Changing community health service delivery in economically less-developed rural areas in China: impact on service use and satisfaction.

ABSTRACT:

Objective

To evaluate the impact of a model of rural community health service (CHS) on the use and acceptability of primary healthcare services.

Design

Quasi-experimental.

Setting

Two adjacent rural counties in China.

Participants

5842 residents in 2009 and 3807 in 2010 from 980 households in 7 intervention townships and 49 villages; 2232 residents in 2009 and 2315 in 2010 from 628 households in 3 comparison townships and 9 villages. All residents were approached to participate, with no significant differences in age or sex between groups.

Intervention

Multilevel intervention in 2009 including training rural practitioners, encouraging clinic improvements, providing clinical guidelines, standards and subsidies.

Data collection

Surveys of community

SUBMITTER: Liu Y 

PROVIDER: S-EPMC3939668 | biostudies-literature | 2014 Feb

REPOSITORIES: biostudies-literature