國立虎尾科技大學 |

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

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Need, demand, and distribution of rural primary health care services in China./
Author:	Zhang, Honggui.
Description:	1 online resource (161 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 57-12, Section: B.
Contained By:	Dissertations Abstracts International57-12B.
Subject:	Public health. -
Online resource:	click for full text (PQDT)
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. - 1 online resource (161 pages)

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

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

Includes bibliographical references

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.).

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798209454045Subjects--Topical Terms:

560998
Public health.
Index Terms--Genre/Form:

554714
Electronic books.

Need, demand, and distribution of rural primary health care services in China.
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100 1 $a Zhang, Honggui. $3 1466648
245 1 0 $a Need, demand, and distribution of rural primary health care services in China.
264 0 $c 1995
300 $a 1 online resource (161 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 57-12, Section: B.
500 $a Publisher info.: Dissertation/Thesis.
500 $a Advisor: Hu, Teh-wei.
502 $a Thesis (Ph.D.)--University of California, Berkeley, 1995.
504 $a Includes bibliographical references
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.).
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2024
538 $a Mode of access: World Wide Web
650 4 $a Public health. $3 560998
650 4 $a Health care. $3 1413477
650 4 $a Social structure. $3 555182
650 4 $a Area planning & development. $3 1179610
650 4 $a Health care management. $3 1148454
655 7 $a Electronic books. $2 local $3 554714
690 $a 0573
690 $a 0769
690 $a 0700
690 $a 0341
710 2 $a ProQuest Information and Learning Co. $3 1178819
710 2 $a University of California, Berkeley. $3 1183587
773 0 $t Dissertations Abstracts International $g 57-12B.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9621026 $z click for full text (PQDT)