Research ArticleFamily Medicine World Perspective
Underuse of Primary Care in China: The Scale, Causes, and Solutions
Dan Wu and Tai Pong Lam
The Journal of the American Board of Family
Medicine March 2016, 29 (2) 240-247; DOI: https://doi.org/10.3122/jabfm.2016.02.150159
Dan Wu
From the Department of Family Medicine and Primary Care, Faculty of Medicine, The University of Hong Kong, Hong Kong.
MScTai Pong Lam
From the Department of Family Medicine and Primary Care, Faculty of Medicine, The University of Hong Kong, Hong Kong.
MD, PhDReferences
- 1.↵
- Xie A
- 2.↵A comprehensive global monitoring framework and voluntary global targets for the prevention and control of NCDs. WHO discussion paper. Geneva: World Health Organization; 2011. Available from: http://www.who.int/nmh/events/2011/consultation_dec_2011/WHO_Discussion_Paper_FINAL.pdf. Accessed April 7, 2014.
- 3.↵
- Starfield B,
- Shi L,
- Macinko J
- 4.↵
- Weiyuan C
- 5.↵
- Zhang DQ,
- Unschuld PU
- 6.↵
- Liu Y
- 7.↵
- Blumenthal D,
- Hsiao W
- 8.↵
- Kong XZ
- 9.↵
- Wang H,
- Gusmano MK,
- Cao Q
- 10.↵
- Wu D,
- Wang Y,
- Lam KF,
- Hesketh T
- 11.↵
- Luo L
- 12.↵
- Hesketh T,
- Zhu WX
- 13.↵
- 14.↵
- Chen Z
- 15.↵
- Yip WC-M,
- Hsiao WC,
- Chen W,
- Hu S,
- Ma J,
- Maynard A
- 16.↵
- Sanders B
- 17.↵National Health and Family Planning Commission PRC. China health statistics yearbook 2014. Beijing: National Health and Family Planning Commission of the People's Republic of China; 2014.
- 18.↵National Health and Family Planning Commission PRC. China health statistics yearbook 2011. Beijing: National Health and Family Planning Commission of the People's Republic of China; 2011.
- 19.↵
- Xu J,
- Zhuang X
- 20.↵The number of practicing primary care physicians in the United States. Primary care workforce facts and stats no. 1. Rockville, MD: Agency for Healthcare Quality and Research; 2014. Available from: http://www.ahrq.gov/research/findings/factsheets/primary/pcwork1/index.html. Accessed March 9, 2015.
- 21.↵
- Starfield B
- 22.↵
- 23.↵
- 24.↵The First Affiliated Hospital of Zhengzhou University. An introduction to the hospital. 2015. Available from: http://fcc.zzu.edu.cn/s_lan1.htm. Accessed March 9, 2015.
- 25.↵China Net. Ongoing health reforms: the expansion of hospitals holds the reforms back. August 20, 2014. Available from: http://yy.china.com.cn/new/sd/ppbgt/130961.html. Accessed March 9, 2015.
- 26.↵
- Wang X,
- Zhao M
- 27.↵
- Huang J
- 28.↵
- Zhang J,
- Zhou M,
- Wu L,
- et al
- 29.↵
- Zhong Z
- 30.↵
- Zhou Z
- 31.↵
- Huang C
- 32.↵The State Council. A directive on establishing the general practitioner system by the State Council. Beijing: The Central People's Government, PRC. 2011. Available from: http://www.gov.cn/zwgk/2011–07/07/content_1901099.htm. Accessed August 6, 2015.
- 33.↵
- Bodenheimer T,
- Pham HH
- 34.↵
- Yuan J,
- Di Y,
- Wang J,
- Yang B,
- Chang J,
- Meng Q
- 35.↵
- Xu D,
- Sun B,
- Wan X,
- Ke Y
- 36.↵
- Saltman RB,
- Rico A,
- Boerma W
- Boerma WGW,
- Dubois C-A
- 37.↵
- Anderson GF,
- Hurst J,
- Hussey PS,
- Jee-Hughes M
- 38.↵
- Boerma WG,
- van der Zee J,
- Fleming DM
- 39.↵
- Forrest CB
- 40.↵
- Eggleston KN
- 41.↵
- Zhao G
- 42.↵
- Chun CB,
- Kim SY,
- Lee JY,
- Lee SY
- 43.↵
- 44.↵Health service delivery profile. Japan. 2012. Geneva: World Health Organization; 2012. Available from: http://www.wpro.who.int/health_services/service_delivery_profile_japan.pdf. Accessed January 14, 2016.
- 45.↵
- Wang M-J,
- Lin S-P
- 46.↵
- 47.↵
- Starfield B,
- Shi L,
- Grover A,
- Macinko J
- 48.↵
- 49.↵
- 50.↵
- Zheng D
- 51.↵
- Xu W,
- Bo N,
- Yin M
- 52.↵National Health and Family Planning Commission PRC. Strictly control the fast expansion of public hospital scale. Beijing: National Health and Family Planning Commission of the People's Republic of China; 2014.
- 53.↵National Health and Family Planning Commission PRC. The outline of national healthcare system planning (2015 to 2020). Beijing: National Health and Family Planning Commission of the People's Republic of China; 2014.
- 54.↵
- Jiang RS
- 55.↵
- Wang Y,
- Zhang S,
- Liu B,
- Gong F,
- Dong Z
- 56.↵
- Du J,
- Lu X,
- Wang Y,
- et al
- 57.↵
- Andersen R,
- Newman JF
In this issue
Underuse of Primary Care in China: The Scale, Causes, and Solutions
Dan Wu, Tai Pong Lam
The Journal of the American Board of Family
Medicine Mar 2016, 29 (2) 240-247; DOI: 10.3122/jabfm.2016.02.150159
Jump to section
Related Articles
- No related articles found.
Cited By...
- Examining clinical capability of township healthcare centres for rural health service planning in Sichuan, China: an administrative data analysis
- Does increasing physician volume in primary healthcare facilities under the hierarchical medical system help reduce hospital service utilisation in China? A fixed-effects analysis using province-level panel data
- Study of the medical service efficiency of county-level public general hospitals based on medical quality constraints: a cross-sectional study
- Patient preferences and attitudes towards first choice medical services in Shenzhen, China: a cross-sectional study
- Perceived effect of financial risk protection by the Urban-Rural Resident Basic Medical Insurance Scheme: a mixed-methods study of rural residents in China
- Association Between Service Agreements and Frequency of Primary Care Visits in a Chinese Community Health Service Center
- Factors affecting health care users first contact with primary health care facilities in north eastern China, 2008-2018
- Effect of medical insurance and family financial risk on healthcare utilisation by patients with chronic diseases in China: a cross-sectional study
- Workplace violence and its aftermath in Chinas health sector: implications from a cross-sectional survey across three tiers of the health system
- Can unsuccessful treatment in primary medical institutions influence patients choice? A retrospective cluster sample study from China
- Why patients prefer high-level healthcare facilities: a qualitative study using focus groups in rural and urban China
- Outcomes of Health System Structures, Highly Pertinent Clinical Information, Idea Stimulators, Clinical Reviews, and Prediction Tools: JABFM Exemplified