ArticleBMC health services research2015
A model to estimate the cost of the National Essential Public Health Services Package in Beijing, China.
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 23 papers.
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Who cites it
23 citing papers in PubMed.
- The economic impact of national essential public health service package for hypertension and type-2 diabetes: a retrospective province-wide study in China.Archives of public health = Archives belges de sante publique · 2026Article
- Service delivery costs of vaccination at health facilities in Guangzhou, China.Human vaccines & immunotherapeutics · 2025Article
- Cost estimation of the National Essential Public Health Service Package in township health centers in Guangxi, China: based on the equivalent method.BMC public health · 2025Article
- The equivalent value (EV)-based workload assessment of primary healthcare workers in Beijing, China.Human resources for health · 2025Article
- Anatomy of intergovernmental finance for essential public health services in China.BMC public health · 2022Article
- Evaluation of the Community-Based Hypertension Management Programs in China.Frontiers in public health · 2022Article
- Sociodemographic disparities in the establishment of health records among 0.5 million migrants from 2014 to 2017 in China: a nationwide cross-sectional study.International journal for equity in 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
- Realigning the provider payment system for primary health care: a pilot study in a rural county of Zhejiang Province, China.Primary health care research & development · 2020Article
- The Relationship Between Homeownership and the Utilization of Local Public Health Services Among Rural Migrants in China: A Nationwide Cross-Sectional Study.Frontiers in public health · 2020Article
- Associations Between Geodemographic Factors and Access to Public Health Services Among Chinese Floating Population.Frontiers in 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
- Changes in inequality in utilization of preventive care services: evidence on China's 2009 and 2015 health system reform.International journal for equity in health · 2019Article
- Changes in Perceived Accessibility to Healthcare from the Elderly between 2005 and 2014 in China: An Oaxaca-Blinder Decomposition Analysis.International journal of environmental research and public health · 2019Article
- Impact of the Universal Two-Child Policy on the Workload of Community-Based Basic Public Health Services in Zhejiang Province, China.International journal of environmental research and public health · 2019Article
- Association of Access to Healthcare with Self-Assessed Health and Quality of Life among Old Adults with Chronic Disease in China: Urban Versus Rural Populations.International journal of environmental research and public health · 2019Article
- Article
- Strengthening public health services to achieve universal health coverage in China.BMJ (Clinical research ed.) · 2019Review
- Public Health Services Utilization and Its Determinants among Internal Migrants in China: Evidence from a Nationally Representative Survey.International journal of environmental research and public health · 2017Article
- An economic-research-based approach to calculate community health-staffing requirements in Xicheng District, Beijing.Human resources for health · 2016Article
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Authors and funding
13 authors.
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Abstract
backgroundIn order to address several health challenges, the Chinese government issued the National Essential Public Health Services Package (NEPHSP) in 2009. In China's large cities, the lack of funding for community health centers and consequent lack of comprehensive services and high quality care has become a major challenge. However, no study has been carried out to estimate the cost of delivering the services in the package. This project was to develop a cost estimation approach appropriate to the context and use it to calculate the cost of the NEPHSP in Beijing in 2011.
methodsBy adjusting models of cost analysis of primary health care and workload indicators of staffing need developed by the World Health Organization, a model was developed to estimate the cost of the services in the package through an intensive interactive process. A total of 17 community health centers from eight administrative districts in Beijing were selected. Their service volume and expenditure data in 2010 were used to evaluate the costs of providing the NEPHSP in Beijing based on the applied model.
resultsThe total workload of all types of primary health care in 17 sample centers was equivalent to the workload requirement for 14,056,402 standard clinic visits. The total expenditure of the 17 sample centers was 26,329,357.62 USD in 2010. The cost of the workload requirement of one standard clinic visit was 1.87 USD. The workload of the NEPHSP was equivalent to 5,514,777 standard clinic visits (39.23 % of the total workload). The model suggests that the cost of the package in Beijing was 7.95 USD per capita in 2010. The cost of the NEPHSP in urban areas was lower than suburban areas: 7.31 and 8.65 USD respectively.
conclusionsThe average investment of 3.97 USD per capita in NEPHSP was lower than the amount needed to meet its running costs. NEPHSP in Beijing is therefore underfunded. Additional investment is needed, and a dynamic cost estimate mechanism should be introduced to ensure services remain adequately funded.
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