The moderation effect of family doctor contract services on health expenditure and health-related quality of life among patients with chronic diseases
Peer-Reviewed Publication
Updates every hour. Last Updated: 8-Oct-2025 17:11 ET (8-Oct-2025 21:11 GMT/UTC)
This study examines how catastrophic health expenditure (CHE) affects health-related quality of life (HRQoL) in patients with chronic diseases, highlighting the moderating role of family doctor contract services. It finds that patients experiencing CHE had significantly lower HRQoL scores compared to those without, but family doctor services helped mitigate these negative effects. Older age, multiple chronic conditions, and higher healthcare utilization were linked to poorer HRQoL, while higher education and stable employment offered protective benefits. The study suggests that expanding family doctor services for chronic disease patients can help break the "poverty-disease" cycle and improve overall health outcomes.
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