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

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5.	宋月萍, 譚琳. 衛生醫療資源的可及性與農村兒童的健康問題. 中國人口科學, 2006, 2006(6): 43-48.
6.	任明輝, 郭巖. 中國西部農村衛生服務可及性綜合評價研究. 中國醫院管理, 2008, 28(4): 21-22.
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8.	Oleszczyk M, Krztoń-Królewiecka A, Sch?fer 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, Bj?rkelund 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.	楊華珍, 段占祺, 彭勃, 等. 四川省急救醫療服務空間可及性研究. 現代預防醫學, 2019, 46(4): 577-580, 592.
14.	劉昌平, 趙潔. 新農合制度的醫療服務可及性評價及其影響因素—基于 CHARLS 數據的實證分析. 經濟問題, 2016(2): 86-91.

1. 新中國成立 60 周年國民健康水平顯著提高. 九江學院學報 (自然科學版), 2009, 24(4): 前插 1.
2. 中國共產黨中央委員會, 中華人民共和國國務院. " 健康中國 2030”規劃綱要. 中國實用鄉村醫生雜志, 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. 高開焰. 貫徹國家基本藥物制度推行基層衛生綜合改革. 安徽醫學, 2010, 31(4): 301-305.
5. 宋月萍, 譚琳. 衛生醫療資源的可及性與農村兒童的健康問題. 中國人口科學, 2006, 2006(6): 43-48.
6. 任明輝, 郭巖. 中國西部農村衛生服務可及性綜合評價研究. 中國醫院管理, 2008, 28(4): 21-22.
7. Sch?fer 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, Sch?fer 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, Bj?rkelund 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. 楊華珍, 段占祺, 彭勃, 等. 四川省急救醫療服務空間可及性研究. 現代預防醫學, 2019, 46(4): 577-580, 592.
14. 劉昌平, 趙潔. 新農合制度的醫療服務可及性評價及其影響因素—基于 CHARLS 數據的實證分析. 經濟問題, 2016(2): 86-91.

West China Medical Journal

Accessibility of primary care in Sichuan Province

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