Observational studyBMJ open2022
Development trend of primary healthcare after health reform in China: a longitudinal observational study.
Observational study in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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The trial behind it
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Who cites it
11 citing papers in PubMed.
- Policy Levers for First-Contact Healthcare Provider Choice: A Discrete Choice Experiment in Shanghai's Hierarchical Medical System.Applied health economics and health policy · 2026Article
- Job Crafting Mediates the Relationship Between Ego-Resiliency and Subjective Well-Being Among Community Nurses in China: A Multicenter Cross-Sectional Study.Journal of nursing management · 2026Article
- Spatial-temporal characteristics and driving factors of the coupling coordination between primary health care and socioeconomic development: a case study of Beijing, China.BMC 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
- 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
- Development and validation of HBV surveillance models using big data and machine learning.Annals of medicine · 2024Article
- Physician Versus Large Language Model Chatbot Responses to Web-Based Questions From Autistic Patients in Chinese: Cross-Sectional Comparative Analysis.Journal of medical Internet research · 2024Observational
- Coupling coordination relationship between health resource allocation and regional economic development: an empirical study based on five provinces in eastern China.Frontiers in public health · 2024Article
- Supporting and retaining competent primary care workforce in low-resource settings: lessons learned from a prospective cohort study.Family medicine and community health · 2023Article
- Resource Allocation Efficiency of Urban Medical and Health Financial Expenditure Under the Background of Employees' Health.Risk management and healthcare policy · 2023Article
- Analyzing the efficiency of Chinese primary healthcare institutions using the Malmquist-DEA approach: Evidence from urban and rural areas.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesReconstructing the primary healthcare system is the focus of the new round of Chinese health reform. Nevertheless, there have been few studies focusing on the strengthening of primary healthcare in Chinese health system.
designThis study was a longitudinal observational study. PRIMARY AND SECONDARY OUTCOME MEASURES: The data of this study came from China Health Statistical Yearbook (2009-2018). We evaluated the development of primary healthcare based on the absolute values of health resources allocation and health service provision and evaluated the status of primary healthcare throughout the health system based on the composition ratios of the indicators across the health system. The Cochran-Armitage trend test and linear trend test were used to identify the indicators' trends over time.
resultsFrom 2009 to 2018, the amounts of health resources allocation and health service provision of Chinese primary healthcare institutions showed a significant upward trend (p<0.001). However, compared with the indicators in 2009, excepting that the proportion of grants from the government in the whole health system has an upward trend, the proportions of other indicators had an escalating trend in 2018 by 3.66% for practicing (assistant) physicians, by 2.69% for nurses, by 3.99% for total revenues, by 5.87% for beds, by 8.39% for outpatient visits.
conclusionThe primary healthcare system has developed rapidly, but its development speed lagged behind the entire health system, resulting in the weakening of its actual functions, which is not in line with the goal of health reform. The government should be more aware of the importance of primary healthcare at all levels of local governments and ensure adequate financial input.
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