Abstract
In Shanghai, one of the biggest modern cities in the world, community-based health care providers are largely underutilized. As a result, valuable medical resources are wasted. The present study examined the relationship between the variables of perceived risk and patient anxiety on intentions to use community health clinics, because these two variables are closely related to decision making. A survey measuring these variables was distributed near community health clinics in Shanghai ( n = 869), and structural equation models were constructed to analyze the data. Results show that patient anxiety was associated with contracting diseases and positively related to the intention to seek services from community-based providers, whereas their perceived risk of these providers had a negative relationship with such an intention. Moreover, the knowledge that some community clinics were not as good as large hospitals was positively related to perceived risk. Policy implications are discussed based on the findings.
Highlights
Shanghai is one of the biggest modern cities in China and in the world
To comprehensively understand the psychological intention to use community health care providers, the current study examined two sources that correlate with perceived risk and PA: service provider heterogeneity and health involvement
While the proposed factors of perceived risk, PA, health involvement, and provider heterogeneity have been tested in the domains of consumer behavior and health care, this study examined their associations with intention to use community clinics in Shanghai
Summary
Shanghai is one of the biggest modern cities in China and in the world. As of 2017, Shanghai had a population of more than 24 million and a gross domestic product (GDP) of 469 billion US dollars (Zhou, 2018). The health care situation has been critical in Shanghai. The aging population has kept growing in Shanghai. As of 2017, a total of 4.84 million residents in Shanghai were aged 60 or over (Shi, 2018). The growing aging population has been placing substantial pressure on the city’s health care system
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