The impact of contracted family doctor services on social adaptability among middle-aged and older adults in rural China

The mediating role of regular health management

Bibliographic Data

ID15375264
AuthorsFan Yang (0000-0003-2978-7102, Inner Mongolia University of Finance and Economics, corresponding author), Min Su (0000-0003-3772-1891, Inner Mongolia University), Tianjiao Zhang (0000-0002-2326-0599, Inner Mongolia University of Finance and Economics), Weile Zhang (0000-0002-7962-0389, Inner Mongolia University), Zelin Liu (0000-0002-3516-3999, Inner Mongolia University), Huibo Li (Inner Mongolia University)
Year2025
Volume25
Issue1
Pages3342-3342
Publication date2025-10-06
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMC Public Health (JOURNAL)
Journal identifiersISSN: 1471-2458 • E-ISSN: 1471-2458
PublisherBioMed Central (PUBLISHER • GB)
DOI10.1186/s12889-025-24392-7
PMID41053698
OpenAlexW4414902959
LanguageEN
References cited32

CFDS significantly enhances social adaptability among rural middle-aged and older adults, broadening primary care's impact beyond biomedical domains. RHM mediates 29.5% of this effect. The benefits were particularly pronounced among younger individuals and male subgroups. To sustain CFDS effectiveness, China should maintain 1-3% annual coverage growth while implementing targeted measures: combating social isolation in older adults, screening for perimenopausal comorbidities among women, and strengthening intergenerational care support programs

Adaptability · Biostatistics · China · Primary care · Public health · Rural area · Social isolation · Social support · Health disparities and outcomes · Health, psychology, and well-being · Intergenerational Family Dynamics and Caregiving

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Open DOIOpen Access