Determinants of Asian Students' Medical Satisfaction in China: A Cross-Sectional Survey

With rapid economic globalization and cultural exchange, the number of international students in China has been increasing, particularly from Asian countries. Investigating Asian students' satisfaction with medical services in China and identifying key determinants of their health care experiences are critical for improving service quality.

A cross-sectional study was conducted at one university each in Beijing, Nanning and Baise from January to October 2022. A total of 164 Asian students were recruited through random sampling. Data were collected via an online bilingual (Chinese-English) questionnaire, covering participants' demographic information and medical experiences in both China and their home countries. ANOVA, independent-sample t test, paired-samples t test and multiple linear regression analysis were used to analyze the data.

Students in underdeveloped regions (Nanning and Baise) reported significantly lower overall satisfaction scores (7.26 ± 1.48) compared to those in developed region (Beijing: 8.41 ± 1.25). The convenience of registration, impression of hospital services and facilities, convenience of hospital space layout, waiting time for examination, respect of medical staff, listening by medical staff, understanding of medical staff, and timely response to complaints were key factors that influenced the overall experience of Asian students when seeking medical treatment. The overall satisfaction score for medical experiences in China (8.04) was significantly higher than in students' home countries (6.96; p < 0.001).

Asian international students' medical experiences within China exhibit significant regional disparities. Key determinants of satisfaction-including registration convenience, hospital facilities, staff responsiveness, and complaint resolution-highlight systemic gaps in service quality. Strengthening these areas is essential to support China's role as a global education destination.