Objective:This study aimed to understand the affordability,accessibility,and quality of maternal and child health services for postpartum mothers,and their impact on satisfaction.Methods:The study utilized the Anderso...Objective:This study aimed to understand the affordability,accessibility,and quality of maternal and child health services for postpartum mothers,and their impact on satisfaction.Methods:The study utilized the Anderson model and revised the Maternal Pregnancy and Perinatal Health Service Questionnaire.A survey was conducted among 289 mothers aged 20–49 in Feicheng City.Results:Regarding accessibility,most respondents(133)reported that travel time to healthcare services exceeded 60 minutes,while 99 respondents indicated a travel time of 16–30 minutes.The issue of affordability was highlighted,with 86.85%of participants perceiving maternal healthcare services as costly,indicating a significant financial burden.More than 50%of respondents were satisfied with two specific dimensions(P<0.05)regarding the quality of maternal healthcare services.Conclusion:The study found that accessibility,affordability,and quality significantly affect mothers’satisfaction with maternal health services.Future research should focus on developing more suitable service pathways for rural mothers.展开更多
Objective：To investigate the health value and self-care capabilities of the elderly living in urban-rural fringe area nursing homes and the factors that influence these variables.Methods：A cluster sampling method wa...Objective：To investigate the health value and self-care capabilities of the elderly living in urban-rural fringe area nursing homes and the factors that influence these variables.Methods：A cluster sampling method was used to select 280 elderly individuals from seven urban-rural fringe communities in Xianning to complete a survey regarding their health value and self-care capabilities.Results：The total health value and self-care capability scores of the elderly were 7.45 ± 1.45 and100.25±22.56,respectively.Both of these scores significantly differed by age,education level,marital status,and income（P 〈 0.05,P 〈 0.01）.Self-care capability was correlated with health value（r=0.521）.A multivariate linear regression analysis showed that health value,marital status,and age predicted selfcare capability.Conclusions：Elderly people living in the urban-rural fringe area with higher health values also had higher self-care capabilities.The self-care capabilities of the elderly can be enhanced by improving their health value using the ＂knowing-trusting-acting＂ model.展开更多
Based on in-depth survey of township hospitals in Lushan County of Henan Province, this paper studies the development situations of rural medical care and health undertaking in the course of new medical reform. Result...Based on in-depth survey of township hospitals in Lushan County of Henan Province, this paper studies the development situations of rural medical care and health undertaking in the course of new medical reform. Results show that both rural medical institution and public health undertaking have considerable development in this course. Working capital situation gradually turns better. However, there are still problems and challenge of shortage of high quality medical care personnel, lack of employment mechanism, poor medical environment, and imperfect bidding and purchasing system of medicines. To further develop rural medical situation, it should improve medical environment, speed up informationization construction, and give prominence to functional orientation.展开更多
Based on a survey conducted by our research team at the Chinese Academy of Social Sciences, the present paper reports on the development of China＇s new rural cooperative medical system set up in late 2002. The new ru...Based on a survey conducted by our research team at the Chinese Academy of Social Sciences, the present paper reports on the development of China＇s new rural cooperative medical system set up in late 2002. The new rural cooperative medical system is different from the old system in that it is organized, guided and supported by the government but that rural residents voluntarily participate in its administration. It is financed by individuals, collectives and the government. The new cooperative medical system focuses on serious disease planning and mutual aid and fraternily between rural residents in health care. The results of our survey indicate that the new rural medical system has been successful up to now but that it also has some problems. China needs to pay more attention to overcoming the difficulties and challenges it faces in terms of future medical needs so that a mechanism for its sustainable development can be established.展开更多
Background:Tuberculosis(TB)is a major global health threat and the leading infectious disease cause of death worldwide.Access to and retention in TB care remains a challenge for patients,particularly those living in r...Background:Tuberculosis(TB)is a major global health threat and the leading infectious disease cause of death worldwide.Access to and retention in TB care remains a challenge for patients,particularly those living in rural and remote settings.This qualitative study explored barriers and facilitators to accessing and maintaining contact with TB care services in communities in Xigaze(Shigatse)prefecture,Xizang Autonomous Region(Tibet Autonomous Region),China from the perspective of persons impacted by TB.Methods:We conduced in-depth interviews with 23 participants impacted by TB in four rural districts in Xigaze prefecture,Xizang Autonomous Region,China between April 2019 and November 2020.Interviews were conducted in Tibetan and Mandarin,transcribed in Mandarin and translated into English.Transcripts were checked against recordings by native Tibetan and Mandarin speakers.QSR NVivo12 software was used for framework analysis guided by an access to care conceptual framework by Levesque et al.Results:Overall patients reported low awareness of and an indiferent attitude towards TB,although all reported understanding the need to adhere to treatment.Participants reported complex pathways to care,often requiring visits to multiple healthcare facilities.Some participants reported visiting traditional Tibetan medicine(TTM)providers.Participants reported various barriers to accessing care including challenges physically reaching care,out-of-pocket payments for tests,diagnostics and transport.Barriers to maintaining care included medication side efects and worry about treatment efectiveness.Enablers to accessing care identifed included knowledge or past experience with TB,integrated models of TTM and western care,supportive village doctors who conducted home visits,free TB treatment and other subsidies,as well as having family support with care and social support as barriers and facilitators to maintaining treatment.Conclusions:We identifed barriers and facilitators to accessing services in rural communities in Xigaze from the perspective of persons impacted by TB.Challenges include complex pathways to care,travel distances,wait times and low awareness.Tuberculosis care in the region could be strengthened by ongoing culturally tailored educational campaigns to increase awareness,partnerships with TTM providers,providing comprehensive treatment subsidies and strengthening the role of family members in comprehensive TB care.展开更多
文摘Objective:This study aimed to understand the affordability,accessibility,and quality of maternal and child health services for postpartum mothers,and their impact on satisfaction.Methods:The study utilized the Anderson model and revised the Maternal Pregnancy and Perinatal Health Service Questionnaire.A survey was conducted among 289 mothers aged 20–49 in Feicheng City.Results:Regarding accessibility,most respondents(133)reported that travel time to healthcare services exceeded 60 minutes,while 99 respondents indicated a travel time of 16–30 minutes.The issue of affordability was highlighted,with 86.85%of participants perceiving maternal healthcare services as costly,indicating a significant financial burden.More than 50%of respondents were satisfied with two specific dimensions(P<0.05)regarding the quality of maternal healthcare services.Conclusion:The study found that accessibility,affordability,and quality significantly affect mothers’satisfaction with maternal health services.Future research should focus on developing more suitable service pathways for rural mothers.
基金supported by 2014 Humanities and Social Science Research Projects,Department of Education of Hubei Province(No.14D069)2014 Humanities and Social Science Research Projects,Department of Education of Hubei Province(No.14Q106)
文摘Objective：To investigate the health value and self-care capabilities of the elderly living in urban-rural fringe area nursing homes and the factors that influence these variables.Methods：A cluster sampling method was used to select 280 elderly individuals from seven urban-rural fringe communities in Xianning to complete a survey regarding their health value and self-care capabilities.Results：The total health value and self-care capability scores of the elderly were 7.45 ± 1.45 and100.25±22.56,respectively.Both of these scores significantly differed by age,education level,marital status,and income（P 〈 0.05,P 〈 0.01）.Self-care capability was correlated with health value（r=0.521）.A multivariate linear regression analysis showed that health value,marital status,and age predicted selfcare capability.Conclusions：Elderly people living in the urban-rural fringe area with higher health values also had higher self-care capabilities.The self-care capabilities of the elderly can be enhanced by improving their health value using the ＂knowing-trusting-acting＂ model.
基金Supported by Humanities and Social Science Research Project of the Ministry of Education in 2010 (10YJC840088)
文摘Based on in-depth survey of township hospitals in Lushan County of Henan Province, this paper studies the development situations of rural medical care and health undertaking in the course of new medical reform. Results show that both rural medical institution and public health undertaking have considerable development in this course. Working capital situation gradually turns better. However, there are still problems and challenge of shortage of high quality medical care personnel, lack of employment mechanism, poor medical environment, and imperfect bidding and purchasing system of medicines. To further develop rural medical situation, it should improve medical environment, speed up informationization construction, and give prominence to functional orientation.
文摘Based on a survey conducted by our research team at the Chinese Academy of Social Sciences, the present paper reports on the development of China＇s new rural cooperative medical system set up in late 2002. The new rural cooperative medical system is different from the old system in that it is organized, guided and supported by the government but that rural residents voluntarily participate in its administration. It is financed by individuals, collectives and the government. The new cooperative medical system focuses on serious disease planning and mutual aid and fraternily between rural residents in health care. The results of our survey indicate that the new rural medical system has been successful up to now but that it also has some problems. China needs to pay more attention to overcoming the difficulties and challenges it faces in terms of future medical needs so that a mechanism for its sustainable development can be established.
基金funded by TB REACH,a special initiative of Stop TB Partnership(Grant Number:STBP/TBREACH/GSA/W6–5).
文摘Background:Tuberculosis(TB)is a major global health threat and the leading infectious disease cause of death worldwide.Access to and retention in TB care remains a challenge for patients,particularly those living in rural and remote settings.This qualitative study explored barriers and facilitators to accessing and maintaining contact with TB care services in communities in Xigaze(Shigatse)prefecture,Xizang Autonomous Region(Tibet Autonomous Region),China from the perspective of persons impacted by TB.Methods:We conduced in-depth interviews with 23 participants impacted by TB in four rural districts in Xigaze prefecture,Xizang Autonomous Region,China between April 2019 and November 2020.Interviews were conducted in Tibetan and Mandarin,transcribed in Mandarin and translated into English.Transcripts were checked against recordings by native Tibetan and Mandarin speakers.QSR NVivo12 software was used for framework analysis guided by an access to care conceptual framework by Levesque et al.Results:Overall patients reported low awareness of and an indiferent attitude towards TB,although all reported understanding the need to adhere to treatment.Participants reported complex pathways to care,often requiring visits to multiple healthcare facilities.Some participants reported visiting traditional Tibetan medicine(TTM)providers.Participants reported various barriers to accessing care including challenges physically reaching care,out-of-pocket payments for tests,diagnostics and transport.Barriers to maintaining care included medication side efects and worry about treatment efectiveness.Enablers to accessing care identifed included knowledge or past experience with TB,integrated models of TTM and western care,supportive village doctors who conducted home visits,free TB treatment and other subsidies,as well as having family support with care and social support as barriers and facilitators to maintaining treatment.Conclusions:We identifed barriers and facilitators to accessing services in rural communities in Xigaze from the perspective of persons impacted by TB.Challenges include complex pathways to care,travel distances,wait times and low awareness.Tuberculosis care in the region could be strengthened by ongoing culturally tailored educational campaigns to increase awareness,partnerships with TTM providers,providing comprehensive treatment subsidies and strengthening the role of family members in comprehensive TB care.
