ArticleBMC public health2014
Focus on vulnerable populations and promoting equity in health service utilization--an analysis of visitor characteristics and service utilization of the Chinese community health service.
Article in BMC public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors influencing choice of health system access level in China: A systematic review.PloS one · 2018Pooled it
- Urban residents' choice preferences for hospitals at different tiers and influencing factors: a study based on latent class analysis and Andersen's model of health service utilization.BMC primary care · 2026Article
- Impact of China's primary healthcare reforms on utilisation, payments and self-reported health: a quasi-experimental analysis of a middle-aged and older cohort 2011-2018.BMJ public health · 2025Article
- Patient, family, and community factors associated with medication adherence among people with hypertension or diabetes: A cross-sectional analysis.Exploratory research in clinical and social pharmacy · 2024Article
- The impact of hypertension follow-up management on the choices of signing up family doctor contract services: does socioeconomic status matter?BMC primary care · 2024Article
- Characteristics of home oxygen therapy for preterm infants with bronchopulmonary dysplasia in China: results of a multicenter cohort study.World journal of pediatrics : WJP · 2023Article
- Obstacles to access to community care in urban senior-only households: a qualitative study.BMC geriatrics · 2022Article
- Patients' Willingness of First Visit in Primary Medical Institutions and Policy Implications: A National Cross-Sectional Survey in China.Frontiers in public health · 2022Article
- Urban-sub-urban-rural variation in the supply and demand of emergency medical services.Frontiers in public health · 2022Article
- Patient attitude and determinants toward chronic diseases control: A cross-sectional survey in rural China.Frontiers in public health · 2022Article
- The trend in primary health care preference in China: a cohort study of 12,508 residents from 2012 to 2018.BMC health services research · 2021Article
- High-resolution age-specific mapping of the two-week illness prevalence rate based on the National Health Services Survey and geostatistical analysis: a case study in Guangdong province, China.International journal of health geographics · 2021Article
- I Know Some People: The Association of Social Capital With Primary Health Care Utilization of Residents in China.Frontiers in public health · 2021Article
- Performance and Sociodemographic Determinants of Excess Outpatient Demand of Rural Residents in China: A Cross-Sectional Study.International journal of environmental research and public health · 2020Article
- The Efficiency of Primary Health Care Institutions in the Counties of Hunan Province, China: Data from 2009 to 2017.International journal of environmental research and public health · 2020Article
- Factors Contributing to Patients' Preferences for Primary Health Care Institutions in China: A Qualitative Study.Frontiers in public health · 2020Article
- The equity of China's emergency medical services from 2010-2014.International journal for equity in health · 2017Article
- Patients' Willingness on Community Health Centers as Gatekeepers and Associated Factors in Shenzhen, China: A Cross-sectional Study.Medicine · 2016Article
- Article
- Analysis of the equity of emergency medical services: a cross-sectional survey in Chongqing city.International journal for equity in health · 2015Article
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommunity health service in China is designed to provide a convenient and affordable primary health service for the city residents, and to promote health equity. Based on data from a large national study of 35 cities across China, we examined the characteristics of the patients and the utilization of community health institutions (CHIs), and assessed the role of community health service in promoting equity in health service utilization for community residents.
methodsMultistage sampling method was applied to select 35 cities in China. Four CHIs were randomly chosen in every district of the 35 cities. A total of 88,482 visitors to the selected CHIs were investigated by using intercept survey method at the exit of the CHIs in 2008, 2009, 2010, and 2011. Descriptive analyses were used to analyze the main characteristics (gender, age, and income) of the CHI visitors, and the results were compared with that from the National Health Services Survey (NHSS, including CHIs and higher levels of hospitals). We also analyzed the service utilization and the satisfactions of the CHI visitors.
resultsThe proportions of the children (2.4%) and the elderly (about 22.7%) were lower in our survey than those in NHSS (9.8% and 38.8% respectively). The proportion of the low-income group (26.4%) was apparently higher than that in NHSS (12.5%). The children group had the lowest satisfaction with the CHIs than other age groups. The satisfaction of the low-income visitors was slightly higher than that of the higher-income visitors. The utilization rate of public health services was low in CHIs.
conclusionsThe CHIs in China appears to fulfill the public health target of uptake by vulnerable populations, and may play an important role in promoting equity in health service utilization. However, services for children and the elderly should be strengthened.
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