ArticleBMC public health2020
Achievements and challenges in health management for aged individuals in primary health care sectors: a survey in Southwest China.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
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- Association of metabolic score for insulin resistance with incident metabolic syndrome: a cohort study in middle-aged and older adult Chinese population.Frontiers in public health · 2025Article
- Configurational pathways to effective rural older adult sports participation: a necessity and sufficiency analysis using NCA and QCA.Frontiers in public health · 2025Article
- Primary health care challenges: insights from older people with multimorbidity in Malawi - a qualitative study.BMC public health · 2024Article
- Knowledge, attitudes, and practices of oil and salt intake and related influencing factors in Southwestern China.Frontiers in nutrition · 2024Article
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- Classification of health needs: a cluster analysis of older adults in urban areas.BMC geriatrics · 2023Article
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- General practice management of chronic post-surgical pain in patients with hip fracture: a qualitative study.Frontiers in medicine · 2023Article
- Developing a Conceptual Framework for an Age-Friendly Health System: A Scoping Review.International journal of health policy and management · 2023Article
- A citation analysis and scoping systematic review of the operationalization of the Practical, Robust Implementation and Sustainability Model (PRISM).Implementation science : IS · 2022Article
- Dawning public health services dogma: An indigenous Southwest Chinese perspective in managing hypertension-with or without the "BPHS"?Frontiers in public health · 2022Article
- Current status on the ability of the elderly in rural China: implications for future nursing and policy.Cardiovascular diagnosis and therapy · 2020Article
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Authors and funding
11 authors.
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Abstract
backgroundChina has rapidly transformed into an ageing nation and will be one of the countries with the highest percentage of aged people in 2050. Healthcare management for the aged (HMA) in basic public health service (BPHS), which is delivered by lay healthcare workers (LHWs) in primary health care (PHC) sectors, is an important strategy to address the healthcare challenges that have resulted from ageing in China since 2009. This survey aimed to understand the achievements made and challenges faced by HMA in Southwest China.
methodsA multilevel stratified random and consecutive sampling method was used to select study places and participants respectively, and mixed research methods were used to collect data from the aged individuals, LHWs and leaders in PHC sectors. SPSS 21.0 was used for data analysis.
resultsSeven hundred seventy-two surveys with aged people (over 60 years old), 16 focus group discussions (FGDs) with 96 aged people, and 32 in-depth interviews with 16 LHWs and 16 leaders were completed in PHC sectors. More than 85% of aged individuals had knowledge and utilization of HMA, and over 94% of these respondents were satisfied with HMA. Meanwhile, challenges in HMA delivery included weakness (unmet items and lack of appropriate assessment indicators) in HMA design, low capacity of PHC sectors and competency of LHWs to deliver HMA, poor health literacy of aged individuals, insufficient funds and a lack of multi-sector cooperation.
conclusionsThough significant achievements in HMA were observed, this study highlighted the challenges in further quality improvement of HMA delivery program in Southwest China. The "older-person-centered and integrated care" model provided a good theory to improve the quality of HMA by reinforcing the needs-based HMA design, building a comprehensive assessment strategy, improving the capacity of PHC sectors and the LHWs' competency, and strengthening multi-sector cooperation.
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