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Experiences with primary healthcare in Fuzhou, urban China, in the context of health sector reform: a mixed methods study

McCollum, Rosalind, Chen, Lieping, ChenXiang, Tang, Liu, Xiaoyun, Starfield, Barbara, Jinhuan, Zheng and Tolhurst, Rachel (2014) 'Experiences with primary healthcare in Fuzhou, urban China, in the context of health sector reform: a mixed methods study'. The International Journal of Health Planning and Management, Vol 29, Issue 2, e107-e126.

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Abstract

China has recently placed increased emphasis on the provision of primary healthcare services through health sector reform, in response to inequitably distributed health services. With increasing funding for community level facilities, now is an opportune time to assess the quality of primary care delivery and identify areas in need of further improvement. A mixed methodology approach was adopted for this study. Quantitative data were collected using the Primary Care Assessment Tool-Chinese version (C-PCAT), a questionnaire previously adapted for use in China to assess the quality of care at each health facility, based on clients' experiences. In addition, qualitative data were gathered through eight semi-structured interviews exploring perceptions of primary care with health directors and a policy maker to place this issue in the context of health sector reform. The study found that patients attending community health and sub-community health centres are more likely to report better experiences with primary care attributes than patients attending hospital facilities. Generally low scores for community orientation, family centredness and coordination in all types of health facility indicate an urgent need for improvement in these areas. Healthcare directors and policy makers perceived the need for greater coordination between levels of health providers, better financial reimbursement, more formal government contracts and recognition/higher status for staff at the community level and more appropriate undergraduate and postgraduate training.

Item Type: Article
Additional Information: Special Issue: Continuing Policy Issues in China
Subjects: W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 84 Health services. Delivery of health care
WA Public Health > WA 20.5 Research (General)
WA Public Health > Health Administration and Organization > WA 525 General works
WA Public Health > Statistics. Surveys > WA 950 Theory or methods of medical statistics. Epidemiologic methods
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.1002/hpm.2165
Depositing User: Lynn Roberts-Maloney
Date Deposited: 20 Nov 2014 14:51
Last Modified: 06 Feb 2018 13:08
URI: https://archive.lstmed.ac.uk/id/eprint/4598

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