Accessibility of primary care in Sichuan Province_West China Medical Journal

Authors：

YANG Huazhen ¹ , ZENG Wenqi ² , WANG Junman ² , LI Zhuyue ² ,  WEN Jin ² , ZHANG Lei ²

1. West China School of Public Health, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

WEN Jin, Email: huaxiwenjin@163.com

Keywords：

Primary care; Accessibility; Sample investigation

DOI：

10.7507/1002-0179.201902126

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Objective To analyze the accessibility of primary care in Sichuan Province from both the perspective of doctors, patients, and field workers, and then make some policy recommendations.Methods Based on the Quality and Costs of Primary Care in Europe primary care questionnaire, we surveyed 48 primary care facilities from six cities / states in Sichuan by multi-stage stratified random sampling method, taking in account of the regional development level from November 2017 to December 2018. Then integrated accessibility score for primary care was calculated based on the question items for both doctors and patients.Results This study effectively surveyed 319 primary care doctors and 641 patients. In general, the integrated accessibility score for primary care for these areas was 0.25. The accessibility of primary care was worst in less-developed regions (0.23), while it was much better in medium-developed area (0.30) and developed area (0.28).Conclusions We can do lots of things to improve accessibility of primary care. Evidence based policies are needed to promote this goal that everyone will have access to basic medical and health services.

Citation： YANG Huazhen, ZENG Wenqi, WANG Junman, LI Zhuyue, WEN Jin, ZHANG Lei. Accessibility of primary care in Sichuan Province. West China Medical Journal, 2019, 34(12): 1368-1373. doi: 10.7507/1002-0179.201902126 Copy

1.	新中国成立 60 周年国民健康水平显著提高. 九江学院学报 (自然科学版), 2009, 24(4): 前插 1.
2.	中国共产党中央委员会, 中华人民共和国国务院. " 健康中国 2030”规划纲要. 中国实用乡村医生杂志, 2017, 24(7): 1-12.
3.	Dewulf B, Neutens T, De Weerdt Y, et al. Accessibility to primary health care in Belgium: an evaluation of policies awarding financial assistance in shortage areas. BMC Fam Pract, 2013: 122.
4.	高开焰. 贯彻国家基本药物制度推行基层卫生综合改革. 安徽医学, 2010, 31(4): 301-305.
5.	宋月萍, 谭琳. 卫生医疗资源的可及性与农村儿童的健康问题. 中国人口科学, 2006, 2006(6): 43-48.
6.	任明辉, 郭岩. 中国西部农村卫生服务可及性综合评价研究. 中国医院管理, 2008, 28(4): 21-22.
7.	Schäfer WL, Boerma WG, Kringos DS, et al. Measures of quality, costs and equity in primary health care instruments developed to analyse and compare primary care in 35 countries. Qual Prim Care, 2013, 21(2): 67-79.
8.	Oleszczyk M, Krztoń-Królewiecka A, Schäfer WLA, et al. Experiences of adult patients using primary care services in Poland-a cross-sectional study in QUALICOPC study framework. BMC Fam Pract, 2017, 18(1): 93.
9.	Eide TB, Straand J, Björkelund C, et al. Differences in medical services in Nordic general practice: a comparative survey from the QUALICOPC study. Scand J Prim Health Care, 2017: 1-10.
10.	Hoffmann K, Wojczewski S, George A, et al. Stressed and overworked? A cross-sectional study of the working situation of urban and rural general practitioners in Austria in the framework of the QUALICOPC project. Croat Med J, 2015, 56(4): 366-374.
11.	Tao W, Zeng W, Yan L, et al. The health service capacity of primary health care in West China: different perspectives of physicians and their patients. BMC Health Serv Res, 2019, 19(1): 143.
12.	Wang X, Yang H, Duan Z, et al. Spatial accessibility of primary health care in China: a case study in Sichuan province. Soc Sci Med, 2018: 14-24.
13.	杨华珍, 段占祺, 彭勃, 等. 四川省急救医疗服务空间可及性研究. 现代预防医学, 2019, 46(4): 577-580, 592.
14.	刘昌平, 赵洁. 新农合制度的医疗服务可及性评价及其影响因素—基于 CHARLS 数据的实证分析. 经济问题, 2016(2): 86-91.

1. 新中国成立 60 周年国民健康水平显著提高. 九江学院学报 (自然科学版), 2009, 24(4): 前插 1.
2. 中国共产党中央委员会, 中华人民共和国国务院. " 健康中国 2030”规划纲要. 中国实用乡村医生杂志, 2017, 24(7): 1-12.
3. Dewulf B, Neutens T, De Weerdt Y, et al. Accessibility to primary health care in Belgium: an evaluation of policies awarding financial assistance in shortage areas. BMC Fam Pract, 2013: 122.
4. 高开焰. 贯彻国家基本药物制度推行基层卫生综合改革. 安徽医学, 2010, 31(4): 301-305.
5. 宋月萍, 谭琳. 卫生医疗资源的可及性与农村儿童的健康问题. 中国人口科学, 2006, 2006(6): 43-48.
6. 任明辉, 郭岩. 中国西部农村卫生服务可及性综合评价研究. 中国医院管理, 2008, 28(4): 21-22.
7. Schäfer WL, Boerma WG, Kringos DS, et al. Measures of quality, costs and equity in primary health care instruments developed to analyse and compare primary care in 35 countries. Qual Prim Care, 2013, 21(2): 67-79.
8. Oleszczyk M, Krztoń-Królewiecka A, Schäfer WLA, et al. Experiences of adult patients using primary care services in Poland-a cross-sectional study in QUALICOPC study framework. BMC Fam Pract, 2017, 18(1): 93.
9. Eide TB, Straand J, Björkelund C, et al. Differences in medical services in Nordic general practice: a comparative survey from the QUALICOPC study. Scand J Prim Health Care, 2017: 1-10.
10. Hoffmann K, Wojczewski S, George A, et al. Stressed and overworked? A cross-sectional study of the working situation of urban and rural general practitioners in Austria in the framework of the QUALICOPC project. Croat Med J, 2015, 56(4): 366-374.
11. Tao W, Zeng W, Yan L, et al. The health service capacity of primary health care in West China: different perspectives of physicians and their patients. BMC Health Serv Res, 2019, 19(1): 143.
12. Wang X, Yang H, Duan Z, et al. Spatial accessibility of primary health care in China: a case study in Sichuan province. Soc Sci Med, 2018: 14-24.
13. 杨华珍, 段占祺, 彭勃, 等. 四川省急救医疗服务空间可及性研究. 现代预防医学, 2019, 46(4): 577-580, 592.
14. 刘昌平, 赵洁. 新农合制度的医疗服务可及性评价及其影响因素—基于 CHARLS 数据的实证分析. 经济问题, 2016(2): 86-91.

West China Medical Journal

Accessibility of primary care in Sichuan Province

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