Frontiers in Public Health
Strengthening primary care gatekeeping for healthy aging in China: family doctor contract service and multidimensional health outcomes among older adults
Objective Expanding access to community-based primary care is central to addressing the health challenges posed by population aging in China. This study examines associations between Family Doctor Contract Service (FDCS) participation and multidimensional health outcomes among community-dwelling older adults. Methods Using nationally representative data from the 2023 China Longitudinal Aging Social Survey ( N = 11,455), we assessed three health dimensions: self-rated health, physical discomfort, and life satisfacti …