The Mediation Effect of Perceived Attitudes toward Medical Service on the Association between Public Satisfaction with the Overall Medical Service and Self-Rated Health among the General Population in China: A Cross-Sectional Study

Wanwan Zheng, Yuqing Liang, Woon Seek Lee and Youngwook Ko ()
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Wanwan Zheng: Graduate School of Management of Technology, Pukyong National University, 365 Sinseon-ro, Nam-gu, Busan 48547, Republic of Korea
Yuqing Liang: Graduate School of Management of Technology, Pukyong National University, 365 Sinseon-ro, Nam-gu, Busan 48547, Republic of Korea
Woon Seek Lee: Graduate School of Management of Technology, Pukyong National University, 365 Sinseon-ro, Nam-gu, Busan 48547, Republic of Korea
Youngwook Ko: Graduate School of Management of Technology, Pukyong National University, 365 Sinseon-ro, Nam-gu, Busan 48547, Republic of Korea

IJERPH, 2023, vol. 20, issue 4, 1-16

Abstract: This study aimed to examine the association between public satisfaction with the overall medical service and individuals’ self-rated health among 18,852 Chinese adults aged 16–60 years by using data from the 2018 China Family Panel Studies. We further test whether such an association is mediated by perceived attitudes toward the medical service. The logistic regression model is used to explore the association between public satisfaction with the overall medical service and individuals’ self-rated health (SRH) outcomes. Mediation analysis was conducted by using the Karlson–Holm–Breen (KHB) method. We found that public satisfaction with the overall medical service was associated with good SRH. Additional results indicated that the association between public satisfaction with the overall medical service and SRH was significantly mediated by perceived attitudes toward the medical service. The degree of mediation is much larger for individuals’ satisfaction with the level of medical expertise than for trusting in doctors, attitudes toward medical service problems, and the attitude toward the level of the hospital. Targeted medical policy interventions are designed to promote individuals’ perceived attitudes toward the medical service, which might help to improve individuals’ health benefits.

Keywords: public satisfaction with overall medical service; perceived attitudes toward medical service; mediation analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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