Focus on vulnerable populations and promoting equity in health service utilization ––an analysis of visitor characteristics and service utilization of the Chinese community health serviceReportar como inadecuado




Focus on vulnerable populations and promoting equity in health service utilization ––an analysis of visitor characteristics and service utilization of the Chinese community health service - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Public Health

, 14:503

Health policies, systems and management in high-income countries

Abstract

BackgroundCommunity health service in China is designed to provide a convenient and affordable primary health service for the city residents, and to promote health equity. Based on data from a large national study of 35 cities across China, we examined the characteristics of the patients and the utilization of community health institutions CHIs, and assessed the role of community health service in promoting equity in health service utilization for community residents.

MethodsMultistage sampling method was applied to select 35 cities in China. Four CHIs were randomly chosen in every district of the 35 cities. A total of 88,482 visitors to the selected CHIs were investigated by using intercept survey method at the exit of the CHIs in 2008, 2009, 2010, and 2011. Descriptive analyses were used to analyze the main characteristics gender, age, and income of the CHI visitors, and the results were compared with that from the National Health Services Survey NHSS, including CHIs and higher levels of hospitals. We also analyzed the service utilization and the satisfactions of the CHI visitors.

ResultsThe proportions of the children 2.4% and the elderly about 22.7% were lower in our survey than those in NHSS 9.8% and 38.8% respectively. The proportion of the low-income group 26.4% was apparently higher than that in NHSS 12.5%. The children group had the lowest satisfaction with the CHIs than other age groups. The satisfaction of the low-income visitors was slightly higher than that of the higher-income visitors. The utilization rate of public health services was low in CHIs.

ConclusionsThe CHIs in China appears to fulfill the public health target of uptake by vulnerable populations, and may play an important role in promoting equity in health service utilization. However, services for children and the elderly should be strengthened.

KeywordsEquity in health service utilization Community health service Visitor characteristics Satisfaction AbbreviationsWHOThe World Health Organization

CHSCommunity Health Service

CHIsCommunity health institutions

PHCPrimary health care

NHSSNational Health Services Survey

FAMIFamily average monthly income.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-14-503 contains supplementary material, which is available to authorized users.

Download fulltext PDF



Autor: Xiaoxin Dong - Ling Liu - Shiyi Cao - Huajie Yang - Fujian Song - Chen Yang - Yanhong Gong - Yunxia Wang - Xiaoxu Yin - X

Fuente: https://link.springer.com/







Documentos relacionados