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TL;DR
Using grounded theory interviews with 42 community residents and two subsequent surveys (N=250 and N=278), this study developed a 14-item measurement scale for willingness to utilize family doctor contracting services with three dimensions.
Risk Management and Healthcare Policy · 2 authors, 1 centre
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Using grounded theory interviews with 42 community residents and two subsequent surveys (N=250 and N=278), this study developed a 14-item measurement scale for willingness to utilize family doctor contracting services with three dimensions.
This study developed and validated a measurement scale for willingness to utilize primary care services within China's family doctor contracting services system. Phase 1 involved in-depth interviews with community residents yielding 42 qualitative datasets, analyzed using grounded theory to construct a conceptual framework. This framework comprises three dimensions: perceived feasibility, perceived desirability, and perceived initiative. Phase 2 involved two cross-sectional surveys: exploratory factor analysis (N=250) and confirmatory factor analysis (N=278), resulting in a 14-item scale. Limitations include that the sample predominantly comprised urban residents and did not cover remote provinces or rural areas, potentially limiting generalizability. The model is context-specific to China's primary healthcare system and may have limitations when applied to other countries or underdeveloped regions.