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Association between Health-Related Quality of Life and Access to Chronic Disease Management by Primary Care Facilities in Mainland China: A Cross-Sectional Study

The integration of chronic disease management (CDM) services into the essential public health services offered by primary care facilities has been a major strategy in China’s healthcare reform since 2009. We aimed to measure the percentage of patients with chronic diseases in China who believed that...

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Autores principales: Wang, Yang, Wu, Yibo, Chu, Hongling, Xu, Zhijie, Sun, Xinying, Fang, Hai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001723/
https://www.ncbi.nlm.nih.gov/pubmed/36901304
http://dx.doi.org/10.3390/ijerph20054288
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author Wang, Yang
Wu, Yibo
Chu, Hongling
Xu, Zhijie
Sun, Xinying
Fang, Hai
author_facet Wang, Yang
Wu, Yibo
Chu, Hongling
Xu, Zhijie
Sun, Xinying
Fang, Hai
author_sort Wang, Yang
collection PubMed
description The integration of chronic disease management (CDM) services into the essential public health services offered by primary care facilities has been a major strategy in China’s healthcare reform since 2009. We aimed to measure the percentage of patients with chronic diseases in China who believed that they could easily obtain CDM services at a nearby primary care facility in mainland China and determine its association with the EQ visual analog scale (EQ-VAS) score and the utility index of the 5-level EQ-5D version (EQ-5D-5L). A cross-sectional survey was conducted nationwide between 20 June 2022 and 31 August 2022, involving 5525 patients with chronic diseases from 32 provincial-level administrative divisions, of which 48.1% (n = 2659) were female with a median age of 55.0 years. The median EQ-VAS score was 73.0 and the utility index of the EQ-5D-5L was 0.942. A majority of patients reported definite (24.3%) or mostly (45.9%) easy access to CDM services from nearby primary care facilities. Multivariable logistic regression analysis revealed that easy access to CDM services in primary care facilities was positively associated with higher HRQoL. Our findings indicate that, as of 2022, approximately 70% of patients with chronic diseases in mainland China had easy access to CDM services provided by primary care facilities, which was significantly and positively associated with their health status.
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spelling pubmed-100017232023-03-11 Association between Health-Related Quality of Life and Access to Chronic Disease Management by Primary Care Facilities in Mainland China: A Cross-Sectional Study Wang, Yang Wu, Yibo Chu, Hongling Xu, Zhijie Sun, Xinying Fang, Hai Int J Environ Res Public Health Article The integration of chronic disease management (CDM) services into the essential public health services offered by primary care facilities has been a major strategy in China’s healthcare reform since 2009. We aimed to measure the percentage of patients with chronic diseases in China who believed that they could easily obtain CDM services at a nearby primary care facility in mainland China and determine its association with the EQ visual analog scale (EQ-VAS) score and the utility index of the 5-level EQ-5D version (EQ-5D-5L). A cross-sectional survey was conducted nationwide between 20 June 2022 and 31 August 2022, involving 5525 patients with chronic diseases from 32 provincial-level administrative divisions, of which 48.1% (n = 2659) were female with a median age of 55.0 years. The median EQ-VAS score was 73.0 and the utility index of the EQ-5D-5L was 0.942. A majority of patients reported definite (24.3%) or mostly (45.9%) easy access to CDM services from nearby primary care facilities. Multivariable logistic regression analysis revealed that easy access to CDM services in primary care facilities was positively associated with higher HRQoL. Our findings indicate that, as of 2022, approximately 70% of patients with chronic diseases in mainland China had easy access to CDM services provided by primary care facilities, which was significantly and positively associated with their health status. MDPI 2023-02-28 /pmc/articles/PMC10001723/ /pubmed/36901304 http://dx.doi.org/10.3390/ijerph20054288 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wang, Yang
Wu, Yibo
Chu, Hongling
Xu, Zhijie
Sun, Xinying
Fang, Hai
Association between Health-Related Quality of Life and Access to Chronic Disease Management by Primary Care Facilities in Mainland China: A Cross-Sectional Study
title Association between Health-Related Quality of Life and Access to Chronic Disease Management by Primary Care Facilities in Mainland China: A Cross-Sectional Study
title_full Association between Health-Related Quality of Life and Access to Chronic Disease Management by Primary Care Facilities in Mainland China: A Cross-Sectional Study
title_fullStr Association between Health-Related Quality of Life and Access to Chronic Disease Management by Primary Care Facilities in Mainland China: A Cross-Sectional Study
title_full_unstemmed Association between Health-Related Quality of Life and Access to Chronic Disease Management by Primary Care Facilities in Mainland China: A Cross-Sectional Study
title_short Association between Health-Related Quality of Life and Access to Chronic Disease Management by Primary Care Facilities in Mainland China: A Cross-Sectional Study
title_sort association between health-related quality of life and access to chronic disease management by primary care facilities in mainland china: a cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001723/
https://www.ncbi.nlm.nih.gov/pubmed/36901304
http://dx.doi.org/10.3390/ijerph20054288
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