An analysis on intersectional collaboration on non-communicable chronic disease prevention and control in China: a cross-sectional survey on main officials of community health service institutions

Abstract Background: The family doctor system has gained rapid ground worldwide. In recent years, China has been actively exploring family doctor-type contracted services. The purpose of this study was to explore the influencing factors of Contracted Family Doctors Services (CFDS) from the perspectives of community health service providers, administrators and medical staff, and it provides a strong basis for the development and promotion of CFDS. Methods: A combination of quantitative and qualitative methods was adopted in this study. A cross-sectional survey was conducted among community health service providers and administrators in 12 community health service centers across four provinces (Zhejiang, Anhui, Beijing, and Shanghai) of China. A total of 389 people took the survey. Ultimately, 320 questionnaires were valid. The effective response rate was 82.3%. A total of 36 consumers were interviewed through in-depth interviews. The total effective rate 100.0%. Exploratory factor analysis, confirmatory factor analysis, and expert consultation were used to analyze the influencing factors of CFDS. Results: The factors influencing CFDS from the perspectives of medical staff were divided into four dimensions, with the following weighting coefficients: national government (31.87%), community health service agency factors (24.73%), consumers-related factors (22.58%), and contracted doctor-related factors (20.82%). The factors influencing CFDS from the perspectives of patients/consumers were national policy factors, contracted team factor, and consumers-related factors. Conclusions: National governments, community health agencies, community health workers, and consumers play an important role in the advancement of CFDS. Therefore, the development of CFDS needs to consider the rights and interests of all stakeholders involved.

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The Journey Upstream: Chronic Disease Prevention and Control Over the Years

North Carolina Medical Journal ◽

10.18043/ncm.82.3.218 ◽

2021 ◽

Vol 82 (3) ◽

pp. 218-220

Author(s):

Susan M. Kansagra ◽

Amanda Isac

Keyword(s):

Chronic Disease ◽

Disease Prevention ◽

Prevention And Control ◽

Chronic Disease Prevention ◽

And Control

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1. Current Issues and Challenges in Chronic Disease Prevention and Control

CHRONIC DISEASE EPIDEMIOLOGY, PREVENTION, AND CONTROL, 4th edition ◽

10.2105/9780875532783ch01 ◽

2016 ◽

Author(s):

Ursula E. Bauer ◽

Peter A. Briss

Keyword(s):

Chronic Disease ◽

Disease Prevention ◽

Prevention And Control ◽

Chronic Disease Prevention ◽

And Control

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Effectiveness of the Pasos Adelante Chronic Disease Prevention and Control Program in a US-Mexico Border Community, 2005-2008

Preventing Chronic Disease ◽

10.5888/pcd9.100301 ◽

2011 ◽

Cited By ~ 8

Author(s):

LK Staten ◽

CA Cutshaw ◽

C Davidson ◽

K Reinschmidt ◽

R Stewart ◽

...

Keyword(s):

Chronic Disease ◽

Disease Prevention ◽

Prevention And Control ◽

Control Program ◽

Chronic Disease Prevention ◽

Border Community ◽

Mexico Border ◽

And Control ◽

Us Mexico Border

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Disparities Between People with Diabetic Retinopathy and Community Health Service Centers’ Staff in Estimating Satisfaction with Telescreening for Diabetic Eye Diseases

10.21203/rs.3.rs-196316/v1 ◽

2021 ◽

Author(s):

Xiaofeng Zhu ◽

Yi Xu ◽

Lina Lu ◽

Haidong Zou

Keyword(s):

Diabetic Retinopathy ◽

Health Service ◽

Community Health ◽

Care Service ◽

Community Health Service ◽

Eye Diseases ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Comprehensive Management ◽

The People

Abstract Background The success of the telescreening and management for diabetic retinopathy (DR) in the communities depends on the satisfaction of the people with diabetes, and the community health service centers (CHSCs)’ staff, referred to as providers. To investigate the satisfaction of people with DR and CHSCs’ staff, with the comprehensive management system for diabetic eye diseases (abbreviated as “the System” in the following text). Methods This cross-sectional survey for those receiving the service, included 3817 people with vision-threatening DR (VTDR), focused on the satisfaction with the System, including telescreening process, speed of feedback, interpretation of results, awareness of the related diseases, and eye care service. The survey for the providers, included 234 CHSCs’ staff focused on satisfaction and main barriers encountered during the implementation of the System. Sociodemographic characteristics and perceived barriers related to satisfaction were identified by conducting univariate and multivariate logistic regression analyses. Results The overall satisfaction of those receiving the service was 96.0%, and 75.8% of them were willing to undergo telescreening for DR the following year. The convenience of telescreening, reasonable and orderly telescreening, and improvement in the related disease awareness significantly correlated with satisfaction. Only 48.3% of the providers were satisfied with the System. The three most mentioned barriers to the development of the System were insufficient technical staff, inadequate funds, and incomplete information transmission system. Conclusions Disparities between the high satisfaction of those receiving the service and the low satisfaction of the providers with the System were mainly related to the current weak ophthalmic medical level in the CHSCs and the low awareness of screening for diabetic eye diseases among not only people with DR but the CHSCs’ staff.

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