Changes in primary health care service experiences and urban-suburban disparities among Shanghai residents: a two-year comparative study.

ABSTRACT:

Background

Primary health care (PHC) is central to achieving universal health coverage, yet longitudinal assessments of residents' experiences-especially regarding urban-suburban disparities-remain scarce. This study aims to examine changes in PHC service experiences among Shanghai residents between 2023 and 2024, identify urban-suburban differences, and explore key influencing factors.

Methods

A two-wave cross-sectional survey was conducted at 248 community health centers in Shanghai from May to June in 2023 and 2024. The Chinese version of the Primary Care Assessment Tool-Adult Short Version (PCAT-AS) was used. Propensity score matching ensured comparability between survey waves. Descriptive statistics, hypothesis testing, and multiple linear regression were employed to as

SUBMITTER: Sen Y 

PROVIDER: S-EPMC12486491 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature