ArticlePloS one2015
Essential Public Health Services' Accessibility and its Determinants among Adults with Chronic Diseases in China.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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Who cites it
34 citing papers in PubMed, 58 citations in OpenAlex.
- Effect of a Multicomponent Intervention Delivered on a Web-Based Platform on Hypertension Control: A Cluster Randomized Clinical Trial.JAMA network open · 2022Trial
- Factors Affecting the Utilization of Preventive Health Services by Middle-Aged Population: A Scoping Review.Iranian journal of public health · 2025Review
- Effect of community-based public health service on health-related quality of life among middle-aged and older adults with chronic diseases in China.BMC public health · 2024Article
- Factors associated with undiagnosed hypertension among Tongan adults: a cross-sectional study.Tropical medicine and health · 2024Article
- Preference for community health services in people with chronic diseases: a discrete choice experiment in 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
- Prevalence trends and disease burden of diabetes and prediabetes in Chinese adults of Shanghai.Journal of diabetes · 2023Article
- Trends and regional variations in chronic diseases and their risk factors in China: an observational study based on National Health Service Surveys.International journal for equity in health · 2023Observational
- Vaccination in the childhood and awareness of basic public health services program among internal migrants: a nationwide cross-sectional study.BMC public health · 2023Article
- Association between Health-Related Quality of Life and Access to Chronic Disease Management by Primary Care Facilities in Mainland China: A Cross-Sectional Study.International journal of environmental research and public health · 2023Article
- Frequency of Follow-Up Attendance and Blood Glucose Monitoring in Type 2 Diabetic Patients at Moderate to High Cardiovascular Risk: A Cross-Sectional Study in Primary Care.International journal of environmental research and public health · 2022Article
- Influencing factors of multiple adverse outcomes among schizophrenia patients using count regression models: a cross-sectional study.BMC psychiatry · 2022Article
- Outreach screening to address demographic and economic barriers to diabetic retinopathy care in rural China.PloS one · 2022Article
- Dawning public health services dogma: An indigenous Southwest Chinese perspective in managing hypertension-with or without the "BPHS"?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
- Evaluation of the Community-Based Hypertension Management Programs in China.Frontiers in public health · 2022Article
- Impact of Elevated Systolic Blood Pressure Levels on Mortality and Life Expectancy in Southeast Chinese Residents.Iranian journal of public health · 2021Article
- Nutrition Policy and Healthy China 2030 Building.European journal of clinical nutrition · 2021Review
- Equity of Health Services Utilisation and Expenditure among Urban and Rural Residents under Universal Health Coverage.International journal of environmental research and public health · 2021Article
- Cross-Sectional Study on Health Literacy and Internet Accessibility Among Patients With DM in Gansu, China.Frontiers in public health · 2021Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlong with three years implementation of health reform in China, this study aimed at providing the up-to-date evidence about the accessibility of essential public health services (EPHS) among adults with chronic diseases (CDs) in both urban and rural areas, as well as determinants in access to EPHS.
methodsThe data were collected from a cross-sectional survey conducted in 2013, which used a multistage stratified random sampling method to select 54 urban communities and 54 rural villages. Hypertension patients and diabetes patients were the target population who are the main beneficiaries of EPHS. Single factor analysis of influencing factors on difference access to EPHS was performed by Chi-Square analysis. Logistic regression analysis was used to determine the predictors of effective management and effective control.
resultsPatients with hypertension or diabetes were predominantly middle-aged or older persons and had a mean age of 65.26 year. People with CDs in China have a higher basic accessibility rate in EPHS with more than 90% of them having experience in receiving EPHS. And those who are willing to receive services from doctors have the most positive influence on effective management and control in blood pressure or blood glucose. But unsatisfied quality and equity of EPHS still exist in primary health system. 90% of participants could receive EPHS, but just 44% of them could control their diseases effectively. And participants from cities had the higher rates in effective management (urban: rural = 57%: 50.6%) and effective control (urban: rural = 39.5%: 27.8%).
conclusionPeople with CDs have a high level in geography and economic accessibility to EPHS, but the effectiveness of health management also needs to be improved, especially for those living in rural areas. Our study highlights the continuing need for improving ability to provide EPHS and the equality among regions. Meanwhile, strengthen health education and promotion for patients with CDs to improve their willingness to receive EPHS is also highlighted.
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