ArticleBMC health services research2016
Determinants of basic public health services provision by village doctors in China: using non-communicable diseases management as an example.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- Motivating factors on performance of primary care workers in China: a systematic review and meta-analysis.BMJ open · 2019Pooled it
- Barriers and Facilitators of Engaging Community Health Workers in Non-Communicable Disease (NCD) Prevention and Control in China: A Systematic Review (2006⁻2016).International journal of environmental research and public health · 2018Pooled it
- Village doctor-led integrated care for older adults with diabetes in rural China: a cluster-randomized pilot trial.BMC geriatrics · 2026Trial
- Effect of a Workplace-Based Multicomponent Intervention on Hypertension Control: A Randomized Clinical Trial.JAMA cardiology · 2020Trial
- Trial
- Machine learning ensemble meets clinical practice: developing a real-world risk prediction model for metabolic syndrome using super learner and scorecard approaches.Journal of advanced research · 2026Article
- Evaluating the Impact of National Essential Public Health Services Program Coverage on Hypertension Management, Medical Care Utilization and Household Socioeconomic Well-Being.Risk management and healthcare policy · 2026Article
- Assessing public health service capability of primary healthcare personnel: a large-scale survey in Henan Province, China.BMC health services research · 2024Article
- A situational analysis of human resource and non-communicable diseases management for community health workers in Chengdu, China: a cross-sectional study.BMC health services research · 2023Article
- Article
- Association of multiple anthropometric indices with in 944,760 elderly Chinese people.Epidemiology and health · 2023Article
- Increased Rates of Health Management and Health Education on Hypertension and Diabetes in Inner Mongolia, China: 10-Year Population Level Trends (2009-2018).International journal of environmental research and public health · 2022Article
- Experiences and Challenges of Implementing Universal Health Coverage With China's National Basic Public Health Service Program: Literature Review, Regression Analysis, and Insider Interviews.JMIR public health and surveillance · 2022Review
- The Role of Village Doctors in Residents' Uptake of Eye Screening: Evidence from Ageing Residents in Rural China.Healthcare (Basel, Switzerland) · 2022Article
- The role of primary physician training in improving regional standardized management of diabetes: a pre-post intervention study.BMC primary care · 2022Article
- Dawning public health services dogma: An indigenous Southwest Chinese perspective in managing hypertension-with or without the "BPHS"?Frontiers in public health · 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
- Development of a competency model for general practitioners after standardized residency training in China by a modified Delphi method.BMC family practice · 2021Article
- Health service underutilization and its associated factors for chronic diseases patients in poverty-stricken areas in China: a multilevel analysis.BMC health services research · 2021Article
- Combined management can decrease blood pressure: an investigation of health-seeking behaviors among hypertensive patients in urban communities in China.BMC cardiovascular disorders · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo ensure equity and accessibility of public health care in rural areas, the Chinese central government has launched a series of policies to motivate village doctors to provide basic public health services. Using chronic disease management and prevention as an example, this study aims to identify factors associated with village doctors' basic public health services provision and to formulate targeted interventions in rural China.
methodsData was obtained from a survey of village doctors in three provinces in China in 2014. Using a multistage sampling process, data was collected through the self-administered questionnaire. The data was then analyzed using multilevel logistic regression models.
resultsThe high-level basic public health services for chronic diseases (BPHS) provision rate was 85.2% among the 1149 village doctors whom were included in the analysis. Among individual level variables, more education, more training opportunities, receiving more public health care subsidy (OR = 3.856, 95 % CI: 1.937-7.678, and OR = 4.027, 95% CI: 1.722-9.420), being under integrated management (OR = 1.978, 95% CI: 1.132-3.458), and being a New Cooperative Medical Scheme insurance program-contracted provider (OR = 2.099, 95% CI: 1.187-3.712) were associated with the higher BPHS provision by village doctors. Among county level factors, Foreign Direct Investment Index showed a significant negative correlation with BPHS provision, while the government funding for BPHS showed no correlation (P > 0.100).
conclusionIncreasing public health care subsidies received by individual village doctors, availability and attendance of training opportunities, and integrated management and NCMS contracting of village clinics are important factors in increasing BPHS provision in rural areas.
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