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Comparison of perceived quality amongst migrant and local patients using primary health care delivered by community health centres in Shenzhen, China

机译:中国深圳社区卫生中心提供的初级卫生保健对流动人口和本地患者感知质量的比较

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Background Providing good quality primary health care to all inhabitants is one of the Chinese Government’s health care objectives. However, information is scarce regarding the difference in quality of primary health care delivered to migrants and local residents respectively. This study aimed to compare patients’ perceptions of quality of primary health care between migrants and local patients, and their willingness to use and recommend primary health care to others. Methods A cross-sectional survey was conducted. 787 patients in total were chosen from four randomly drawn Community Health Centers (CHCs) for interviews. Results Local residents scored higher than migrants in terms of their satisfaction with types of drugs available (3.62 vs. 3.45, p?=?0.035), attitude of health workers (4.41 vs. 4.14, p?=?0.042) and waiting time (4.30 vs. 3.86, p? Conclusions Quality of primary health care given to migrants is less satisfactory than to local residents in terms of attitude of health workers and waiting time. Our study suggests quality of care could be improved through extending opening hours of CHCs and strengthening professional ethics education. Considering CHCs as the first choice by migrants might be due to their health insurance scheme, while locals’ recommendations for traditional Chinese medicine were possibly because of cultural differences.
机译:背景信息为所有居民提供优质的初级卫生保健是中国政府的卫生保健目标之一。但是,关于分别提供给移民和当地居民的初级保健质量差异的信息很少。这项研究旨在比较移民和本地患者对患者对基本医疗保健质量的看法,以及他们对其他人使用和推荐基本医疗保健的意愿。方法进行横断面调查。从四个随机抽取的社区卫生中心(CHC)中选择了总共787名患者进行访谈。结果在对可用药物种类的满意度(3.62比3.45,p?=?0.035),卫生工作者的态度(4.41比4.14,p?=?0.042)和等待时间方面,当地居民的得分高于移民。结论4.30 vs. 3.86,p?结论就卫生工作者的态度和等待时间而言,向移民提供的初级保健质量不如对当地居民满意,我们的研究表明,可以通过延长社区卫生服务中心的开放时间来改善医疗质量。加强职业道德教育:将CHCs视为移民的首选可能是由于他们的健康保险计划,而当地人对中医的建议可能是由于文化差异。

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