Quality of community basic medical service utilization in urban and suburban areas in Shanghai from 2009 to 2014

Lijun Guo, Yong Bao, Jun Ma, Shujun Li, Yuyang Cai, Wei Sun and Qiaohong Liu

PLOS ONE, 2018, vol. 13, issue 5, 1-17

Abstract: Urban areas usually display better health care services than rural areas, but data about suburban areas in China are lacking. Hence, this cross-sectional study compared the utilization of community basic medical services in Shanghai urban and suburban areas between 2009 and 2014. These data were used to improve the efficiency of community health service utilization and to provide a reference for solving the main health problems of the residents in urban and suburban areas of Shanghai. Using a two-stage random sampling method, questionnaires were completed by 73 community health service centers that were randomly selected from six districts that were also randomly selected from 17 counties in Shanghai. Descriptive statistics, principal component analysis, and forecast analysis were used to complete a gap analysis of basic health services utilization quality between urban and suburban areas. During the 6-year study period, there was an increasing trend toward greater efficiency of basic medical service provision, benefits of basic medical service provision, effectiveness of common chronic disease management, overall satisfaction of community residents, and two-way referral effects. In addition to the implementation effect of hypertension management and two-way referral, the remaining indicators showed a superior effect in urban areas compared with the suburbs (P

Date: 2018
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0195987

DOI: 10.1371/journal.pone.0195987

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