ArticleBMJ open2019
Estimating the costs of the national basic public health services in Zhuhai, China, through activity-based costing: a cross-sectional study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 19 citations in OpenAlex.
- 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
- Comprehensive evaluation of primary health care service capacity in China based on TOPSIS and RSR methods.Frontiers in public health · 2025Article
- Association of adiposity indicators with cardiometabolic multimorbidity risk in hypertensive patients: a large cross-sectional study.Frontiers in endocrinology · 2024Article
- Article
- Classification of health needs: a cluster analysis of older adults in urban areas.BMC geriatrics · 2023Article
- Anatomy of intergovernmental finance for essential public health services in China.BMC 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
- 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
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveOur research aims to estimate the per capita cost of 13 items in the basic public health service (BPHS) project in Zhuhai, China, and provide an economical basis for the improvement of the cost compensation mechanism used by the government.
designThis research is a cross-sectional study.
settingA total of 19 primary healthcare facilities (PHFs) in Zhuhai, China, are involved in this research.
participantsA total of 152 participants (114 personnel engaged in BPHS, 19 financial personnel and 19 PHF heads) were included in this study, which was conducted from May 2017 to July 2017. PRIMARY AND SECONDARY OUTCOME MEASURES: We used the activity-based costing model to calculate the cost of providing BPHS in Zhuhai. An analytical hierarchy process was used to determine the difficulty dimension and workload coefficient.
resultsThe weights of the difficulty dimensions in the provision of BPHS in Zhuhai were 35.04% (coordination of residents), 24.03% (staff workload), 21.36% (complexity of work-related skills) and 19.59% (basic qualities of staff). The average difficulty coefficient of each subproject was 5.28. The actual per capita cost of BPHS provision in 2016 was 97.48 RMB (12.76 EUR), which was higher than the actual standard compensation of 55 RMB (7.2 EUR) in Zhuhai. Immunisation was the most costly among the 13 service items (17.82 RMB or 2.33 EUR per person), whereas the management of tuberculosis was the least costly item (0.57 RMB or 0.07 EUR per person).
conclusionsGovernment funds for basic public health services cannot compensate for the actual costs. Accordingly, subsidies should be increased based on the actual per capita cost for sustainable BPHS development. The government should improve the methods used in cost estimation and measures used as the basis for awarding performance incentives.
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