Types of health care facilities and the quality of primary care: a study of characteristics and experiences of Chinese patients in Guangdong Province, China

Hu, Ruwei; Liao, Yu; Du, Zhicheng; Hao, Yuantao; Liang, Hailun; Shi, Leiyu

doi:10.1186/s12913-016-1604-2

Cited by 84 publications

(100 citation statements)

References 32 publications

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“…It is corroborated the assertion that in the Northeastern Region still has insufficient access to PHC services to guarantee the comprehensive care (27) . In divergence, in some Brazilian states and in the international setting, access to first contact is evaluated as positive in terms of presence and extension (8,(14)(15)26) . In these settings, positive assessments are due to the existence of alternative ways of communication between professionals and users, such as internet and telephony.…”

Section: Ofmentioning

confidence: 99%

“…Studies (9)(10)(11)(12)(13) show that although there are positive changes in the primary level of care, access remains one of the main challenges for health services. However, in the international context, access to first contact presents with a score above the cutoff point (14)(15) . This attribute runs through a range of issues, such as embracement, humanization of care offered, adequacy between the supply and demand of services, including availability and geographical accessibility (13) .…”

Section: Introductionmentioning

confidence: 99%

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Assessment of access to first contact in the perspective of professionals

et al. 2020

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Objectives: to evaluate the “access to first contact” attribute, from the perspective of Primary Care Health professionals. Methods: an evaluative and cross-sectional study, carried out from February to March 2017. The sample consisted of 163 health professionals, of both genders, who worked in the basic care of the Municipality of Juazeiro do Norte, Ceará. Access to first contact was evaluated by the Primary Care Assessment Tool (PCATool). The 6.60 mark was used as the cut-off point for the evaluated attribute. Results: access to first contact reached a score of 3.3, denoting a low degree of orientation for Primary Health Care. Nurses were the ones who evaluated the attribute more negatively (p=3.2). Conclusions: access to first contact obtained a low score, pointing to the fragility of the Family Health Strategy as a gateway to the Brazilian Unified Health System (Sistema Único de Saúde).

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Section: Ofmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessment of access to first contact in the perspective of professionals

et al. 2020

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“…A minimum sample size of 300 for each setting was considered necessary to conduct the comparative analysis. In this study, the sample size was 828, and the sample size for each group was above 375, which was regarded adequate to provide good statistical power [18][19][20][21].…”

Section: Study Design and Samplementioning

confidence: 99%

Effect of family doctor contract services on patient perceived quality of primary care in Southern China

Feng

Cheng

Luo

et al. 2020

Preprint

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Background Family doctor contract service is an important service item in China’s primary care reform. This research was designed to evaluate the impact of the provision of family doctor contract services on the patient-perceived quality of primary care, and therefore give evidence-based policy suggestions. Methods This cross-sectional study of family doctor contract service policy was conducted in three pilot cities in the Pearl River Delta, South China,using a multistage stratified sampling method. The adapted Primary Care Assessment Tool-Adult Edition (PCAT-AS) was used to measure the quality of primary care services. Data was collected through face-to-face interviews held from July to November, 2015. Covariate analysis and multivariate Linear Regression were adopted to explore the effect of contract on the quality of primary care by controlling for the socio-demographic status and health care service utilization factors. Results A total of 828 valid questionnaires were collected. From the interviewees, 453 patients signed the contract (54.7%) and 375 did not (45.3%). Multivariate linear regression showed that patients who received services from contracted family doctors reported higher scores in dimensions of PCAT total score (β=-8.98, P<0.000), first contact-utilization(β=-0.71,P<0.001), first contact-accessibility(β=-1.49, P<0.001), continuity (β=1.27, P<0.001), coordination(referral) (β=-1.42, P<0.001), comprehensiveness(utilization) (β=-1.70, P<0.001), comprehensiveness(provision) (β=-0.99, P<0.001), family-centeredness(β=-0.52, P<0.01), community orientation(β=-1.78, P<0.001), than those who did not receive contract services after controlling socio-demographic and service utilization factors. There were no statistically significant differences in the dimensions of coordination (information system) (β=-0.25, P=0.137) and culture orientation (β=-0.264, P=0.056), than those who did not receive family doctor contract services. Conclusions This study demonstrates that the pilot implementation of family doctor contract services has significantly improved patients’ perceived primary care quality in the pilot cities, and could help solve the quality problem of primary care. It needs further promotion across the province.

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“…There are some problems in primary healthcare institutions, including lacking of adequate health resources, sharp decline in health service provision and lack of trust for residents. (13)(14)(15)(16)(17)(18)(19) Based on the reasons above, primary healthcare institutions have become the least developing and most vulnerable part of health system in China.…”

Section: Introductionmentioning

confidence: 99%

The Development Trend of Primary Healthcare after Health Reform in China

Feng

Gong

et al. 2020

Preprint

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Background: Re-constructing the primary healthcare system is the focus of the new round of Chinese health reform. Nevertheless, there have been few studies focusing on whether the role of primary healthcare in the health system is strengthened in China.Methods: The data of this study came from the China Health Statistical Yearbook (2009–2018). We evaluated the development of primary healthcare based on the absolute values of health resources allocation and health service provision, and evaluated the status of primary healthcare throughout the health system based on the composition ratios of the indicators across the health system.Results: From 2009 to 2018, the amounts of health resources allocation and health service provision of Chinese primary healthcare institutions showed a significant upward trend (P<0.001). However, compared the indicators in 2009, excepting for the proportion of grants from the government in the whole health system has an upward trend, the proportions of other indicators had an escalating trend in 2018 by 4.04% for practicing (assistant) physicians, by 2.55% for nurses, by 4.06% for total revenues , by 5.54% for beds, by 7.37% for outpatient visits.Conclusion: The primary healthcare system has developed rapidly, but its development speed lagged behind the entire health system, resulting in the weakening of its actual functions, which is not in line with the goal of health reform. The government should improve the awareness of the importance of primary healthcare at all levels of local governments and ensure adequate financial input.

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Types of health care facilities and the quality of primary care: a study of characteristics and experiences of Chinese patients in Guangdong Province, China

Cited by 84 publications

References 32 publications

Assessment of access to first contact in the perspective of professionals

Assessment of access to first contact in the perspective of professionals

Effect of family doctor contract services on patient perceived quality of primary care in Southern China

The Development Trend of Primary Healthcare after Health Reform in China

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