What do patients care most about in China’s public hospitals? Interviews with patients in Jiangsu Province

Wang, Xuanxuan; Jiang, Rongqin; Li, Jingxian; Chen, Jiaying; Burström, Bo; Burström, Kristina

doi:10.1186/s12913-018-2903-6

Cited by 31 publications

(33 citation statements)

References 46 publications

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“…Lack of trust can lead to non-adherence to prescribed therapies [13,25] because the patients either do not understand what to do, or feel that the information received is not trustworthy. The importance of a good relationship with the patient that enables HPs to build trust and adapt to the patient's information processing ability in complex situations has been highlighted in earlier studies [2,13,16,18,19,21,25].…”

Section: General Discussion and Resultsmentioning

confidence: 99%

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Quality and availability of information in primary healthcare: the patient perspective

Abelsson

Morténius

Bergman

et al. 2020

Scandinavian Journal of Primary Health Care

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Objective: To explore lived experiences of patients communicating with and receiving information from primary health care. Design: Qualitative study analysing transcribed interviews by descriptive content analysis. Setting: Recruitment and interviews took place in southern Sweden in three primary care centres where privacy and undisturbed interview environments was ensured. Subjects: 17 primary care patient informants, 9 men and 8 women aged 31-84 years with varying educational levels from primary school to post graduates. Main outcome measures: Thematic categories and subcategories reporting the lived experience of the patients. Results: The analysis yielded three categories and identified as a main theme a feeling of unpredictability based on the emotional aspects of feeling lost and vulnerable when trying to access primary care. The category" Need for easy access" illustrated emotional aspects of importance to patients when contacting primary health care." Need for individual adaptation" described the need to individually adapt health related information." Information exchange" comprised experiences of information evaluation and understanding new information. Conclusions: Patients generally trusted the information received, but experienced a lack of communication, which evoked feelings of unpredictability and abandonment. Experiences of limited access to primary health care and the need for varying degrees of adaptation on the part of the individual were factors of concern for how patients experienced the care. KEY POINTS Smooth communication and understandable information are fundamental for quality primary health care. This qualitative interview study identified the following key points from analysing the views of 17 patients: Patients indicated a feeling of unpredictability due to lack of access to and communication with health professionals. Patients sometimes reported an inability to understand information conveyed by health professionals. Being able to form relationships with health professionals was crucial for patients' trust and understanding.

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Section: General Discussion and Resultsmentioning

confidence: 99%

“…There is also research focusing on the general population, health consumers' need for information and information habits [17,21,22]. A Japanese study about health consumers' information habits found that the use of information differed somewhat in relation to factors such as age, educational level and sometimes geographic location [17].…”

Section: Introductionmentioning

confidence: 99%

Quality and availability of information in primary healthcare: the patient perspective

Abelsson

Morténius

Bergman

et al. 2020

Scandinavian Journal of Primary Health Care

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“…In view of the various problems, the community began to doubt the "marketization" of the health system. Therefore, in order to break the original health system and build a new scientific health system, health reform must begin as soon as possible，which will solve the historical problem of "difficulty and high cost of getting medical service " thoroughly [13,14].…”

Section: With the Publication Of The Document On Deepening The Reformmentioning

confidence: 99%

Evaluation of the Effect of New Health Reform Policy of China Based on Prospect Theory

Guan

Zhe

2020

Preprint

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Background: New health reform policy of China has gone through more than ten years from 2009 to 2019, it has come a critical period. It is important to evaluate the effect of health system reform policy, but there are a few existing studies and the researchers have not considered the impact of psychological factors on person decision-making. This study using the prospect theory can overcome this defect. Let the evaluation of the effect of new medical reform policy of China more scientific and reasonable. Methods: Data on the effect of the new health reform from China Health Statistics Yearbook and National Bureau of Statistics of China were obtained. And the indicators were selected by Corrected Item Total Correlation and Cronbach’s α reliability coefficient. The selected indicator data were calculated by the prospect theory model. Meanwhile the gray relation analysis method is introduced to enlarge the difference between the advantages and disadvantages to making the comprehensive evaluation result more obvious. Results: The results of comprehensive evaluation of the effects of health reform policies in China fluctuated from 2000 to 2017. From 2000 to 2004, the fluctuation range of the comprehensive prospect value is large; from 2004 to 2009, the comprehensive prospect value shows a slow downward trend; from 2009 to 2012, the comprehensive prospect value has decreased slightly, and then it has rebounded substantially; from 2012 to 2014, the comprehensive prospect value is stable; and from 2014 to 2017, the comprehensive prospect value is declining. Conclusions: This study showed that the implementation of new health reform policy of China has a significant impact on China's medical and health system. The new health reform advanced hard in exploration. It is worth affirming that the overall goal and direction of the new health reform are correct, but the practice is unsatisfactory. The releasing and implementation of supporting policy have the important influence on the progress of the new health reform. And the effect of the policy will decrease with the increase of the total amount. Therefore, scientific and effective late management can ensure that the policy continues to play its role.

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“…However, despite the many efforts that China's 2009 health care reform has made, inefficient medical service systems and patients' valuing of service quality are major obstacles to diverting patients with common diseases to community-based medical centres [12][13][14][15]. This is because patients care more about the quality of the provided health services rather than fees when the total cost is affordable [16][17][18]. There are also problems reported in the quality of care and control of health expenditures [19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

The Mixed Effect of China’s New Health Care Reform on Health Insurance Coverage and the Efficiency of Health Service Utilisation: A Longitudinal Approach

Chen

Gao

2020

IJERPH

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In 2009, China launched a new health care reform as it endeavoured to develop a tiered system of disease diagnosis and treatment to promote the integration of medical resources. This was important for improving service capacity and building medical alliances that would eventually lead to improved health service utilisation efficiency. However, while the 2009 reform aimed to provide universal health insurance coverage to all citizens, its overall effect on health service utilisation efficiency remains unclear. We aimed to examine the new health care reform’s mixed effect by applying a longitudinal study using China Health and Nutrition Survey (CHNS) data and the difference-in-difference (DID) method to estimate the health reform’s impact on health insurance coverage rate. Then, we studied whether the increase in health insurance coverage rate affected health service utilisation efficiency in China. Our results showed that the increase in insurance coverage rate has indeed made expensive medical services available to low-income individuals. However, it also increased the likelihood of use of hospitals rather than primary care facilities, since there is more insurance cover for outpatient visits, which has led to an increased demand for quality services. This effect has generated a negative impact on health care utilisation which directly pertains to systemic inefficiency. This study thus indicates that China’s latest health reform requires further policies to improve its overall efficiency.

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What do patients care most about in China’s public hospitals? Interviews with patients in Jiangsu Province

Cited by 31 publications

References 46 publications

Quality and availability of information in primary healthcare: the patient perspective

Quality and availability of information in primary healthcare: the patient perspective

Evaluation of the Effect of New Health Reform Policy of China Based on Prospect Theory

The Mixed Effect of China’s New Health Care Reform on Health Insurance Coverage and the Efficiency of Health Service Utilisation: A Longitudinal Approach

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