The effects of family physician-contracted service on health-related quality of life and equity in health in China

Abstract Background Family physician-contracted service (FPCs) has been recently implemented in Chinese primary care settings. This study was aimed at measuring the effects of FPCs on residents’ health-related quality life (HRQoL) and equity health among population. Methods The data drawn from 2018 household survey (Shaanxi Province, China) using multistage, stratified cluster random sampling. We measured HRQoL EQ-5D-3L based Chinese-specific time trade-off values set. Coarsened exact matching (CEM) technique used to control for confounding factors between residents with without a contracted family physician. concentration index (C) calculated measure health. Results Individuals physician had significantly higher than those without, after (0.9355 vs. 0.8995; P < 0.001). Additionally, inequity respondents lower (Cs EQ-5D utility score: 0.0084 0.0263; p Conclusions highlights positive socioeconomic-related HRQoL. Future efforts should prioritize economically educationally disadvantaged groups, expansion coverage, competency teams further enhance outcome