Development trend of primary healthcare after health reform in China: a longitudinal observational study
Objectives Reconstructing the primary healthcare system is the focus of the new round of Chinese health reform. Nevertheless, there have been few studies focusing on the strengthening of primary healthcare in Chinese health system.Design This study was a longitudinal observational study.Primary and...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e052239.full |
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| author | Hui Li Jie Feng Zuxun Lu Yanhong Gong Xuan Zhou Guopeng Zhang Xiaoxv Yin Jianxiong Wu |
| author_facet | Hui Li Jie Feng Zuxun Lu Yanhong Gong Xuan Zhou Guopeng Zhang Xiaoxv Yin Jianxiong Wu |
| author_sort | Hui Li |
| collection | DOAJ |
| description | Objectives Reconstructing the primary healthcare system is the focus of the new round of Chinese health reform. Nevertheless, there have been few studies focusing on the strengthening of primary healthcare in Chinese health system.Design This study was a longitudinal observational study.Primary and secondary outcome measures The data of this study came from China Health Statistical Yearbook (2009–2018). We evaluated the development of primary healthcare based on the absolute values of health resources allocation and health service provision and evaluated the status of primary healthcare throughout the health system based on the composition ratios of the indicators across the health system. The Cochran-Armitage trend test and linear trend test were used to identify the indicators’ trends over time.Results From 2009 to 2018, the amounts of health resources allocation and health service provision of Chinese primary healthcare institutions showed a significant upward trend (p<0.001). However, compared with the indicators in 2009, excepting that the proportion of grants from the government in the whole health system has an upward trend, the proportions of other indicators had an escalating trend in 2018 by 3.66% for practicing (assistant) physicians, by 2.69% for nurses, by 3.99% for total revenues, by 5.87% for beds, by 8.39% for outpatient visits.Conclusion The primary healthcare system has developed rapidly, but its development speed lagged behind the entire health system, resulting in the weakening of its actual functions, which is not in line with the goal of health reform. The government should be more aware of the importance of primary healthcare at all levels of local governments and ensure adequate financial input. |
| format | Article |
| id | doaj-art-f4b7697d54754bcf8c7efb4719affcec |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-f4b7697d54754bcf8c7efb4719affcec2025-02-01T10:00:13ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-052239Development trend of primary healthcare after health reform in China: a longitudinal observational studyHui Li0Jie Feng1Zuxun Lu2Yanhong Gong3Xuan Zhou4Guopeng Zhang5Xiaoxv Yin6Jianxiong Wu72Department of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, USADepartment of Social Medicine and Health Management, School of Public Health, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Social Medicine and Health Management, Huazhong University of Science and Technology Tongji Medical College, Wuhan, Hubei, ChinaDepartment of Social Medicine and Health Management, School of Public Health, Huazhong University of Science and Technology, Wuhan, Hubei, China1 Department of Rehabilitation Medicine, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, ChinaDepartment of Nuclear Medicine, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China1 Department of Hepatobiliary Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaObjectives Reconstructing the primary healthcare system is the focus of the new round of Chinese health reform. Nevertheless, there have been few studies focusing on the strengthening of primary healthcare in Chinese health system.Design This study was a longitudinal observational study.Primary and secondary outcome measures The data of this study came from China Health Statistical Yearbook (2009–2018). We evaluated the development of primary healthcare based on the absolute values of health resources allocation and health service provision and evaluated the status of primary healthcare throughout the health system based on the composition ratios of the indicators across the health system. The Cochran-Armitage trend test and linear trend test were used to identify the indicators’ trends over time.Results From 2009 to 2018, the amounts of health resources allocation and health service provision of Chinese primary healthcare institutions showed a significant upward trend (p<0.001). However, compared with the indicators in 2009, excepting that the proportion of grants from the government in the whole health system has an upward trend, the proportions of other indicators had an escalating trend in 2018 by 3.66% for practicing (assistant) physicians, by 2.69% for nurses, by 3.99% for total revenues, by 5.87% for beds, by 8.39% for outpatient visits.Conclusion The primary healthcare system has developed rapidly, but its development speed lagged behind the entire health system, resulting in the weakening of its actual functions, which is not in line with the goal of health reform. The government should be more aware of the importance of primary healthcare at all levels of local governments and ensure adequate financial input.https://bmjopen.bmj.com/content/12/6/e052239.full |
| spellingShingle | Hui Li Jie Feng Zuxun Lu Yanhong Gong Xuan Zhou Guopeng Zhang Xiaoxv Yin Jianxiong Wu Development trend of primary healthcare after health reform in China: a longitudinal observational study BMJ Open |
| title | Development trend of primary healthcare after health reform in China: a longitudinal observational study |
| title_full | Development trend of primary healthcare after health reform in China: a longitudinal observational study |
| title_fullStr | Development trend of primary healthcare after health reform in China: a longitudinal observational study |
| title_full_unstemmed | Development trend of primary healthcare after health reform in China: a longitudinal observational study |
| title_short | Development trend of primary healthcare after health reform in China: a longitudinal observational study |
| title_sort | development trend of primary healthcare after health reform in china a longitudinal observational study |
| url | https://bmjopen.bmj.com/content/12/6/e052239.full |
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