Analysis of downward referral willingness and its influencing factors among recovery phase hospitalized patients in tertiary hospitals

Abstract

Objectives: This study aimed to understand the willingness of hospitalized patients in stable conditions and in the recovery phase in tertiary hospitals toward downward referral (DR) and to explore its influencing factors. Methods: A questionnaire survey was conducted among hospitalized patients from five tertiary general hospitals. Data were analyzed and processed using SPSS17.0 software. Results: The rate of knowledge regarding the hierarchical medical system and DR willingness were low. Per capital household annual income, the form of medical insurance, and the medical treatment decision-making process are the main factors influencing patients’ willingness. Conclusion: To improve patients’ DR willingness, it is necessary to further strengthen public understanding of the hierarchical medical system and to build the service capabilities of primary medical institutions.