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

International Journal of Health Planning and Management

Volumn 29, Issue 2, 2014, Pages

  Mccollum, Rosalind ^a   Chen, Lieping ^b   Chenxiang, Tang ^c   Liu, Xiaoyun ^d   Starfield, Barbara ^e   Jinhuan, Zheng ^f   Tolhurst, Rachel ^a  

^a LIVERPOOL SCHOOL OF TROPICAL MEDICINE   (United Kingdom)

^b Fujian Provincial Centre for Prevention and Control of Occupational Diseases and Chemical Poisoning   (China)

^c UNIVERSITY OF NEW SOUTH WALES   (Australia)

^d PEKING UNIVERSITY   (China)

^e JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^f FUJIAN MEDICAL UNIVERSITY   (China)

Author keywords

China; Primary care assessment tool; Primary health care; Quality

Indexed keywords

FINANCIAL PROVISION; HEALTH WORKER; HOSPITAL SECTOR; PERCEPTION; PRIMARY HEALTH CARE; QUESTIONNAIRE SURVEY; REFORM PROCESS; SERVICE PROVISION; TRAINING; URBAN AREA;

CHINA; FUJIAN; FUZHOU;

CHINA; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH SERVICE; HUMAN; ORGANIZATION AND MANAGEMENT; PRIMARY HEALTH CARE; STANDARDS;

CHINA; HEALTH CARE REFORM; HUMANS; PRIMARY HEALTH CARE; QUALITY OF HEALTH CARE; URBAN HEALTH SERVICES;

EID: 84901837928     PISSN: 07496753     EISSN: 10991751     Source Type: Journal    
DOI: 10.1002/hpm.2165     Document Type: Article

References (42)

1. Ayub A, Alain M, Alawi AM, et al. 2008. Interventions to improve outpatient referrals from primary care to secondary care. In Interventions to improve outpatient referrals from primary care to secondary care, Ayub A, Alain M, Alawi AM, Jeremy G, Ron W, Elizabeth G, Chanie P, Ruth T, Cynthia F (eds). Cochrane Database of Systematic Reviews: Reviews 2008 Issue 4. John Wiley & Sons: Ltd Chichester, UK. Abstract available: http://www.ncbi.nlm.nih.gov/pubmed/18843691
2. Campos-Outcalt D, Senf J. 1999. A longitudinal, national study of the effect of implementing a required third-year family practice clerkship or a department of family medicine on the selection of family medicine by medical students. Acad Med 74(9): 1016-1020.
3. China Statistics Press. 2009. Fujian Statistical Yearbook. [Online] Available: www.stats-fj.gov.cn/tongjinianjian/dz09/index-cn.htm [Accessed 14 June 2010] [Chinese].
4. Chinese_British City Community Health Service and Poverty Aiding Project. 2007. Chinese City Community Health Service. People's Medical Publishing House: Beijing.
5. Department of Health Planning and Finance, Ministry of Health. 2004. Report of Hospital Accounting. Beijing.
6. Dong K. 2009. Medical insurance system evolution in China. China Econ Rev 20: 591-597.
7. Eggleston K, Ling L, Qingyue M, Lindelow M, Wagstaff A. 2008. Health service delivery in China: a literature review. Health Econ 17(2): 149-165.
8. Engstom S, Foldei M, Borquist L. 2001. Is general practice effective? A systematic literature review. Scand J Prim Health Care 19: 131-144.
9. Erney S, Allen D, Siska K. 1991. Effect of a year-long primary care clerkship on graduate's selection of family practice residencies. Acad Med 66: 234-236.
10. Filipe Amado CA, Dyson RG. 2008. On comparing the performance of primary care providers. Eur J Oper Res 185(3): 915-932.
11. Friedberg MW, Hussey PS, Schneider EC. 2010. Primary care: a critical review of the evidence on quality and costs of health care. Health Aff 29(5): 766-772.
12. Fujian Provincial Bureau of External Information Network. 2009. Population development and urbanization into a benign orbit-six decades of New China Fujian series analysis of economic and social development of five. [Online] (Updated 21 August 2009)Available: http://www.stats-fj.gov.cn/fxwz/tjfx/0200909040049.htm [Accessed 14 June 2010] [Chinese].
13. Fuzhou City Bureau of Statistics. 2009. Economic and social development of Fuzhou City Statistics Bulletin. [Online] Available: http://www.fuzhou.gov.cn/tjj/njdtjsj/201003/t20100324_119787.htm [Accessed 14 June 2010] [Chinese].
14. Hougaard J, Osterdal L, Yu Y. 2008. The Chinese health care system: structure, problems and challenges. Discussion Paper, Department of Economics University of Copenhagen., pp. 1-34.
15. John Hopkins Bloomberg School of Public Health. 2010. Primary care assessment tools. [Online] Available: http://www.jhsph.edu/pcpc/pca_tools.html [Accessed 2 July 2010].
16. Kuper A, Reeves S, Levinson W. 2008. An introduction to reading and appraising qualitative research. Br Med J 337: 404-407.
17. Li B. 2010. Fuzhou this year will achieve community health centres to cover all streets. [Online] (Updated 22 April 2010) Available: http://news.fznews.com.cn/kjww/2010-4-22/2010422YTF3SHXaPP232215.shtml [Accessed 14 June 2010] [Chinese].
18. Liu T. 2006. The Lancet's chronic diseases series. Lancet 367(9510): 565-566.
19. Liu J, Xu L, Cao X, et al. 2008a. Analysis of satisfaction about new cooperative medical scheme and its influencing factors in Weihai, China. Health Policy 86(2-3): 239-244.
20. Liu Y, Rao K, Wu J, Gakidou E. 2008b. China's health system performance. Lancet 372(9653): 1914-1923.
21. Lu L, Xing ZW, Jun Z, Hesketh T. 2005. Reform of primary care in China. Lancet 366(9480): 120-120.
22. Luo J, Zhang X, Jin C, Wang D. 2009. Inequality of access to health care among the urban elderly in northwestern China. Health Policy 93(2-3): 111-117.
23. Meng Q. 2007. Developing and implementing equity-promoting health care policies in China. [Online] (Last updated January 2007) Available: http://www.who.int/social_determinants/resources/csdh_media/equity_health_china_2007_en.pdf [Accessed 2 July 2010].
24. Meng Q, Yuan J, Jing L, Zhang J. 2009. Mobility of primary health care workers in China. Hum Resour Health 7(1): 24.
25. Pan X, Dib H, Wang X, Zhang H. 2006. Service utilization in community health centres in China: a comparison analysis with local hospitals. BMC Health Serv Res 6(1): 93.
26. Patton MQ. 1987. Chapter 2: Strategic themes in qualitative inquiry. In How to Use Qualitative Methods in Evaluation, 2nd ed. Sage Publications: Newbury Park, California; 35-54.
27. Pope C, Mays N. 1995. Qualitative research: reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. Br Med J 311: 42-45.
28. Ramesh M, Wu X. 2009. Health policy reform in China: lessons from Asia. Soc Sci Med 68(12): 2256-2262.
29. Ritchie J, Lewis J, Elam G. 2003. Chapter 4 'Designing and selecting samples'. In Qualitative Research Practice: A guide for Social Science Students and Researchers, Ritchie J, Lewis J (eds). SAGE: London.
30. Shi L, Starfield B, Xu J, Politzer R, Regan J. 2003. Primary care quality: community health centre and health maintenance organization. South Med J 96(8): 787-795.
31. Shi L, Macinko J, Starfield B, Politzer R, Wulu J, Xu J. 2005. Primary care, social inequalities and all-cause, heart disease and cancer mortality in US counties: a comparison between urban and non-urban areas. Public Health 119(8): 699-710.
32. Spencer L, Ritchie J, O'Connor W. 2003. Analysis: practices, principles and processes and carrying out qualitative analysis. In Qualitative Research Practice: A Guide for Social Sciences Students and Researchers, Ritchie J, Lewis J (ed.). SAGE: London, 199-262.
33. Starfield B, Shi L, Mackinko J. 2005. Contribution of primary care to health systems and health. Milbank Q 83(3): 457-502.
34. Sun Q, Liu X, Meng Q, Tang S, Yu B, Tolhurst R. 2009. Evaluating the financial protection of patients with chronic disease by health insurance in rural China. Int J Equity Health 8(1): 42.
35. Wikipedia. 2010a, 16 June-last update. Fujian. [Online] Available: http://en.wikipedia.org/wiki/Fujian [Accessed 30 June 2010].
36. Wikipedia. 2010b, 30 June 2010-last update. Fuzhou. [Online] Available: http://en.wikipedia.org/wiki/Fuzhou [Accessed 1 July 2010].
37. World Health Organisation. 2009. China Country Profile. [Online] Available: http://www.wpro.who.int/countries/2009/chn/ [Accessed 1 July 2010].
38. Xu J, Wang W, Li Y, et al. 2010. Analysis of factors influencing the outpatient workload at Chinese health centres. BMC Health Serv Res 10(1): 151.
39. Yang Y, Yang D. 2009. Community health service centres in China, not always trusted by the populations they serve? China Econ Rev 20(4): 620-624.
40. Yang J, Guo A, Wang Y, et al. 2008. Human resource staffing and service functions of community health services organisations in China. Ann Fam Med 6: 421-427.
41. Yip W, Hsiao W. 2009. China's health care reform: a tentative assessment. China Econ Rev 20(4): 613-619.
42. Yip WC, Hsiao W, Meng Q, Chen W, Sun X, 2010. Realignment of incentives for health-care providers in China. Lancet, 375(9720): 1120-1130.