ArticleBMC health services research2015
Health providers' perspectives on delivering public health services under the contract service policy in rural China: evidence from Xinjian County.
Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Effectiveness of family doctor contract services for chronic diseases management in China: a mixed-methods systematic review.BMC primary care · 2025Pooled it
- Motivating factors on performance of primary care workers in China: a systematic review and meta-analysis.BMJ open · 2019Pooled it
- Rural-to-Urban Migrants' Experiences with Primary Care under Different Types of Medical Institutions in Guangzhou, China.PloS one · 2015Trial
- Effectiveness of a combined online and in-person training model in improving village health workers' counselling quality and infant and young child feeding practices: a mixed-methods study in rural China.Journal of global health · 2026Article
- Does Family Doctor Contracting Improve the Health of the Elderly: An Empirical Study from Beijing, China.Journal of multidisciplinary healthcare · 2026Article
- Policy perception, job satisfaction and intentions to remain in rural area: evidence from the National Compulsory Service Programme in China.Global health research and policy · 2024Article
- The association of family doctor contract service and patient trust in doctor: evidence from twenty-five village clinics of three counties in rural China.BMC primary care · 2024Article
- Can public health services promote the settlement intention of migrant workers: empirical analysis from China.Frontiers in public health · 2024Article
- Trends in output of hypertension management and associated factors in primary care facilities: a latent trajectory analysis in China from 2009 to 2017.BMC primary care · 2023Article
- Health Promotion Capacity Among Chinese Healthcare Professionals and Its Influence on Preventive Health Service Practices.Journal of multidisciplinary healthcare · 2022Article
- Roles and Challenges for Village Doctors in COVID-19 Pandemic Prevention and Control in Rural Beijing, China: A Qualitative Study.Frontiers in public health · 2022Article
- Incentives Promoting Contracted Family Doctor Service Policy to Improve Continuity and Coordination in Diabetes Patient Management Care in China.Frontiers in public health · 2022Article
- How does people-centered integrated care in medical alliance in China promote the continuity of healthcare for internal migrants: The moderating role of respect.Frontiers in public health · 2022Article
- The Awareness and Attitude of Contracted Service Among General Medical Practitioners in Community Health Service Centers in Urban China: A Cross-Sectional Study.Frontiers in public health · 2021Article
- Model to assess workload of village doctors in the National Essential Public Health Services Program in six provinces of China.BMC health services research · 2020Article
- Factors Associated with Rural Residents' Contract Behavior with Village Doctors in Three Counties: A Cross-Sectional Study from China.International journal of environmental research and public health · 2020Article
- Could the connectedness of primary health care workers involved in social networks affect their job burnout? A cross-sectional study in six counties, Central China.BMC health services research · 2020Article
- Evolution of the Output-Workforce Relationship in Primary Care Facilities in China from 2009 to 2017.International journal of environmental research and public health · 2020Article
- Rural Resident Experience on National Basic Public Health Services: A Cross-Sectional Survey in 10 Western Provinces of China.Healthcare (Basel, Switzerland) · 2019Article
- Job satisfaction of the primary healthcare providers with expanded roles in the context of health service integration in rural China: a cross-sectional mixed methods study.Human resources for health · 2019Article
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo effectively provide public health care for rural residents, the Ministry of Health formally unveiled the contract service policy in rural China in April 2013. As the counterpart to family medicine in some developed countries, the contract service established a compact between village doctors and local governments and a service agreement between doctors and their patients. This study is a rare attempt to explore the perspectives of health providers on the contract service policy, and investigate the demand side's attitude toward the public health services delivered under the contract policy. This evidence from Xinjian County, Jiangxi Province, the first and most representative pilot site of the contract service, could serve as a reference for policymakers to understand the initial effects of the policy, whereby they can regulate and amend some items before extending it to the whole country.
methodsOfficial documents were collected and semi-structured interviews with human resources and villagers in Xinjian County were conducted in September 2013. A purposive sampling method was used, and eight towns from the total 18 towns in Xinjian County were selected. Ultimately, eight managers (one in each township health center), 20 village doctors from eight clinics, and 11 villagers were interviewed. A thematic approach was used to analyze the data, which reflected the people's experiences brought about by the implementation of the contract service policy.
resultsWhile the contract service actually promoted the supply side to provide more public health services to the villagers and contracted patients felt satisfied with the doctor-patient relationship, most health providers complained about the heavy workload, insufficient remuneration, staff shortage, lack of official identity and ineffective performance appraisal, in addition to contempt from some villagers and supervisors after the implementation of the contract service.
conclusionsContract service is a crucial step for the government to promote public health services in rural areas. To inspire the positive perspective and optimal work performance of the health workforce, it is imperative for the Chinese government to fortify financial support to health providers, adopt an advanced management model and escalate administrative capacity.
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