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Barriers to Community-Based Primary Health Care Delivery in Urban China: A Systematic Mapping Review

Providing access to a range of basic health services, community-based primary health care (CB-PHC) plays a vital role in achieving the goal of health for all. Driven by a strong political commitment, China’s CB-PHC progress in the past decade has been swift and impressive. However, a well-functionin...

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Detalles Bibliográficos
Autores principales: Li, Bo, Chen, Juan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566097/
https://www.ncbi.nlm.nih.gov/pubmed/36232001
http://dx.doi.org/10.3390/ijerph191912701
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author Li, Bo
Chen, Juan
author_facet Li, Bo
Chen, Juan
author_sort Li, Bo
collection PubMed
description Providing access to a range of basic health services, community-based primary health care (CB-PHC) plays a vital role in achieving the goal of health for all. Driven by a strong political commitment, China’s CB-PHC progress in the past decade has been swift and impressive. However, a well-functioning delivery system for care has yet to be established. This systematic mapping review synthesizes selected evidence on barriers to CB-PHC delivery in urban China and draws lessons for policy development. We performed searches on five electronic databases: CINAHL, MEDLINE, Scopus, Web of Science, and China National Knowledge Infrastructure, and included studies published between 2012 and 2021. The Downs and Black and Critical Appraisal Skills Program checklists were used to assess the quality of eligible papers. We conducted our searches and syntheses following the framework set out in the Primary Health Care Performance Initiative (PHCPI). We synthesized the results of the included studies using a thematic narrative approach and reported according to PRISMA guidelines. Six salient barriers arose from our syntheses of 67 papers: lack of comprehensive health insurance schemes, lack of public awareness, superficial care relationships, gaps in communication, staff shortages and poor training, and second-rate equipment. These barriers are grouped into three subdomains following the PHCPI framework: access, people-centered care, and organization and management. A host of negative impacts of these barriers on community-based health care were also identified. It was not possible to determine clear causes of these barriers from the contributing evidence because of the lack of conceptual frameworks and research methods constraints. Non-eastern regions of China and access-related barriers require further exploration. It follows that, at the national level, the problems are likely more severe than the research suggests.
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spelling pubmed-95660972022-10-15 Barriers to Community-Based Primary Health Care Delivery in Urban China: A Systematic Mapping Review Li, Bo Chen, Juan Int J Environ Res Public Health Review Providing access to a range of basic health services, community-based primary health care (CB-PHC) plays a vital role in achieving the goal of health for all. Driven by a strong political commitment, China’s CB-PHC progress in the past decade has been swift and impressive. However, a well-functioning delivery system for care has yet to be established. This systematic mapping review synthesizes selected evidence on barriers to CB-PHC delivery in urban China and draws lessons for policy development. We performed searches on five electronic databases: CINAHL, MEDLINE, Scopus, Web of Science, and China National Knowledge Infrastructure, and included studies published between 2012 and 2021. The Downs and Black and Critical Appraisal Skills Program checklists were used to assess the quality of eligible papers. We conducted our searches and syntheses following the framework set out in the Primary Health Care Performance Initiative (PHCPI). We synthesized the results of the included studies using a thematic narrative approach and reported according to PRISMA guidelines. Six salient barriers arose from our syntheses of 67 papers: lack of comprehensive health insurance schemes, lack of public awareness, superficial care relationships, gaps in communication, staff shortages and poor training, and second-rate equipment. These barriers are grouped into three subdomains following the PHCPI framework: access, people-centered care, and organization and management. A host of negative impacts of these barriers on community-based health care were also identified. It was not possible to determine clear causes of these barriers from the contributing evidence because of the lack of conceptual frameworks and research methods constraints. Non-eastern regions of China and access-related barriers require further exploration. It follows that, at the national level, the problems are likely more severe than the research suggests. MDPI 2022-10-04 /pmc/articles/PMC9566097/ /pubmed/36232001 http://dx.doi.org/10.3390/ijerph191912701 Text en © 2022 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 Review
Li, Bo
Chen, Juan
Barriers to Community-Based Primary Health Care Delivery in Urban China: A Systematic Mapping Review
title Barriers to Community-Based Primary Health Care Delivery in Urban China: A Systematic Mapping Review
title_full Barriers to Community-Based Primary Health Care Delivery in Urban China: A Systematic Mapping Review
title_fullStr Barriers to Community-Based Primary Health Care Delivery in Urban China: A Systematic Mapping Review
title_full_unstemmed Barriers to Community-Based Primary Health Care Delivery in Urban China: A Systematic Mapping Review
title_short Barriers to Community-Based Primary Health Care Delivery in Urban China: A Systematic Mapping Review
title_sort barriers to community-based primary health care delivery in urban china: a systematic mapping review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566097/
https://www.ncbi.nlm.nih.gov/pubmed/36232001
http://dx.doi.org/10.3390/ijerph191912701
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