Table 4

Factors associated with the choice of health facilities for outpatient services

Variables§ClinicsPrimary health facilitiesSecondary hospitals
UOR (95% CIs)AOR (95% CIs)UOR (95% CIs)AOR (95% CIs)UOR (95% CIs)AOR (95% CIs)
Migration status
 Internal migrants3.90 (1.90 to 8.01)*2.06 (0.91 to 4.69)1.71 (0.89 to 3.25)1.16 (0.56 to 2.40)1.50 (0.73 to 3.09)1.05 (0.47 to 2.32)
 Returned population3.03 (1.64 to 5.57)*1.40 (0.69 to 2.82)1.82 (1.10 to 2.99)†1.22 (0.69 to 2.17)1.60 (0.92 to 2.79)0.88 (0.47 to 1.66)
 Rural residents9.65 (5.64 to 16.51)*2.43 (1.20 to 4.92)†3.83 (2.48 to 5.90)*1.75 (0.96 to 3.21)4.84 (3.03 to 7.72)*1.52 (0.80 to 2.90)
 Urban residentsrefrefrefrefrefref
Social medical insurance
 None5.40 (2.25 to 12.96)*1.92 (0.71 to 5.17)1.77 (0.89 to 3.53)0.93 (0.42 to 2.07)2.50 (1.16 to 5.37)†1.27 (0.53 to 3.07)
 NRCMS12.21 (5.98 to 24.94)*2.95 (1.20 to 7.23)†3.17 (1.95 to 5.16)*1.20 (0.60 to 2.43)4.99 (2.83 to 8.79)*1.80 (0.82 to 3.96)
 URBMI2.06 (0.83 to 5.12)1.27 (0.48 to 3.34)1.18 (0.61 to 2.26)0.89 (0.44 to 1.82)1.10 (0.50 to 2.41)0.87 (0.37 to 2.00)
 Doubly/multi-insured1.20 (0.44 to 3.26)0.93 (0.32 to 2.72)0.53 (0.25 to 1.14)0.50 (0.22 to 1.12)0.67 (0.28 to 1.60)0.67 (0.27 to 1.67)
 UEBMIrefrefrefrefrefref
Household income
 Low6.76 (4.35 to 10.51)*2.72 (1.58 to 4.66)*3.11 (2.09 to 4.63)*1.69 (1.03 to 2.79)†5.00 (3.25 to 7.71)*2.07 (1.22 to 3.52)‡
 Middle4.21 (2.72 to 6.53)*2.43 (1.48 to 3.99)*2.11 (1.43 to 3.12)*1.46 (0.93 to 2.27)2.85 (1.84 to 4.39)*1.74 (1.07 to 2.82)†
 Highrefrefrefrefrefref
  • The ref of Y was ‘tertiary hospitals’.

  • *P<0.001.

  • †P<0.05.

  • ‡P<0.01.

  • §We also adjusted gender, age, education level, occupation status, weekly working hours, monthly working days, size of friend network, BMI, smoking and self-rated health.

  • AOR, adjusted OR; NRCMS, New Rural Cooperative Medical Scheme; UEBMI, Urban Employee-based Basic Medical Insurance; URBMI, Urban Resident-based Basic Medical Insurance .