ArticlePloS one2013
China's rural public health system performance: a cross-sectional study.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.
- Inequalities in Older age and Primary Health Care Utilization in Low- and Middle-Income Countries: A Systematic Review.International journal of health services : planning, administration, evaluation · 2022Pooled it
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- Nap duration and its association with hypertension-diabetes comorbidity in minority populations: evidence from the CMEC study.Frontiers in endocrinology · 2025Article
- Current situation and needs analysis of medical staff first aid ability in China: a cross-sectional study.BMC emergency medicine · 2023Article
- Non-human and human service efficiency of long-term care facilities in China.Frontiers in public health · 2023Article
- Is There Always a Negative Causality between Human Health and Environmental Degradation? Current Evidence from Rural China.International journal of environmental research and public health · 2022Article
- Regional years of life lost, years lived with disability, and disability-adjusted life-years for severe mental disorders in Guangdong Province, China: a real-world longitudinal study.Global health research and policy · 2022Article
- Comparison of 19 major infectious diseases during COVID-19 epidemic and previous years in Zhejiang, implications for prevention measures.BMC infectious diseases · 2022Article
- Spatial distribution, regional differences, and dynamic evolution of the medical and health services supply in China.Frontiers in public health · 2022Article
- A cross-sectional study on the ability of physicians to hypertension management in China's Sichuan Tibetan rural area.Journal of clinical hypertension (Greenwich, Conn.) · 2021Article
- The Structural Characteristics of Economic Network and Efficiency of Health Care in China.Frontiers in public health · 2021Article
- Regularity of Clinical Visits and Medication Adherence of Patients with Hypertension or Diabetes in Rural Yunnan Province of China.International journal of environmental research and public health · 2020Article
- Influence of China's 2009 healthcare reform on the utilisation of continuum of care for maternal health services: evidence from two cross-sectional household surveys in Shaanxi Province.International journal for equity in health · 2020Article
- Rural and urban differences in health system performance among older Chinese adults: cross-sectional analysis of a national sample.BMC health services research · 2020Article
- Comparing Regional Distribution Equity among Doctors in China before and after the 2009 Medical Reform Policy: A Data Analysis from 2002 to 2017.International journal of environmental research and public health · 2020Article
- Frameworks of Performance Measurement in Public Health and Primary Care System: A Scoping Review and Meta-Synthesis.International journal of preventive medicine · 2020Article
- Health System Outcomes in BRICS Countries and Their Association With the Economic Context.Frontiers in public health · 2020Article
- Use of Cardiovascular Drugs for Primary and Secondary Prevention of Cardiovascular Disease Among Rural-Dwelling Older Chinese Adults.Frontiers in pharmacology · 2020Article
- Competency building for lay health workers is an intangible force driving basic public health services in Southwest China.BMC health services research · 2019Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the past three years, the Government of China initiated health reform with rural public health system construction to achieve equal access to public health services for rural residents. The study assessed trends of public health services accessibility in rural China from 2008 to 2010, as well as the current situation about the China's rural public health system performance.
methodsThe data were collected from a cross-sectional survey conducted in 2011, which used a multistage stratified random sampling method to select 12 counties and 118 villages from China. Three sets of indicators were chosen to measure the trends in access to coverage, equality and effectiveness of rural public health services. Data were disaggregated by provinces and by participants: hypertension patients, children, elderly and women. We examined the changes in equality across and within region.
resultsChina's rural public health system did well in safe drinking water, children vaccinations and women hospital delivery. But more hypertension patients with low income could not receive regular healthcare from primary health institutions than those with middle and high income. In 2010, hypertension treatment rate of Qinghai in Western China was just 53.22% which was much lower than that of Zhejiang in Eastern China (97.27%). Meanwhile, low performance was showed in effectiveness of rural public health services. The rate of effective treatment for controlling their blood pressure within normal range was just 39.7%.
conclusionsThe implementation of health reform since 2009 has led the public health development towards the right direction. Physical access to public health services had increased from 2008 to 2010. But, inter- and intra-regional inequalities in public health system coverage still exist. Strategies to improve the quality and equality of public health services in rural China need to be considered.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.