Separation of Revenue and Expenditure increases first contact care in community health centers among community residents

Abstract

Objective To evaluate the impact of Separation of Revenue and Expenditure (SRE) on the first contact care in community health centers (CHCs) among community residents. Methods Data was obtained through questionnaire survey before and after the pilot. Residents who visited CHCs within two weeks before the conduction of the surveys were included in this study. This study employed a pre-post quasi-experiment design and multiple regression models were specified based on the Andersen theoretical framework. Results Multiple logistic regression analysis showed that the rate of first contact care in CHCs increased by 28. 3% (P=0. 000). Conclusions SRE has increased the first contact care in CHCs among the community residents.