ArticleBMC health services research2020
Progress of equalizing basic public health services in Southwest China--- health education delivery in primary healthcare sectors.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Increasing Health Literacy in China to Combat Noncommunicable Diseases.China CDC weekly · 2020Pooled it
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- Spatiotemporal inequality and financial toxicity of leukemia in post-poverty China: a national analysis of 832 counties (2019-2024).Frontiers in public health · 2025Article
- A tryst of 'blood pressure control- sex- comorbidities': the odyssey of basic public health services in Yunnan in quest for truth.BMC public health · 2024Article
- Knowledge, attitudes, and practices of oil and salt intake and related influencing factors in Southwestern China.Frontiers in nutrition · 2024Article
- Can public health services promote the settlement intention of migrant workers: empirical analysis from China.Frontiers in public health · 2024Article
- Influencing factor analysis of family doctor contract service among older adults: evidence from China.Frontiers in public health · 2024Article
- Evaluating China's primary healthcare services' efficiency and spatial correlation: a three-stage DEA-Malmquist model.Frontiers in public health · 2024Article
- The urban-rural disparities and factors associated with the utilization of public health services among diabetes patients in China.BMC public health · 2023Article
- Diabetes knowledge predicts HbA1c levels of people with type 2 diabetes mellitus in rural China: a ten-month follow-up study.Scientific reports · 2023Article
- Classification of health needs: a cluster analysis of older adults in urban areas.BMC geriatrics · 2023Article
- Article
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- A citation analysis and scoping systematic review of the operationalization of the Practical, Robust Implementation and Sustainability Model (PRISM).Implementation science : IS · 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
- Satisfaction With Community Health Education Among Residents in China: Results From a Structural Equation Model.Frontiers in public health · 2022Article
- Association between socioeconomic status and dental caries among Chinese preschool children: a cross-sectional national study.BMJ open · 2021Article
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Authors and funding
8 authors.
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Abstract
backgroundEqualizing basic public health services (BPHS) for all has been one goal of the health system reform in China since 2009. At the end of the 12th five-year plan, we conducted a series of surveys to understand BPHS implementation in Southwest China, and firstly reported implementation of health education (HE) and explore the barriers to HE delivery.
methodsMixed research methods were used to investigate achievement in and barriers to HE in Southwest China. SPSS 22.0 was used for data analysis.
resultsNine hundred and eighty-nine residents were surveyed by questionnaire. 16 health care workers (HCWs) and 16 directors from 16 PHC sectors were included in the in-depth interviews. Less than 50% of residents who knew or utilized some item of HE. Age, residence, region (Chongqing or Guizhou), marital status, education, occupation, type and quality of primary health care (PHC) sectors to deliver BPHS, self-reported health and status of chronic diseases were associated with knowledge or utilization of HE. Distance to PHC sectors was associated with the knowledge of HE, gender and health insurance were associated with utilization of HE. Age, marital status, occupation region and self-reported health were associated with satisfaction regarding HE. Barriers to HE delivery included defects in HE design, weak capacity in PHC sectors to provide HE, residents' poor cooperation, lack of multi-sector cooperation, poor equipment and weak health system.
conclusionsSouthwest China delivered HE in all PHC sectors. However, our study underlined many barriers to equalization of HE. To address those barriers and achieve HE quality improvement, comprehensive measures to improve capacity of PHC sectors, enhance multi-sector cooperation and strengthen health information systems are all urgent needs.
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