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Quality analysis and policy recommendations on the utilization of community basic public health services in urban and suburban Shanghai from 2009 to 2014

Environmental Science and Pollution Research volume 25, pages 28206–28215 (2018)Cite this article

Abstract

Disparities in quality of basic public health services exist between urban and rural populations, but there is no data about these disparities between urban and suburban populations in Shanghai. The study aims to analyze and compare the quality of basic public health service utilization of community health service centers in Shanghai urban and suburban areas between 2009 and 2014. This was a cross-sectional study. Using a two-stage random sampling method, 80 community health service centers were randomly selected from six districts that were also randomly selected from 17 counties in Shanghai. Descriptive statistical analysis, principal component analysis, and forecast analysis were used to compare and analyze basic health services utilization quality between urban and suburban centers. During the 6 years, there has been an increasing trend of the basic public health service effectiveness of prevention services, health care services, rehabilitation services, health education services, and health indexes in Shanghai urban and suburban areas. Prevention services, health care services, health education services, and population health index indicators of urban areas were better than those of the suburbs, while effectiveness indicators of rehabilitation services were lower than that of the suburbs. The urban areas had four principal component scores lower than the suburbs (P < 0.001, P = 0.006, P < 0.001, and P = 0.015). During the 6 years, with the strengthening of national support, basic public health service utilization has increased rapidly, and effectiveness of services has improved obviously. Nevertheless, there is an imbalance of basic public health service utilization between urban and suburban areas.

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References

  • Anderson JF (1913) Organization, powers, and duties of the United States Public Health Service today. Am J Public Health (N Y) 3:845–852

    CAS  Article  Google Scholar 

  • Anonymous (2009) Ministry of Health, PRC. National Basic Public Health Services Norm

  • Anonymous (2011) Ministry of Health, PRC. National Basic Public Health Services Norm

  • Anonymous (2016) National Bureau of Statistics of China. China Statistical Yearbook

  • Beatty K, Harris JK, Barnes PA (2010) The role of interorganizational partnerships in health services provision among rural, suburban, and urban local health departments. J Rural Health 26:248–258. https://doi.org/10.1111/j.1748-0361.2010.00285.x

    Article  Google Scholar 

  • Cai Y (2012) Changes of life expectancy in the world and in China. Chin J Health Inf Manag 9:77–81

    Google Scholar 

  • Cui KC, Xu LZ (2010) Review on health care utilization equity and the influencing factors. Soft Sci Health 24:388–391

    CAS  Google Scholar 

  • Feng Q, Zhen Z, Gu D, Wu B, Duncan PW, Purser JL (2013) Trends in ADL and IADL disability in community-dwelling older adults in Shanghai, China, 1998–2008. J Gerontol B Psychol Sci Soc Sci 68:476–485. https://doi.org/10.1093/geronb/gbt012

    Article  Google Scholar 

  • General Office of the State Council P (2015) Planning outline of China national health service system, 2015–2020. Chinese Practical Journal of Rural Doctor (CPJRD) 22:1–11

    Google Scholar 

  • Jiang HQ, Li ZL, Zhu WX (2013) Analysis of community heavy psychosis management effect evaluation. Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease (PJCCPVD) 21:35–37

    Google Scholar 

  • Kamal N, Sloggett A (1996) The effect of female family planning workers on the use of modern contraception in Bangladesh. Asia-Pac Popul J 11:15–26

    CAS  Google Scholar 

  • Khan MM, Zanuzdana A, Kraemer A (2013) Levels, trends and disparities in public-health-related indicators among reproductive-age women in Bangladesh by urban-rural and richest-poorest groups, 1993–2011. PLoS One 8:e75261. https://doi.org/10.1371/journal.pone.0075261

    CAS  Article  Google Scholar 

  • Koop CE, Ginzburg HM (1989) The revitalization of the public health service commissioned corps. Public Health Rep 104:105–110

    CAS  Google Scholar 

  • Kroeger A, Malo F, Perez Samaniego C, Berg H (1991) Differences in the health and disease conditions in the rural and urban-suburban populations in Nuevo Leon state. Salud Publica Mex 33:136–154

    CAS  Google Scholar 

  • Li FB, Xu L, Wei NF (2012) The analysis of the survey on residents’ health literacy on communicable diseases prevention in 2008. Chinese Journal of Health Education (Chinese Journal of Health Education) 28:209–210

    CAS  Google Scholar 

  • Li XQ, Lu Y, Ren LH, Du MX (2014) Research on the situation of epidemiological survey of the mental disorder in China. J Modern Preventive Medicine (Modern Preventive Medicine) 41:3489–3491

    Google Scholar 

  • Li X, Qang XX, Chen W (2016) Surveying the utilization of basic public health services in undeveloped rural areas of central China. J Chinese Health Service Management (Chinese Health Service Management) 33:608–610

    Google Scholar 

  • Mao LD (2014) Current situation and countermeasure of China's community rehabilitation. Journal of Trauma and Disability Medicine (Chinese Journal of Trauma and Disability Medicine) 2014:12–14

    Google Scholar 

  • Mpofu JJ, de Moura L, Farr SL, Malta DC, Iser BM, Ivata Bernal RT, Robbins CL, Lobelo F (2016) Associations between noncommunicable disease risk factors, race, education, and health insurance status among women of reproductive age in Brazil—2011. Prev Med Rep 3:333–337. https://doi.org/10.1016/j.pmedr.2016.03.015

    Article  Google Scholar 

  • Rasu RS, Bawa WA, Suminski R, Snella K, Warady B (2015) Health literacy impact on national healthcare utilization and expenditure. Int J Health Policy Manag 4:747–755. https://doi.org/10.15171/ijhpm.2015.151

    Article  Google Scholar 

  • Shi CM, Zheng J, Zhang TH, Guan ZJ (2012) A survey of essential public health service utilization among rural residents of different economic levels in Beijing. Chinese Journal of Health Policy (Chinese Journal of Health Policy) 5:67–72

    Google Scholar 

  • Song KM, Xu L, Sun XJ (2012) Analysis on the current situation of the function for providing basic public health services of primary care institutes in urban and rural areas. Chinese Journal of Health Informatics and Management (Chinese Journal of Health Informatics and Management) 9:23–26

    Google Scholar 

  • Wan GW (2014) Analysis on the regional difference of the rehabilitation services for the disabled-quantitative analysis based on 31 provinces and municipalities. Qinghai Social Sciences (Qinghai Social Sciences) 2012:135–139

    Google Scholar 

  • Wang YH, Li LM (2008) A comparison of life expectancy between the urban and rural residents in China, 1990–2005. J Chinese Health Service Management (Chinese Health Service Management) 29:262–266

    Google Scholar 

  • Wang L, Cui Y, Wang LS (2013) Research on the development and utilization of basic public health service in rural areas. J Chinese Health Service Management (Chinese Health Service Management) 30:52–55

    Google Scholar 

  • Xin F (2013) A study on status and equity of the implementation about the basic public health services in urban and rural areas of Jiangxi Province. Nanchang University, Nanchang

    Google Scholar 

  • Xu HL, Li X (2012) Overview on changes of disease spectrum of infectious diseases in recent 60 years, China. Anhui Med J 33:770–772

    Google Scholar 

  • Xue QX, Gao JM (2002) Evaluation on fairness and efficiency of health service provision. Chinese Health Economics (Chinese Health Eeonomics Magazine) 21:29–32

    Google Scholar 

  • Yang SE, Liu B, Tian M (2015) Comparison between urban and rural patients with severe mental illness having health files in Hebei. Chinese General Practice (CGP) 2015:915–918

    Google Scholar 

  • Yang L, Sun L, Wen L, Zhang H, Li C, Hanson K, Fang H (2016) Financing strategies to improve essential public health equalization and its effects in China. Int J Equity Health 15:194. https://doi.org/10.1186/s12939-016-0482-x

    Article  Google Scholar 

  • Zhang WH (2007) The study on the strategy of rehabilitation service for the disabled in Shanghai. Fudan University, Shanghai

    Google Scholar 

  • Zhang X, Zhao L, Cui Z, Wang Y (2015) Study on equity and efficiency of health resources and services based on key indicators in China. PLoS One 10:e0144809. https://doi.org/10.1371/journal.pone.0144809

    CAS  Article  Google Scholar 

  • Zou H, Ma FL, Luo YM (2013) Analysis of relationship between the rehabilitation service for the disabled and urban and rural residents’ income growth in China. Value Engineering (Value Engineering) 32:298–300

    Google Scholar 

Download references

Funding

This study was supported by the National Natural Science Foundation of China (71373159); Ministry of Education (13YJAZH003); Shanghai Municipal Commission of Health and Family Planning (2014SY001, 201640338, The fourth-Round Three-year Public Health Action Plan [2016] No. 3); Hongqiao International Institute of Medicine, Shanghai Jiao Tong University School of Medicine ([2014] No. 79); Science and Technology Department of Henan Province (162102310118); and Seed Fund of Shanghai University of Medicine & Health Sciences (2015, No. 39).

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Author notes

  1. Lijun Guo and Yong Bao contributed equally to this work.

Affiliations

  1. Shanghai University of Medicine & Health Sciences, College of Health Information Technology and Management, Shanghai, 201318, China

    Lijun Guo

  2. Shanghai Jiao Tong University School of Public Health, No. 227 Chongqing South Road, Shanghai, 200025, China

    Yong Bao & Wei Sun

  3. Hongqiao International Institute of Medicine, Shanghai Jiao Tong University School of Medicine, No. 1111 XianXia Road, Changning District, Shanghai, 200336, China

    Yong Bao

  4. Zhengzhou Fifteenth People’s Hospital, Zhengzhou, 450041, Henan, China

    Shujun Li

  5. Shanghai Tongren Hospital, Shanghai, 200336, China

    Jun Ma

Authors
  1. Lijun Guo
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  2. Yong Bao
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  3. Shujun Li
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  4. Jun Ma
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  5. Wei Sun
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Corresponding author

Correspondence to Yong Bao.

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All authors declare that they have no competing interests.

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Responsible editor: Philippe Garrigues

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Guo, L., Bao, Y., Li, S. et al. Quality analysis and policy recommendations on the utilization of community basic public health services in urban and suburban Shanghai from 2009 to 2014. Environ Sci Pollut Res 25, 28206–28215 (2018). https://doi.org/10.1007/s11356-018-2811-7

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  • DOI: https://doi.org/10.1007/s11356-018-2811-7

Keywords

  • Community health services
  • Basic public health service utilization
  • Quality
  • Trend prediction
  • Policy
  • Shanghai