Determinants of basic public health services provision by village doctors in China: using non-communicable diseases management as an example.
Background: To ensure equity and accessibility of public health care in rural areas, the Chinese central government has launched a series of policies to motivate village doctors to provide basic public health services. Using chronic disease management and prevention as an example, this study aims to...
| Publicado en: | BMC Health Services Research pp. 1 - 11 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BioMed Central
2/4/2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112782647&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 112782647 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14726963 1CHS jtl: BMC Health Services Research issn: 14726963 maglogo: N pubinfo: dt: 2/4/2016 pid: 24147 pub: BioMed Central artinfo: ui: 112782647 112782647 NLM26846921 112782647 10.1186/s12913-016-1276-y NLM26846921 PMC4743421 112782647 ppf: 1 ppct: 10 formats: tig: atl: Determinants of basic public health services provision by village doctors in China: using non-communicable diseases management as an example. aug: au: Tongtong Li Trudy Lei Zheng Xie Tuohong Zhang Li, Tongtong Lei, Trudy Xie, Zheng Zhang, Tuohong affil: School of Public Health of Peking University, 38 Xueyuan Road, Haidian District, Beijing, P. R. China sug: subj: Rural Population Rural Health Services Administration Chronic Disease Therapy Physicians, Family China Surveys Adult Male Health Services Accessibility Female United States Middle Age Human Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: To ensure equity and accessibility of public health care in rural areas, the Chinese central government has launched a series of policies to motivate village doctors to provide basic public health services. Using chronic disease management and prevention as an example, this study aims to identify factors associated with village doctors' basic public health services provision and to formulate targeted interventions in rural China.Methods: Data was obtained from a survey of village doctors in three provinces in China in 2014. Using a multistage sampling process, data was collected through the self-administered questionnaire. The data was then analyzed using multilevel logistic regression models.Results: The high-level basic public health services for chronic diseases (BPHS) provision rate was 85.2% among the 1149 village doctors whom were included in the analysis. Among individual level variables, more education, more training opportunities, receiving more public health care subsidy (OR = 3.856, 95 % CI: 1.937-7.678, and OR = 4.027, 95% CI: 1.722-9.420), being under integrated management (OR = 1.978, 95% CI: 1.132-3.458), and being a New Cooperative Medical Scheme insurance program-contracted provider (OR = 2.099, 95% CI: 1.187-3.712) were associated with the higher BPHS provision by village doctors. Among county level factors, Foreign Direct Investment Index showed a significant negative correlation with BPHS provision, while the government funding for BPHS showed no correlation (P > 0.100).Conclusion: Increasing public health care subsidies received by individual village doctors, availability and attendance of training opportunities, and integrated management and NCMS contracting of village clinics are important factors in increasing BPHS provision in rural areas. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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