older.",{"name":119,"@type":110,"acceptedAnswer":120},"How do family doctor contracts affect outpatient and inpatient healthcare utilization?",{"text":121,"@type":113},"They significantly increase outpatient utilization, with a stronger rural effect than urban, and they also raise inpatient service use modestly.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},426061,1790810865,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":24,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},962085564807,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Innovation in Aging, 2025, Vol. 9, No. S2 471  \ndoctors in expanding healthcare access for older adults, particularly in rural regions where primary care is traditionally weaker. Policymakers should prioritize strengthening rural healthcare infrastructure, increasing provider incentives, and addressing disparities to ensure equitable access to primary care as China’s population continues to age.  \nAbstract citation ID: igaf122.1609  \nIMPACT OF FAMILY DOCTOR CONTRACT SERVICES  \nON HEALTHCARE UTILIZATION AMONG OLDER  \nADULTS IN CHINA  \nSijiu Wang, and Tingyu Lei, Tsinghua University, Beijing, Beijing, China (People’s Republic)  \nAs China’s population ages, ensuring access to primary care for older adults is a growing priority. Family doctor contract services have been introduced to strengthen primary care and promote stable patient-provider relationships, yet their effectiveness in improving healthcare access for older adults remains unclear. This study examines the impact of family doctor contract services on healthcare utilization and expenditures among middle-aged and older adults, with a focus on rural-urban disparities. Using data from the sixth (2018) and seventh (2023) Shandong Province Health Service Survey, which employed multi-stage stratified cluster sampling across 20 cities, we analyzed a sample of 36,027 adults aged 45 and older. A panel data approach was used to compare healthcare utilization before and after contract enrollment. Probit and OLS regression models assessed service utilization and expenditures, while instrumental variable analysis, using regional contract signing rates, addressed potential endogeneity. Results indicate that family doctor contracts significantly increased outpatient utilization (6.73%, p \u003C 0.01), with stronger effects in rural areas (13.95%, p \u003C 0.01) than urban areas (2.56%, p \u003C 0.05) . Inpatient service use also increased modestly (2.48%, p \u003C 0.05). While outpatient spending initially decreased (10.72%, p \u003C 0.1), this effect became insignificant under IV estimation. Findings underscore the role of family","cbCaimFMlQjHLbam","https://ap.wps.com/l/cbCaimFMlQjHLbam","pdf",449330,"English","# Study background\n## Research aim and uncertainty\n# Data and methods\n## Sources and sampling\n## Panel design and regression models\n## Instrumental variable strategy\n# Results\n## Outpatient utilization changes\n## Inpatient service changes\n## Expenditure effects\n# Key implications","[{\"question\":\"What problem does the study address about family doctor contract services in China?\",\"answer\":\"The study examines whether family doctor contract services improve healthcare access for middle-aged and older adults, especially given rural-urban disparities.\"},{\"question\":\"Which data and sample does the study use?\",\"answer\":\"It uses the sixth (2018) and seventh (2023) Shandong Province Health Service Survey, analyzing 36,027 adults aged 45 and older.\"},{\"question\":\"How do family doctor contracts affect outpatient and inpatient healthcare utilization?\",\"answer\":\"They significantly increase outpatient utilization, with a stronger rural effect than urban, and they also raise inpatient service use modestly.\"}]","IMPACT OF FAMILY DOCTOR CONTRACT SERVICES ON HEALTHCARE UTILIZATION AMONG OLDER ADULTS IN CHINA - Issue S2 471 - Study results | PDF",1790639250]