ArticleThe Lancet regional health. Western Pacific2025
Primary healthcare quality of migraine in China: a study using unannounced standardized patients.
Article in The Lancet regional health. Western Pacific, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Acupuncture Upregulates hsa-miR-550a-3-5p Targeting PECAM1 To Reduce Transendothelial Migration of Inflammatory Cells and Alleviate Migraine.Journal of molecular neuroscience : MN · 2025Article
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3 authors.
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Abstract
Background: Migraine, a highly prevalent headache disorder, is associated with several adverse health outcomes if not properly managed, but little is known about the quality of primary healthcare for migraine. This study aims to assess the quality of primary healthcare for migraine in China using the unannounced standardized patient (USP) method. Methods: This cross-sectional study, conducted as part of the Primary Health Care Quality Cohort in China (ACACIA) from April 2021 to January 2023, involved 196 unannounced visits for migraine across seven provinces. A two-step probability-proportional-to-size systematic sampling method was used to select institutions randomly. Ten qualified standardized patients (SPs) conducted the visits following standardized procedures. The quality of healthcare was assessed across five dimensions: effectiveness, safety, patient-centeredness, timeliness, and efficiency. The linear and logistic regression models were used to determine the factors influencing healthcare quality. Findings: Our findings revealed that clinicians completed an average of 17.6% of the recommended questions and 4.9% of the recommended exams. The correct diagnosis and treatment rates were 31.1% and 62.2%, respectively. The average patient perception of patient-centeredness (PPPC) score was 2.5. The total time, including consultation and waiting time, averaged 14.5 min, with an average fee of 30.1 yuan. We found township health centers and hospitals outperformed clinics in completing recommended questions ( Interpretation: The quality of primary healthcare for migraine care in China is suboptimal, particularly in western regions and clinical settings. More actions are needed to enhance the quality of care and reduce regional and institutional disparities. Funding: This work was supported by the National Science and Technology Major Project of China (2024ZD0523902) and the National Natural Science Foundation of China (Grant No. 72374149).
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