ArticleHealthcare (Basel, Switzerland)2022
The Service Capability of Primary Health Institutions under the Hierarchical Medical System.
Article in Healthcare (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Pathways for enhancing service capability of primary healthcare institutions: a dynamic qualitative comparative analysis.Frontiers in public health · 2026Article
- Developing an Evaluation Index System for Service Capability of Internet Hospitals in China: Mixed Methods Study.Journal of medical Internet research · 2025Article
- Older adult's acceptance and uptake of referral after screening for cognitive impairment: a cross-sectional study in China.BMC geriatrics · 2025Article
- Impact of China's primary healthcare reforms on utilisation, payments and self-reported health: a quasi-experimental analysis of a middle-aged and older cohort 2011-2018.BMJ public health · 2025Article
- Assessing public health service capability of primary healthcare personnel: a large-scale survey in Henan Province, China.BMC health services research · 2024Article
- Inspecting the "health poverty trap" mechanism: self-reinforcing effect and endogenous force.BMC public health · 2024Article
- Measurement of China's public health level: compilation and research of an index.BMC public health · 2024Article
- The challenge of home and community older adult care in China: a survey of the capability of primary care physicians in providing geriatric healthcare services.Frontiers in public health · 2024Article
- Equity and efficiency of health resource allocation in township health centers in Sichuan Province, China.PloS one · 2024Article
- Prediction of outpatient rehabilitation patient preferences and optimization of graded diagnosis and treatment based on XGBoost machine learning algorithm.Frontiers in artificial intelligence · 2024Article
- Spatial effects of township health centers' health resource allocation efficiency in China.Frontiers in public health · 2024Article
- The association of social networks with the job performance of primary health care professionals: the mediating effect of knowledge sharing.Frontiers in medicine · 2024Article
- Article
- Technical Efficiency Evaluation of Primary Health Care Institutions in Shenzhen, China, and Its Policy Implications under the COVID-19 Pandemic.International journal of environmental research and public health · 2023Article
- Coping with COVID: Performance of China's hierarchical medical system during the COVID-19 pandemic.Frontiers in public health · 2023Article
- Primary Health Institutions and Service Quality in China: Implications for Health Policy.International journal of environmental research and public health · 2022Article
- Levels, trends, and determinants of effectiveness on the hierarchical medical system in China: Data envelopment analysis and bootstrapping truncated regression analysis.Frontiers in public health · 2022Article
- How to promote grass roots medical treatment under China's graded diagnosis and treatment policy? - From the perspective of customer value theory.Frontiers in public health · 2022Article
- The "Iron Triangle" of Healthcare Services: Evaluating an Integrated Healthcare Alliance's Impact on Primary Care in Shenzhen, China.International journal of integrated careArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundPrimary health institutions (PHIs) are the foundation of the whole health system and the basic link to achieve the goal of all people enjoying primary health care. However, the service capability of primary health institutions is not under the hierarchical medical system.
methodData were collected from the
resultsFrom 2014 to 2020, the number of community health service centres/stations increased, while the number of township health centres decreased. In the aspect of structure capability, the total number of personnel and health technicians in community health centres/stations and township hospitals both increased during 2014 and 2020. However, the increasing rate in PHIs was a little bit less than that of general medical institutions. The proportion of male health technicians in community health centres and township hospitals both decreased, while the proportion of female technicians in both increased. From 2014 to 2020, the number of beds in PHIs also increased from 138.12 × 10
conclusionIn recent years, although the service capability showed an increasing trend in PHIs, the growth rate was lower than the general health institutions. The utilisation rates of PHIs, including beds and physicians, were decreased. Among PHIs, the utilisation in township hospitals was higher than in community health centres with a relatively low price. Under the hierarchical medical system and normalisation period of the COVID-19 epidemic, it is important to improve the service capability to achieve its goal of increasing PHI utilisation and decreasing secondary and tertiary hospital utilisation.
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