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Primary care reforms in managing chronic diseases in Xiamen, China: A tentative assessment

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  • Yanbing Zeng
  • Zhipeng Yuan
  • Lele Chen
  • Jielong Wu
  • Fan Chen
  • Ya Fang

Abstract

Background The primary care reform developed in Xiamen City stood out among the dozens of pilot reforms conducted in China. The aim of this study was to investigate the effects of the reform. Methods The data were collected from the Annual Statistical Report on Xiamen's Hospitals and face‐to‐face questionnaire interviews among physicians (n = 107) and community members (n = 399). Binary logistic regression was performed to analyze the factors influencing the community members' preference for treatment in community health centers (CHCs). Results The drug cost declined nearly 3.0% in hospitals, and outpatient visits increased more quickly (27.1%) in CHCs. A total of 86.2% of community members preferred to receive treatment for slight illness or chronic diseases in CHCs, and 77.9% of them were willing to be referred to CHCs during the recovery period. Patients who were managed by the general practice (GP) team showed higher percentages in examining and controlling blood pressure and blood glucose. Conclusion The reform in Xiamen was easily accepted by physicians and community members. The reform had rendered initial achievements in reducing drug income in hospitals, increasing outpatient visits in CHCs, seeking health care in CHCs, and controlling blood pressure and glucose for patients with chronic diseases.

Suggested Citation

  • Yanbing Zeng & Zhipeng Yuan & Lele Chen & Jielong Wu & Fan Chen & Ya Fang, 2019. "Primary care reforms in managing chronic diseases in Xiamen, China: A tentative assessment," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1609-1620, October.
    • Handle: RePEc:bla:ijhplm:v:34:y:2019:i:4:p:e1609-e1620
    DOI: 10.1002/hpm.2854
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    1. Martin C S Wong & Harry H X Wang & Samuel Y S Wong & Xiaolin Wei & Nan Yang & Zhenzhen Zhang & Haitao Li & Yang Gao & Donald K T Li & JinLing Tang & Jiaji Wang & Sian M Griffiths, 2012. "Performance Comparison among the Major Healthcare Financing Systems in Six Cities of the Pearl River Delta Region, Mainland China," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-9, September.
    2. Ling Li & Hongqiao Fu, 2017. "China's health care system reform: Progress and prospects," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(3), pages 240-253, July.
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    Cited by:

    1. Ruolin Qiu & Kara Schick‐Makaroff & Leiwen Tang & Xiyi Wang & Qi Zhang & Zhihong Ye, 2021. "‘There is always a way to living with illness’—Self‐management strategies reported by Chinese hospitalized patients with cardiovascular disease: A descriptive qualitative study," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(4), pages 1260-1275, July.

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