Willingness to use community health centres for initial diagnosis: the role of policy incentives among Chinese patients

Author(s):  
Jingrong Zhu ◽  
Xiaofei Li ◽  
Hongrui Chu ◽  
Jinlin Li
2000 ◽  
Vol 6 (4) ◽  
pp. 69
Author(s):  
Sherryl Smith

Health promotion theory and practice is grounded in the belief that health is far more than the absence of disease. In order to influence most effectively the health of communities, Community Health Centres must balance their attention and resources amongst medical, lifestyle/behavioural, and socioenvironmental approaches to health promotion. This discussion will include an overview of these approaches to health promotion based on current literature. Community Health Centres need to incorporate a variety of complementary health promotion approaches into their core services and activities. An analysis of one model, which integrates health promotion and population health, is provided with a discussion of its application in creating healthy communities.


2019 ◽  
Vol 47 (12) ◽  
pp. 5967-5976
Author(s):  
Huijuan Zeng ◽  
Runsheng Jiang ◽  
Mei Zhou ◽  
Linxiong Wu ◽  
Bo Tian ◽  
...  

Objective Patient activation is important in the management of chronic diseases (CDs), especially hypertension and diabetes. The 13-item short form Patient Activation Measure (PAM13) is widely used, but data are lacking for China. The study aim was to assess the reliability and validity of the PAM13 in Chinese patients with hypertension and/or diabetes in a community management setting. Methods A cross-sectional survey was conducted at four community health centres in Kunming (Yunnan province, China) Participants were patients (n = 519) with hypertension and/or type 2 diabetes mellitus being managed at the community health centres. Patient activation was measured using the Chinese version of the PAM13. Reliability and validity were tested using Cronbach’s α and confirmatory factor analysis. Results The male to female ratio was 1:1.65. In total, 307 (60.3%) patients had ≤9 years of education and 213 (41.8%) had a low household income (≤5000 RMB/month). Cronbach’s α was 0.920 and item–total correlations ranged from 0.535 to 0.714. Confirmatory factor analysis showed a good fit to the data. Conclusions The PAM13 shows good reliability and validity for measuring patient activation in Chinese patients with CDs (hypertension and/or diabetes).


1972 ◽  
Vol 1 (25) ◽  
pp. 1311-1313 ◽  
Author(s):  
G. R. Andrews ◽  
W. L. Corlis ◽  
G. Forsythe ◽  
R. B. Geeves ◽  
D. Gordon ◽  
...  

2015 ◽  
pp. ldv043 ◽  
Author(s):  
Harry H. X. Wang ◽  
Jia Ji Wang ◽  
Samuel Y. S. Wong ◽  
Martin C. S. Wong ◽  
Stewart W. Mercer ◽  
...  

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