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Comparative Study
, 6, 93

Service Utilization in Community Health Centers in China: A Comparison Analysis With Local Hospitals

Comparative Study

Service Utilization in Community Health Centers in China: A Comparison Analysis With Local Hospitals

Xilong Pan et al. BMC Health Serv Res.


Background: Being an important part of China's Urban Health Care Reform System, Community Health Centers (CHCs) have been established throughout the entire country and are presently undergoing substantial reconstruction. However, the services being delivered by the CHCs are far from reaching their performance targets. In order to assess the role of the CHCs, we examined their performance in six cities located in regions of South-East China. The purpose of this investigation was to identify the utilization and the efficiency of community health resources that are able to provide basic medical and public health services.

Methods: The study was approved by Peking University Health Science Center Institutional Reviewing Board (NO: IRB00001052-T1). Data were collected from all the local health bureaux and processed using SPSS software. Methods of analysis mainly included: descriptive analysis, paired T-test and one-way ANOVA.

Results: The six main functions of the CHCs were not fully exploited and the surveys that were collected on their efficiency and utilization of resources indicate that they have a low level of performance and lack the trust of local communities. Furthermore, the CHCs seriously lack funding support and operate under difficult circumstances, and residents have less positive attitudes towards them.

Conclusion: The community health service must be adjusted according to the requirements of urban medical and health reform, taking into account communities' health needs. More research is required on the living standards and health needs of residents living within the CHC's range, taking into consideration the users' needs in expanding the newly implemented service, and at the same time revising the old service system so as to make the development of CHCs realistic and capable of providing a better service to patients. Several suggestions are put forward for an attainable scheme for developing a community health service.

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    1. Gao Gui qin , Zhaong Shen , Zai Wan Yun The methods and problems in setting up CHC. Chinese Health Economy. 1999;15:210–212.
    1. Li Bin , Du Lexun Invest more into public health, improve fairness of public health. Chinese health economy. 2003;9:4–5.
    1. Guo Xiuhua , Yan Yuxiang , Li Jing Survey about present situation of all China's CHCs – assessment of the quality service of the whole China's different CHCs. Chinese Family Medicine. 2005;8:1563–64.
    1. Liu Lian Hua , DUan Chang Chun , Zhang Tong Gu Investigation and analysis in Tianjin Hedong district local hospital CHC service items, work speed and human staff. Chinese Family Medicine. 2002;5:896–897.
    1. Chu Wei , REn Yan , Liu Qigui Survey about the usage rate of beds in CHC Dalian city. China Primary Health Care. 2000;11:25–27.

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