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

详细信息    查看全文

• 作者：Haitao Li ; Roger Yat-Nork Chung ; Xiaolin Wei ; Jin Mou…
• 关键词：Patient satisfaction ; Quality of care ; Primary health care ; Migration
• 刊名：BMC Family Practice
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：15
• 期：1
• 全文大小：179 KB
• 参考文献：1. Mou, J, Griffiths, SM, Fong, H, Dawes, MG (2013) Health of China’s rural–urban migrants and their families: a review of literature from 2000 to 2012. Br Med Bull 106: pp. 19-43 CrossRef
  Global Health Declarations. World Health Organization, Geneva, Switzerland
  Report on China’s migrant population development, 2012. China Population Publishing House, Beijing
  2. Mou, J, Cheng, J, Zhang, D, Jiang, H, Lin, L, Griffiths, SM (2009) Health care utilisation amongst Shenzhen migrant workers: does being insured make a difference?. BMC Health Serv Res 9: pp. 214 CrossRef
  3. Goodkind, D, West, LA (2002) China’s floating population: definitions: data and recent findings. Urban Stud 39: pp. 2237 CrossRef
  4. Registered household populations increased by 295.9 thousands in the past year in Shenzhen. [http://news.sina.com.cn/c/2013-01-22/063926090624.shtml]
  5. Liu, K (2007) Eye on migrant workers. Chin Econ 40: pp. 12 CrossRef
  6. Hong, Y, Li, X, Stanton, B, Lin, D, Fang, X, Rong, M, Wang, J (2006) Too costly to be ill: healthcare access and health-seeking behaviours among rural-to-urban migrants in China. World Health Popul 8: pp. 22-34 CrossRef
  7. Wei, X, Pearson, S, Zhang, Z, Qin, J, Gerein, N, Walley, J (2010) Comparing knowledge and use of health services of migrants from rural and urban areas in Kunming City, China. J Biosoc Sci 42: pp. 743-756 CrossRef
  8. Salisbury, C, Burgess, A, Lattimer, V, Heaney, D, Walker, J, Turnbull, J, Smith, H (2005) Developing a standard short questionnaire for the assessment of patient satisfaction with out-of-hours primary care. Fam Pract 22: pp. 560-569 CrossRef
  9. Adbellah, F, Levine, E (1957) Developing a measure of patient and personal satisfaction with nursing care. Nurs Res 5: pp. 100 CrossRef
  10. van Campen, C, Sixma, H, Friele, RD, Kerssens, JJ, Peters, L (1995) Quality of care and patient satisfaction: a review of measuring instruments. Med Care Res Rev 52: pp. 109-133 CrossRef
  11. Al-Doghaither, AH, Saeed, AA (2000) Consumers-satisfaction with primary health services in the city of Jeddah. Saudi Arabia Saudi Med J 21: pp. 447-454
  12. Ware, JE, Davies-Avery, A, Stewart, AL (1978) The measurement and meaning of patient satisfaction. Health Med Care Serv Rev 1: pp. 13-15
  Yearbook of Shanghai Statistics. China Statistics Press, Beijing
  Yearbook of Shenzhen Statistics. China Statistics Press, Beijing
  13. Taira, DA, Safran, DG, Seto, TB, Rogers, WH, Kosinski, M, Ware, JE, Lieberman, N, Tarlov, AR (1997) Asian-American patient ratings of physician primary care performance. J Gen Intern Med 12: pp. 237-242 CrossRef
  14. Gerlach, H, Becker, N, Fuchs, A, Wollny, A, Abholz, HH (2008) Discrimination of Blacks on account of their skin colour? Results of focus group discussions with victims in the German health-care system. Gesundheitswesen 70: pp. 47-53 CrossRef
  15. Kuang, L, Liu, L (2012) Discrimination against rural-to-urban migrants: the role of the Hukou system in China. PLoS One 7: pp. e46932 CrossRef
  16. Hesketh, T, Ye, XJ, Li, L, Wang, HM (2008) Health status and access to health care of migrant workers in China. Public Health Rep 123: pp. 189-197
  17. Tung, YC, Chang, GM (2009) Patient satisfaction with and recommendation of a primary care provider: associations of perceived quality and patient education. Int J Qual Health Car
• 刊物主题：General Practice / Family Medicine; Primary Care Medicine;
• 出版者：BioMed Central
• ISSN：1471-2296

文摘

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--.035), attitude of health workers (4.41 vs. 4.14, p--.042) and waiting time (4.30 vs. 3.86, p--.001). Even though there was no significant difference in overall satisfaction between local residents and migrants (4.16 vs. 3.91, p--.159), migrants were more likely to utilize primary health care as the first choice for their usual health problems (94.1% vs. 87.1%, p--.032), while local residents were more inclined to recommend Traditional Chinese Medicine to others (65.6% vs. 56.6%, p--.026). 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.