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Satisfaction of village doctors with the township and village health services integration policy in the western minority-inhabited areas of China

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Summary

Township and Village Health Services Integration Management (TVHSIM) is an essential form of China’s two-tiered health service integration plan at the township and village level. Its main purpose, also one of the target goals in China’s new healthcare reform, is to gradually integrate rural health services and appropriately allocate rural health resources. This study aims to assess the village doctors’ satisfaction with the TVHSIM and provide scientific base to further improve TVHSIM. A cross-sectional study was carried out in which 162 village doctors from Qinghai, Inner Mongolia and Xinjiang in western China were interviewed. Descriptive analysis, independent t-test, one-way ANOVA, Spearman rank correlation and multiple linear regression were used to analyze the difference and relevance between village doctors’ personal characteristics and their satisfaction with TVHSIM and six subscales. Village doctors with different years of practice, social insurance status and essential medical knowledge level showed statistically significant differences in their satisfaction levels (all P<0.05). Age (P<0.05) and years of practice (P<0.01) were negatively correlated with Drug and Medical Device Management and Financing Management. Essential medical knowledge level (P<0.05) was negatively correlated with Operations Management as well. However, social insurance status (P<0.05) was positively correlated with Human Resources Management and Drug and Medical Device management. Gender, age and years of practice respectively had significant influence on village doctors’ satisfaction with TVHSIM (P<0.01). In conclusion, in order to further promote TVHSIM policy in rural China, a well-rounded social insurance model for village doctors is urgently needed. In addition, the development of TVHSIM is regionally imbalanced. Efficient and effective measures aiming at rationalizing gender and age structure and enhancing essential medical training should be carefully considered.

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Acknowledgements

The authors of the paper are grateful to the health administrative departments in the study counties for their support in the field survey process. The authors would also like to thank all respondents for their valuable contributions to this research.

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Authors and Affiliations

  1. School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China

    Da Feng  (冯 达), Liang Zhang  (张 亮), Ruo-xi Wang  (王若溪), Shang-feng Tang  (唐尚锋), Hang Fu  (付 航) & Bo-yang Li  (李伯阳)

  2. Hubei University of Chinese Medicine, Wuhan, 430030, China

    Yuan-xi Xiang  (项远兮)

  3. Department of Health Policy and Management, College of Public Health, University of Georgia, Georgia, GA, USA

    Dong-lan Zhang  (张冬兰)

Authors
  1. Da Feng  (冯 达)
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  2. Liang Zhang  (张 亮)
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  3. Yuan-xi Xiang  (项远兮)
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  4. Dong-lan Zhang  (张冬兰)
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  5. Ruo-xi Wang  (王若溪)
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  6. Shang-feng Tang  (唐尚锋)
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  7. Hang Fu  (付 航)
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  8. Bo-yang Li  (李伯阳)
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Corresponding author

Correspondence to Liang Zhang  (张 亮).

Additional information

This project was supported by the National Natural Science Foundation of China (No. 71273097).

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Feng, D., Zhang, L., Xiang, Yx. et al. Satisfaction of village doctors with the township and village health services integration policy in the western minority-inhabited areas of China. J. Huazhong Univ. Sci. Technol. [Med. Sci.] 37, 11–19 (2017). https://doi.org/10.1007/s11596-017-1687-y

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  • DOI: https://doi.org/10.1007/s11596-017-1687-y

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