Public views towards community health and hospital-based outpatient services and their utilisation in Zhejiang, China: a mixed methods study

BMJ Open
Dan WuKai Sing Sun

Abstract

China is engaged in promoting community health services (CHS) nationwide. This study examines the public's views towards CHS and their utilisation of community-based and hospital-based outpatient services. A mixed methods study using qualitative interviews and a cross-sectional survey. The study was conducted among the public between September 2014 and September 2015 in Zhejiang province, China. Six focus groups and 13 individuals were interviewed. The questionnaire was completed by 1248 respondents (response rate: 83%). Utilisation of community-based and hospital-based outpatient services. Functions of CHS perceived by the public included provision of minor illness management, coordination, drug dispensing, follow-up care and patient education. However, many also showed a distrust in primary care providers' (PCPs) competence for confirming the initial diagnosis and management plan. As coordinators, PCPs' integrity was challenged, and PCPs were thought to be potential 'tuo er' (cunning agents who tried to lead patients to some notorious hospitals to make money). Survey results showed that 800 (64.1%) respondents visited hospital-based clinics and 688 (55.1%) visited CHS at least once in the past year. Compared with the uninsure...Continue Reading

Citations

Sep 25, 2019·International Journal of Environmental Research and Public Health·Xinping ZhangYuqing Tang
Oct 3, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Chuan ZouBenedict Hayhoe
Mar 17, 2019·International Journal of Environmental Research and Public Health·Wenhua WangXiaoyun Liu
Jan 23, 2021·Globalization and Health·Shuangyi SunXiaoting Pan

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