Quality analysis and policy recommendations on the utilization of community basic public health services in urban and suburban Shanghai from 2009 to 2014
机构：[1]Shanghai University of Medicine & Health Sciences, College of Health Information Technology andManagement, Shanghai 201318, China[2]Shanghai Jiao Tong University School of Public Health, No. 227 Chongqing South Road, Shanghai 200025, China[3]Hongqiao International Institute of Medicine, Shanghai Jiao Tong University School ofMedicine, No. 1111 XianXia Road, Changning District, Shanghai 200336, China[4]Zhengzhou Fifteenth People’s Hospital, Zhengzhou 450041, Henan, China[5]Shanghai Tongren Hospital, Shanghai 200336, China
Disparities in quality of basic public health services exist between urban and rural populations, but there is no data about these disparities between urban and suburban populations in Shanghai. The study aims to analyze and compare the quality of basic public health service utilization of community health service centers in Shanghai urban and suburban areas between 2009 and 2014. This was a cross-sectional study. Using a two-stage random sampling method, 80 community health service centers were randomly selected from six districts that were also randomly selected from 17 counties in Shanghai. Descriptive statistical analysis, principal component analysis, and forecast analysis were used to compare and analyze basic health services utilization quality between urban and suburban centers. During the 6years, there has been an increasing trend of the basic public health service effectiveness of prevention services, health care services, rehabilitation services, health education services, and health indexes in Shanghai urban and suburban areas. Prevention services, health care services, health education services, and population health index indicators of urban areas were better than those of the suburbs, while effectiveness indicators of rehabilitation services were lower than that of the suburbs. The urban areas had four principal component scores lower than the suburbs (P<0.001, P=0.006, P<0.001, and P=0.015). During the 6years, with the strengthening of national support, basic public health service utilization has increased rapidly, and effectiveness of services has improved obviously. Nevertheless, there is an imbalance of basic public health service utilization between urban and suburban areas.
基金：
National Natural Science Foundation of China (NSFC) [71373159]; Ministry of Education [13YJAZH003]; Shanghai Municipal Commission of Health and Family Planning [2014SY001, 201640338, 3]; Hongqiao International Institute of Medicine, Shanghai Jiao Tong University School of Medicine [79]; Science and Technology Department of Henan Province [162102310118]; Seed Fund of Shanghai University of Medicine & Health Sciences [39]
第一作者机构：[1]Shanghai University of Medicine & Health Sciences, College of Health Information Technology andManagement, Shanghai 201318, China
共同第一作者：
通讯作者：
通讯机构：[2]Shanghai Jiao Tong University School of Public Health, No. 227 Chongqing South Road, Shanghai 200025, China[3]Hongqiao International Institute of Medicine, Shanghai Jiao Tong University School ofMedicine, No. 1111 XianXia Road, Changning District, Shanghai 200336, China
推荐引用方式(GB/T 7714)：
Guo Lijun,Bao Yong,Li Shujun,et al.Quality analysis and policy recommendations on the utilization of community basic public health services in urban and suburban Shanghai from 2009 to 2014[J].ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH.2018,25(28):28206-28215.doi:10.1007/s11356-018-2811-7.
APA：
Guo, Lijun,Bao, Yong,Li, Shujun,Ma, Jun&Sun, Wei.(2018).Quality analysis and policy recommendations on the utilization of community basic public health services in urban and suburban Shanghai from 2009 to 2014.ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH,25,(28)
MLA：
Guo, Lijun,et al."Quality analysis and policy recommendations on the utilization of community basic public health services in urban and suburban Shanghai from 2009 to 2014".ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH 25..28(2018):28206-28215
