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

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.

Establishment and associated factors of health records among young Chinese migrants

“…These results suggested that providing health education or providing information on national BPHSs was not enough to establish health record in young Chinese migrants. Therefore, it is essential to adopt effective methods to implement health education and promotion in the community [ 18 , 31 ]. Specifically, materials about BPHSs should be posted in the publicity column of the community, to popularize the ways and functions of establishing health records, meanwhile, electronic information-based health education channels including the Internet and new media should be developed to improve the quality of health education.…”

Sociodemographic disparities in the establishment of health records among 0.5 million migrants from 2014 to 2017 in China: a nationwide cross-sectional study

“…Compared with migrants with rural household registration, migrants with urban household registration had a higher likelihood to utilize BPHS [5,7,16,17]. Other factors were also explored in the studies of this research domain, such as social integration, age, ethnicity, employment status, current health situation, medical insurance coverage, rage of migrating, family income were also associated with the utilization of BPHS [7,13,16,[18][19][20][21].…”

“…Many studies focus on the fact that many residents migrated from rural areas to urban areas, which may have an impact on their utilization of health services, as there are more adequate health resources in urban areas [11,12]. The utilization of BPHS in rural areas are relatively low [13]. After moving to urban areas, the health literacy of migrants from rural areas has been improved and this promoted their participation in health education activities [14,15].…”

Sociodemographic Disparities in the Establishment of Health Records Among 0.5 Million Migrants From 2014 to 2017 in China: a Nationwide Cross-sectional Study

“…The professional staff of primary healthcare centers did not have enough time and energy to provide high-quality and enough health services. At the same time, during interviews with the staff of primary healthcare centers, we found that although the remuneration for providing services to each resident was increasing year by year, for some areas with inconvenient transportation, these remunerations may be less than the cost of providing services, which reduced their enthusiasm of providing services [9]. Compared with the migrants with rural household registration, the possibility of establishing health records was higher for migrants with urban household registration.…”