ArticleBMC family practice2020
The quality of primary care in community health centers: comparison among urban, suburban and rural users in Shanghai, China.
Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Why do they sign but not consult? A study on the effectiveness of China's family doctor contract services from the perspective of patient-doctor interaction.Frontiers in medicine · 2026Article
- Changes in primary health care service experiences and urban-suburban disparities among Shanghai residents: a two-year comparative study.International journal for equity in health · 2025Article
- Geographic disparities in inpatient service in primary care and patients' choice of first point of consultation: a linked cross-sectional survey and administrative data analysis in Shaanxi of China.International journal for equity in health · 2025Article
- Mapping the interactions of critical factors in China's first-contact healthcare systems using causal loop diagrams.BMC public health · 2025Article
- Distribution and Determinants of Antibiotic Self-Medication: A Cross-Sectional Study in Chinese Residents.Antibiotics (Basel, Switzerland) · 2025Article
- Primary care quality of primary healthcare institutions in china: current status and influencing factors.Archives of public health = Archives belges de sante publique · 2025Article
- Article
- Primary care functional features and their health impact on patients enrolled in the Shanghai family doctor service: a mixed-methods study.Journal of global health · 2025Article
- Enhancing Psychosomatic Medicine Skills in General Practitioners: Insights from Ecological Systems Theory.International journal of general medicine · 2025Article
- Comprehensive evaluation of primary health care service capacity in China based on TOPSIS and RSR methods.Frontiers in public health · 2025Article
- Efficiency analysis of primary health care resources: DEA and Tobit regression evidence from village clinics in Jiangsu Province.Frontiers in public health · 2025Article
- Does contracting family doctor promote primary healthcare utilization among older adults? - evidence from a difference-in-differences analysis.BMC geriatrics · 2024Article
- Characteristics and influencing factors of caregivers' healthcare preferences for young children under COVID-19 lockdown: a cross-sectional study in Shanghai, China.BMC primary care · 2024Article
- Article
- Spatial Accessibility Evaluation and Location Optimization of Primary Healthcare in China: A Case Study of Shenzhen.GeoHealth · 2023Article
- Assessing Spatial Accessibility of Community Hospitals for the Elderly in Beijing, China.International journal of environmental research and public health · 2023Article
- How to promote changes in primary care? The Florentine experience of the House of Community.Frontiers in public health · 2023Article
- WeChat official accounts' posts on medication use of 251 community healthcare centers in Shanghai, China: content analysis and quality assessment.Frontiers in medicine · 2023Article
- Capturing What Matters with Patients' Bypass Behavior? Evidence from a Cross-Sectional Study in China.Patient preference and adherence · 2023Article
- Knowledge, attitudes, and practice of general practitioners toward community detection and management of mild cognitive impairment: a cross-sectional study in Shanghai, China.BMC primary care · 2022Article
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Authors and funding
9 authors.
Funding
Abstract
objectiveFollowing World Health Organization's initiatives to advance primary care, China put forth forceful policies including the Personal Family Doctor Contract to ensure that every family sign up with a qualified doctor in a community health center (CHC) ever since its 2009 New Health Reform. We used the Johns Hopkins-designed Primary Care Assessment Tool (PCAT) to assess primary care quality experienced by the contracted residents and compare this across different socioeconomic regions.
methodsUsing a multistage sampling method, four CHCs each were randomly selected from urban, suburban and rural districts of Shanghai, a metropolitan with 24 million residents. ANOVA and Multivariate analyses were used to assess the association between location of CHC and the quality of primary care experience.
findingsA total of 2404 CHC users completed our survey. Except for the domain of coordination (information systems), users from suburban CHCs reported best primary care experiences in all other domains, followed by users of rural CHCs. After controlling for covariates, suburban CHC users were more likely to report higher total PCAT scores (ß = 1.57, P < 0.001) compared with those from urban CHCs.
conclusionThat contracted residents from suburban CHCs reporting better primary care experience than those from urban CHCs demonstrates the unique value of CHCs in relatively medical-underserved areas. In particular, urban CHCs could further strengthen first contact (utilization), first contact (accessibility), coordination (referral system), comprehensiveness (available), and community orientation aspects of primary care performance. However, all CHCs could improve coordination (information system).
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