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Need, demand, and distribution of ru...

Zhang, Honggui.

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Need, demand, and distribution of rural primary health care services in China.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Need, demand, and distribution of rural primary health care services in China./
作者:	Zhang, Honggui.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 1995,
面頁冊數:	161 p.
附註:	Source: Dissertations Abstracts International, Volume: 57-12, Section: B.
Contained By:	Dissertations Abstracts International57-12B.
標題:	Public health. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9621026
ISBN:	9798209454045

Need, demand, and distribution of rural primary health care services in China.
Zhang, Honggui.

Need, demand, and distribution of rural primary health care services in China. - Ann Arbor : ProQuest Dissertations & Theses, 1995 - 161 p.

Source: Dissertations Abstracts International, Volume: 57-12, Section: B.

Thesis (Ph.D.)--University of California, Berkeley, 1995.

This item must not be sold to any third party vendors.

Access to primary health care is a basic right of all human beings. The global strategy of "Health for All by the Year 2000" was proposed by the World Health Organization in 1978 and adopted by many of its member countries. It has lead to the rapid development of primary health care services with marked improvement in the well being of the people in both developed and developing countries. However, evidence suggests that a huge gap between the need and the demand remains. Many, especially women and children, remain without any primary health care, even when ill. The purpose of this thesis was to evaluate progress with regard to "Health for All by the Year 2000" in China and to estimate the physician/population ratio necessary to provide basic primary health care for the rural populations of China. From the standard set for the physcian population ratio, the requirements for other health care personnel and facilities can be estimated. The geographic distribution of physicians is also studied with a view to identifying what the optimal distribution of physicians would be. Data from the 1985 National Primary Health Care Services Survey for Rural Areas in China were used. The objectives of the study were to estimate for the sample population, the need for primary health care, the demand for primary health care (and the factors affecting it), and the difference between the need for primary health care and the demand for it. The need for primary health care was estimated on the basis of professional opinion along with the incidence and prevalence of disease in the sample population. The demand for primary health care was estimated on the basis of physician visit rates and utilization of physician services. Multivariate regression methods were used to analyze the relationship between primary health care utilization and factors such as age, sex, income, education, medical insurance, health status, physician population ratio, etc. The Lorenz curve method was used to assess the distribution of physicians. The results indicate that there is a need for a physician/population ratio of $1.35\\perthous$ to provide adequate primary health care services to the rural populations of China. The gap between the need for primary health care and the demand for primary health care in terms of the population ratio was found to be $0.61\\perthous.$ The Lorenz curve indicated that 50% of physicians render service to 64% of rural population, and the results indicated that there was a shortage of doctors in rural China. Results of the analysis examining the factors affecting the demand for primary health care services indicated that there was statistically significant relationship between the utilization of inpatient services and the level of illiteracy; the level of self-payment and cooperative insurance. Older populations, and populations with greater proportions of females were found to have higher levels of utilization of primary health care services. The relationship between utilization of health care and incidence of disease was also positive and statistically significant. The findings suggest a need to pay greater attention to primary health care services. Based on the findings in the study, it is recommended that a fixed percentage (8%) of the GNP (based on the empirical results) be allocated to provide financial support for primary health care. (Abstract shortened by UMI.).

ISBN: 9798209454045Subjects--Topical Terms:

534748
Public health.

Need, demand, and distribution of rural primary health care services in China.
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500 $a Source: Dissertations Abstracts International, Volume: 57-12, Section: B.
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506 $a This item must not be sold to any third party vendors.
506 $a This item must not be added to any third party search indexes.
520 $a Access to primary health care is a basic right of all human beings. The global strategy of "Health for All by the Year 2000" was proposed by the World Health Organization in 1978 and adopted by many of its member countries. It has lead to the rapid development of primary health care services with marked improvement in the well being of the people in both developed and developing countries. However, evidence suggests that a huge gap between the need and the demand remains. Many, especially women and children, remain without any primary health care, even when ill. The purpose of this thesis was to evaluate progress with regard to "Health for All by the Year 2000" in China and to estimate the physician/population ratio necessary to provide basic primary health care for the rural populations of China. From the standard set for the physcian population ratio, the requirements for other health care personnel and facilities can be estimated. The geographic distribution of physicians is also studied with a view to identifying what the optimal distribution of physicians would be. Data from the 1985 National Primary Health Care Services Survey for Rural Areas in China were used. The objectives of the study were to estimate for the sample population, the need for primary health care, the demand for primary health care (and the factors affecting it), and the difference between the need for primary health care and the demand for it. The need for primary health care was estimated on the basis of professional opinion along with the incidence and prevalence of disease in the sample population. The demand for primary health care was estimated on the basis of physician visit rates and utilization of physician services. Multivariate regression methods were used to analyze the relationship between primary health care utilization and factors such as age, sex, income, education, medical insurance, health status, physician population ratio, etc. The Lorenz curve method was used to assess the distribution of physicians. The results indicate that there is a need for a physician/population ratio of $1.35\\perthous$ to provide adequate primary health care services to the rural populations of China. The gap between the need for primary health care and the demand for primary health care in terms of the population ratio was found to be $0.61\\perthous.$ The Lorenz curve indicated that 50% of physicians render service to 64% of rural population, and the results indicated that there was a shortage of doctors in rural China. Results of the analysis examining the factors affecting the demand for primary health care services indicated that there was statistically significant relationship between the utilization of inpatient services and the level of illiteracy; the level of self-payment and cooperative insurance. Older populations, and populations with greater proportions of females were found to have higher levels of utilization of primary health care services. The relationship between utilization of health care and incidence of disease was also positive and statistically significant. The findings suggest a need to pay greater attention to primary health care services. Based on the findings in the study, it is recommended that a fixed percentage (8%) of the GNP (based on the empirical results) be allocated to provide financial support for primary health care. (Abstract shortened by UMI.).
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