Abstract
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.
Highlights
In 1978, the Declaration of Alma-Ata was firstly put forward by leaders from around the world to call for urgent and effective national and international action to develop and implement primary health care (PHC) throughout the world
For multiple linear regression (MLR) analyses, resident’s overall satisfaction score was set as the dependent variable, independent variables included those specific indictors related to resident satisfaction with rural basic public health services (BPHSs), and all sociodemographic characteristics were introduced as the control variables
In terms of the potential reasons of low utilization of these services, they could be attributed to poor health consciousness, poor geographic accessibility, and shortage of PHC workers based on the interview results
Summary
In 1978, the Declaration of Alma-Ata was firstly put forward by leaders from around the world to call for urgent and effective national and international action to develop and implement primary health care (PHC) throughout the world. As the new health-care reform continues and new challenges emerge, China put forward and endorsed a national strategy in 2015 known as “Healthy China,” to promote the realization of the goals of the new health-care reform and improve population health [3]. In the strategy it further emphasized the principle of prevention first and a combination of prevention and treatment
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