ArticleInternational journal of environmental research and public health2015
Evaluation of Rural Primary Health Care in Western China: A Cross-Sectional Study.
Article in International journal of environmental research and public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Burden of tuberculosis in Xinjiang between 2011 and 2015: A surveillance data-based study.PloS one · 2017Trial
- Factors influencing residents' willingness to choose medical institutions first for treatment in the highland agricultural and pastoral areas of Qinghai province: a study based on the Anderson model.Frontiers in health services · 2026Article
- Factors influencing contracting of residents with family doctors in China: a national cross-sectional survey.BMC health services research · 2024Article
- Trends in major non-communicable diseases and related risk factors in China 2002-2019: an analysis of nationally representative survey data.The Lancet regional health. Western Pacific · 2024Article
- Geographic and urban-rural disparities in dietary energy and macronutrient composition among women of childbearing age: findings from the China health and nutrition survey,1991-2015.Nutrition journal · 2023Article
- Horizontal Integration and Financing Reform of Rural Primary Care in China: A Model for Low-Resource and Remote Settings.International journal of environmental research and public health · 2022Article
- Stillbirth trends by maternal sociodemographic characteristics among a large internal migrant population in Shenzhen, China, over a 10-year period: a retrospective study.BMC public health · 2022Article
- Where does residents' choice of primary medical treatment come from?-A logical analysis based on the perspective of service accessibility and residents' cognition.Frontiers in public health · 2022Article
- Evaluating the Price, Availability, and Affordability of Essential Medicines in Primary Healthcare Institutions: A Mixed Longitudinal and Cross-Sectional Study in Jiangsu, 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
- Residents' Willingness to Maintain Contracts with Family Doctors: a Cross-sectional Study in China.Journal of general internal medicine · 2021Article
- The Dynamics of Changes and Spatial Differences in the Synthetic Indicator for Evaluating Environmental Performance in Poland: Current State.International journal of environmental research and public health · 2019Article
- Article
- Inter-provincial inequality of public health services in China: the perspective of local officials' behavior.International journal for equity in health · 2018Article
- Balanced scorecard-based performance evaluation of Chinese county hospitals in underdeveloped areas.The Journal of international medical research · 2018Article
- Article
- Guideline use behaviours and needs of primary care practitioners in China: a cross-sectional survey.BMJ open · 2017Article
- Malnutrition and poor oral health status are major risks among primary school children at Lasbela, Balochistan, Pakistan.Journal of health, population, and nutrition · 2017Article
- Prevalence of Breastfeeding: Findings from the First Health Service Household Interview in Hunan Province, China.International journal of environmental research and public health · 2017Article
- Health-Care Waste Treatment Technology Selection Using the Interval 2-Tuple Induced TOPSIS Method.International journal of environmental research and public health · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeChina's Ministry of Health has enacted Rural Primary Health Care Program (2001-2010) (HCP) guidelines to improve the quality of people's health. However, the program's success in Western China remains unevaluated. Thus, this study aims to begin to fill that gap by analyzing the provision and utilization of Rural Primary Health Care (RPHC) in Western China.
methodsA cross-sectional study was conducted to collect secondary data on the socio-economic characteristics, system construction, services use and implementation of RPHC, and the residents' health status of the sampled areas. Four hundred counties from 31 provinces in China were selected via stratified random sampling, including 171 counties from 12 Western provinces. Twenty-seven analysis indicators, covering system construction, services use and implementation of RPHC were chosen to assess Western China's primary health quality. Analysis of Variance (ANOVA) and Least Significant Difference (LSD) methods were used to measure the RPHC disparities between Western and Eastern and Central China. Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) was used to rank Western, Eastern and Central internal provinces regarding quality of their RPHC.
resultsOf the 27 indicators, 13 (48.15%) were below the standard in Western China. These focused on rural health service system construction, Chinese medicine services, and public health. In the comparison between Western, Central and Eastern China, 12 indicators had statistical significance (p < 0.05), and using LSD to compare between Western and Eastern China, all indicators were statistically significant (p < 0.05), demonstrating regional disparities. Xinjiang Province's RPHC ranked highest overall, and Yunnan Province ranked the lowest, indicating the internal differences within the 12 Western provinces; and Western provinces' Ci value was lower than that of Eastern and Central China overall.
conclusionWestern China's RPHC has proceeded well, but remains weaker than that of Eastern and Central China. Differences within Western internal provinces threaten the successful implementation of RPHC.
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