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- Publisher Website: 10.1370/afm.2034
- Scopus: eid_2-s2.0-85019076549
- PMID: 28483889
- WOS: WOS:000402477900008
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Article: Bridging The Gaps Between Patients And Primary Care In China: A Nationwide Representative Survey
Title | Bridging The Gaps Between Patients And Primary Care In China: A Nationwide Representative Survey |
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Authors | |
Keywords | China Delivery of care Health personnel Patient acceptance of health care Primary care Quality of care Structure of care |
Issue Date | 2017 |
Publisher | Annals of Family Medicine, Inc. The Journal's web site is located at http://www.annfammed.org/ |
Citation | Annals of Family Medicine, 2017, v. 15 n. 3, p. 237-245 How to Cite? |
Abstract | PURPOSE China introduced a national policy of developing primary care in 2009, establishing 8,669 community health centers (CHCs) by 2014 that employed more than 300,000 staff. These facilities have been underused, however, because of public mistrust of physicians and overreliance on specialist care.
METHODS We selected a stratified random sample of CHCs throughout China based on geographic distribution and urban-suburban ratios between September and December 2015. Two questionnaires, 1 for lead clinicians and 1 for primary care practitioners (PCPs), asked about the demographics of the clinic and its clinical and educational activities. Responses were obtained from 158 lead clinicians in CHCs and 3,580 PCPs (response rates of 84% and 86%, respectively).
RESULTS CHCs employed a median of 8 physicians and 13 nurses, but only one-half of physicians were registered as PCPs, and few nurses had training specifically for primary care. Although virtually all clinics were equipped with stethoscopes (98%) and sphygmomanometers (97%), only 43% had ophthalmoscopes and 64% had facilities for gynecologic examination. Clinical care was selectively skewed toward certain chronic diseases. Physicians saw a median of 12.5 patients per day. Multivariate analysis showed that more patients were seen daily by physicians in CHCs organized by private hospitals and those having pharmacists and nurses.
CONCLUSIONS Our survey confirms China’s success in establishing a large, mostly young primary care workforce and providing ongoing professional training. Facilities are basic, however, with few clinics providing the comprehensive primary care required for a wide range of common physical and mental conditions. Use of CHCs by patients remains low. |
Persistent Identifier | http://hdl.handle.net/10722/247499 |
ISSN | 2023 Impact Factor: 4.4 2023 SCImago Journal Rankings: 0.897 |
PubMed Central ID | |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Wong, WCW | - |
dc.contributor.author | Jiang, SF | - |
dc.contributor.author | Ong, JJ | - |
dc.contributor.author | Peng, MH | - |
dc.contributor.author | Wan, YF | - |
dc.contributor.author | Zhu, SZ | - |
dc.contributor.author | Lam, CLK | - |
dc.contributor.author | Kidd, MR | - |
dc.contributor.author | Roland, M | - |
dc.date.accessioned | 2017-10-18T08:28:14Z | - |
dc.date.available | 2017-10-18T08:28:14Z | - |
dc.date.issued | 2017 | - |
dc.identifier.citation | Annals of Family Medicine, 2017, v. 15 n. 3, p. 237-245 | - |
dc.identifier.issn | 1544-1709 | - |
dc.identifier.uri | http://hdl.handle.net/10722/247499 | - |
dc.description.abstract | PURPOSE China introduced a national policy of developing primary care in 2009, establishing 8,669 community health centers (CHCs) by 2014 that employed more than 300,000 staff. These facilities have been underused, however, because of public mistrust of physicians and overreliance on specialist care. METHODS We selected a stratified random sample of CHCs throughout China based on geographic distribution and urban-suburban ratios between September and December 2015. Two questionnaires, 1 for lead clinicians and 1 for primary care practitioners (PCPs), asked about the demographics of the clinic and its clinical and educational activities. Responses were obtained from 158 lead clinicians in CHCs and 3,580 PCPs (response rates of 84% and 86%, respectively). RESULTS CHCs employed a median of 8 physicians and 13 nurses, but only one-half of physicians were registered as PCPs, and few nurses had training specifically for primary care. Although virtually all clinics were equipped with stethoscopes (98%) and sphygmomanometers (97%), only 43% had ophthalmoscopes and 64% had facilities for gynecologic examination. Clinical care was selectively skewed toward certain chronic diseases. Physicians saw a median of 12.5 patients per day. Multivariate analysis showed that more patients were seen daily by physicians in CHCs organized by private hospitals and those having pharmacists and nurses. CONCLUSIONS Our survey confirms China’s success in establishing a large, mostly young primary care workforce and providing ongoing professional training. Facilities are basic, however, with few clinics providing the comprehensive primary care required for a wide range of common physical and mental conditions. Use of CHCs by patients remains low. | - |
dc.language | eng | - |
dc.publisher | Annals of Family Medicine, Inc. The Journal's web site is located at http://www.annfammed.org/ | - |
dc.relation.ispartof | Annals of Family Medicine | - |
dc.rights | Written permission must be gained from publisher | - |
dc.subject | China | - |
dc.subject | Delivery of care | - |
dc.subject | Health personnel | - |
dc.subject | Patient acceptance of health care | - |
dc.subject | Primary care | - |
dc.subject | Quality of care | - |
dc.subject | Structure of care | - |
dc.title | Bridging The Gaps Between Patients And Primary Care In China: A Nationwide Representative Survey | - |
dc.type | Article | - |
dc.identifier.email | Wong, WCW: wongwcw@hku.hk | - |
dc.identifier.email | Wan, YF: yfwan@hku.hk | - |
dc.identifier.email | Lam, CLK: clklam@hku.hk | - |
dc.identifier.authority | Wong, WCW=rp01457 | - |
dc.identifier.authority | Wan, YF=rp02518 | - |
dc.identifier.authority | Lam, CLK=rp00350 | - |
dc.description.nature | link_to_OA_fulltext | - |
dc.identifier.doi | 10.1370/afm.2034 | - |
dc.identifier.pmid | 28483889 | - |
dc.identifier.pmcid | PMC5422085 | - |
dc.identifier.scopus | eid_2-s2.0-85019076549 | - |
dc.identifier.hkuros | 281159 | - |
dc.identifier.volume | 15 | - |
dc.identifier.issue | 3 | - |
dc.identifier.spage | 237 | - |
dc.identifier.epage | 245 | - |
dc.identifier.isi | WOS:000402477900008 | - |
dc.publisher.place | United States | - |
dc.identifier.issnl | 1544-1709 | - |