title: Utilization of Rural Primary Care Physicians' Visit Services for Diabetes Management of Public Health in Southwestern China: A Cross-Sectional Study from Patients' View.
abstract: BACKGROUND
  Primary care physicians' visit services for diabetes management are now widely delivered in China's rural public health care. Current studies mainly focus on supply but risk factors from patients' view have not been previously explored. This study aims to present the utilization of rural primary care physicians' visit services for diabetes management in the last 12 months in southwestern China, and to explore risk factors from patients' view.
  
  
  METHODS
  This cross sectional study selected six towns at random and all 385 diabetics managed by primary care physicians were potential participants. Basing on the inclusion and exclusion criteria, 374 diabetics were taken as valid subjects and their survey responses formed the data resource of analyses. Descriptive indicators, χ2 contingency table analyses and Logistic regression were used.
  
  
  RESULTS
  54.8% respondents reported the utilization of visit services. According to the multivariate analysis, the positive factors mainly associated with utilization of visit services include disease duration (OR=1.654), use of diabetic drugs (OR=1.869), consulting diabetes care knowledge (OR=1.602), recognition of diabetic complications (OR=1.662), needs of visit services (OR=2.338).
  
  
  CONCLUSIONS
  The utilization of rural primary care physicians' visit services still remains unsatisfactory. Mass rural health policy awareness, support, and emphasis are in urgent need and possible risk factors including disease duration, use of diabetic drugs, consulting diabetes care knowledge, recognition of diabetic complications and needs of visit services should be taken into account when making rural health policy of visit services for diabetes management in China and many other low- and middle-income countries.
authors.affiliation: 1. School of Health Policy and Management, Nanjing Medical University , Nanjing, China.
authors.forename: Yudong
authors.initials: Y
authors.lastname: Miao
authors.affiliation: 2. School of Medicine and Health Management of Tongji Medical College of Huazpong University of Science and Technology , Wuhan, China.
authors.forename: Ting
authors.initials: T
authors.lastname: Ye
authors.affiliation: 1. School of Health Policy and Management, Nanjing Medical University , Nanjing, China.
authors.forename: Dongfu
authors.initials: D
authors.lastname: Qian
authors.affiliation: 1. School of Health Policy and Management, Nanjing Medical University , Nanjing, China.
authors.forename: Jinlong
authors.initials: J
authors.lastname: Li
authors.affiliation: 2. School of Medicine and Health Management of Tongji Medical College of Huazpong University of Science and Technology , Wuhan, China.
authors.forename: Liang
authors.initials: L
authors.lastname: Zhang
keywords: China; Diabetes management; Rural primary care; Visit services