scholarly journals What Are the Challenges Faced by Village Doctors in Provision of Basic Public Health Services in Shandong, China? A Qualitative Study

2019 ◽  
Vol 16 (14) ◽  
pp. 2519 ◽  
Author(s):  
Qian Wang ◽  
Yuejia Kong ◽  
Jiyao Sun ◽  
Yue Zhang ◽  
Linlin Yuan ◽  
...  
Keyword(s):  
Public Health ◽  
Qualitative Study ◽  
Health Services ◽  
Low Income ◽  
Comparison Method ◽  
Public Health Services ◽  
Framework Analysis ◽  
Rural Residents ◽  
Village Doctors ◽  
Wide Range

Background: Village doctors, as gatekeepers for the health of rural residents in China, are confronted with adversity in providing the basic public health services (BPHS), which has significantly impeded them from providing high quality BPHS. This study aimed to explore the obstacles and difficulties faced by village doctors in order to improve the quality and efficiency of BPHS provision and increase the health level of the population. Methods: In-depth interviews were employed to conduct this qualitative study. A total of 51 village doctors in four cities of Shandong Province were interviewed. The interviews were transcribed, anonymized, and imported into NVivo11.0 to facilitate management. Thematic framework analysis employing the constant comparison method was applied to the data analysis. Results: The main challenges faced by village doctors comprised the shortage, gender imbalance, and poor education of village doctors; older village doctors in some villages; low income; lack of social security; inappropriate performance assessment; inadequate professional BPHS training; heavy workload; and insufficient cooperation from rural residents, which have exacerbated the quality, efficiency, and accessibility of BPHS to some extent. Conclusions: Village doctors, as the important BPHS providers in rural Shandong, are facing a wide range of challenges. It is urgent for government officials and policy makers to consider these challenges and concentrate on improving the quality of BPHS provision by developing relevant and practical strategies.

scholarly journals Does a Different Household Registration Affect Migrants’ Access to Basic Public Health Services in China?

2019 ◽  
Vol 16 (23) ◽  
pp. 4615 ◽  
Author(s):  
Meng
Keyword(s):  
Public Health ◽  
Health Services ◽  
Low Income ◽  
Health Knowledge ◽  
Medical Knowledge ◽  
Public Health Services ◽  
Household Registration ◽  
Career Training ◽  
Permanent Settlement ◽  
The Impact

On the basis of the China Migrants Dynamic Survey Data of 2015, the author provides an analysis of how a different household registration impacts migrants’ access to preventive care provided by public health services, such as health records and medical knowledge, in areas of immigration. This study shows that eliminating the distinction between agricultural and non-agricultural permanent residence registration could raise the rate of establishing health files, but it has no significant effect on migrants’ health knowledge. In fact, encouraging those with non-agricultural registration to move to different counties that belong to the same city or to different cities that belong to the same province can notably eliminate the impact of a different household registration status. Improving the income level of low-income migrants can have the same impact. Recommendations to enable migrants to obtain basic public health services include abolishing the separation of agricultural and non-agricultural household registration, increasing the permanent settlement rate of resident migrants, promoting basic medical security systems across the whole country, strengthening career training, and enhancing the education level of migrants.

scholarly journals Model to assess workload of village doctors in the National Essential Public Health Services Program in six provinces of China

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Delu Yin ◽  
Tao Yin ◽  
Huiming Yang ◽  
Lihong Wang ◽  
Bowen Chen
Keyword(s):  
Public Health ◽  
Health Services ◽  
Health Workers ◽  
Public Health Services ◽  
Health Service Provision ◽  
Village Doctors ◽  
Essential Public Health Services ◽  
Town Hospital ◽  
Public Health Workers ◽  
Ev Model

Abstract Background No studies, particularly quantitative analyses, have been conducted regarding the workload of village doctors in the National Essential Public Health Services (NEPHS) program and differences in service delivery by village doctors, according to region and services. In this study, we developed a quantitative analysis approach to measure the workload of NEPHS provided by village doctors in six provinces of China in 2016. We aimed to identify areas and services of the NEPHS needing improvement, so as to implement targeted measures to ensure adequate delivery of NEPHSs in rural remote underserved areas. Methods Based on survey data from 300 town hospital centers (THCs) located in 60 counties in the six selected provinces, we calculated village doctors’ share of workload under the NEPHS using the equivalent value (EV) model. To define the workload and corresponding EV of each NEPHS, a series of five meetings was held with THC managers, public health workers, family physicians, nurses and village doctors. Field observations were conducted to verify the workload and EV of each service. Results Village doctors’ share of the workload under the NEPHS program was 43.71% across the 300 sampled THCs in six provinces. The village doctors’ workload shares for different NEPHS ranged from 17.14 to 57.00%. The percentage workload undertaken by village doctors under the NEPHS program varied across different provinces, with the highest proportion 63.4% and the lowest 28.5%. Conclusions The total NEPHS workload assigned to village doctors by THCs in the six sampled provinces exceeded the Chinese government’s requirement of 40%, but the workload proportion in some provinces was less than 40%. In addition, the percentage workload for some NEPHS undertaken by village doctors was lower than others. We suggest conducting district-level analysis of the workload among village doctors under the NEPHS program using the EV method, to identify areas and services needing improvement, to implement targeted measures to expand and promote health service provision in China’s rural underserved areas.

Linking High-Risk, Low-Income, Pregnant Women to Public Health Services

1997 ◽  
Vol 3 (2) ◽  
pp. 27-36 ◽  
Author(s):  
LaVohn Josten ◽  
Lorene Wedeking ◽  
Derryl E. Block ◽  
Kay Savik ◽  
Pauline Vincent
Keyword(s):  
Public Health ◽  
High Risk ◽  
Health Services ◽  
Pregnant Women ◽  
Low Income ◽  
Public Health Services

scholarly journals Rural Resident Experience on National Basic Public Health Services: A Cross-Sectional Survey in 10 Western Provinces of China

Healthcare ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 160
Author(s):  
Jinlin Liu ◽  
Ying Mao
Keyword(s):  
Public Health ◽  
Health Services ◽  
Large Scale ◽  
Health Management ◽  
Rural Resident ◽  
Public Health Services ◽  
Cross Sectional Survey ◽  
Rural Residents ◽  
Cross Sectional ◽  
Health Related

National basic public health services (BPHSs) are important for promoting the health of rural populations. A better understanding of rural BPHSs from the viewpoint of residents utilizing the services can help health-related departments and primary health care (PHC) centers further improve rural BPHSs. By conducting a large-scale cross-sectional survey in 10 western provinces of China, the study depicts rural resident experiences with rural BPHSs. Of the 9019 participants, 59.33% and 66.48% did not receive services related to health examinations or health education in the six months prior to the survey, respectively. A total of 56.90% were satisfied with the rural BPHSs, and the mean overall satisfaction score was 3.61 ± 0.908 (out of a maximum of 5). The most satisfying domain for rural residents with BPHSs was the attitude of PHC workers, whereas rural residents with chronic diseases were the least satisfied with the health management. Satisfaction with the attitude of PHC workers was identified as the strongest determinant of rural residents’ overall satisfaction with BPHSs. This study could enlighten rural BPHSs management in China.

Accessibility of Availability of Public Health Services Dayak Tribe in Samarinda “Qualitative Study”

2019 ◽  
Vol 10 (10) ◽  
pp. 1514
Author(s):  
Ansar Arifin ◽  
Muhammad Alwy Arifin ◽  
Darmawansyah ◽  
Yusri Abadi ◽  
Dian Saputra Marzuki ◽  
...  
Keyword(s):  
Public Health ◽  
Qualitative Study ◽  
Health Services ◽  
Public Health Services

scholarly journals Basic public health services delivered in an urban community: a qualitative study

Public Health ◽  
2011 ◽  
Vol 125 (1) ◽  
pp. 37-45 ◽  
Author(s):  
Y. Zhao ◽  
S. Cui ◽  
J. Yang ◽  
W. Wang ◽  
A. Guo ◽  
...  
Keyword(s):  
Public Health ◽  
Qualitative Study ◽  
Health Services ◽  
Urban Community ◽  
Public Health Services

scholarly journals Model to assess workload of village doctors in the National E sential Public Health Services Program in six provinces of China

2020 ◽  
Author(s):  
Delu Yin ◽  
Tao Yin ◽  
Huiming Yang ◽  
Lihong Wang ◽  
Bowen Chen
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Local Governments ◽  
Health Workers ◽  
Public Health Services ◽  
Health Service Provision ◽  
Village Doctors ◽  
Town Hospital ◽  
Ev Model

Abstract Background: Village doctors face many challenges in providing the National Essential Public Health Service (NEPHS) program, and many factors affect the provision of these services. However, there are no studies (particularly quantitative analyses) regarding the workload of public health services provided by village doctors. In this study, we aimed to develop a quantitative analysis approach to measure the workload of NEPHS provided by village doctors in six provinces of China in 2016. Methods: Based on survey data from 300 town hospital centers (THCs) located in 60 counties in the six selected provinces, we calculated village doctors’ share of workload under the NEPHS using the equivalent value (EV) model. To define the workload and corresponding EV of each NEPHS, a series of five meetings was held with THC managers, public health workers, family physicians, nurses and village doctors. Field observations were conducted to verify the workload and EV of each service. Results: Village doctors’ share of the workload under the NEPHS program was 47.0% across the 300 sampled THCs in six provinces. The village doctors’ workload shares for different NEPHS ranged from 17.1% to 57.0%. The percentage workload undertaken by village doctors under the NEPHS program varied across different provinces, with the highest proportion 63.4% and the lowest 28.5%. Conclusions: The total NEPHS workload assigned to village doctors by THCs in the six sampled provinces exceeded the Chinese government’s requirement of 40%, but the workload proportion in some provinces was less than 40%. We suggest that local governments conduct district-level analysis of the workload among village doctors under the NEPHS program using the EV method, to identify priorities and influencing factors and implement targeted measures to promote health service provision. An EV model of the NEPHS could be built to monitor village doctors’ workload and ensure that assigned workloads are manageable.

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