Matches in SemOpenAlex for { <https://semopenalex.org/work/W2980404018> ?p ?o ?g. }
Showing items 1 to 73 of
73
with 100 items per page.
- W2980404018 endingPage "S41" @default.
- W2980404018 startingPage "S41" @default.
- W2980404018 abstract "BackgroundThere is increasing recognition of the role of primary care in improved health outcomes. This study aimed to explore the association between primary care use and under-5 mortality rate (U5MR) in rural China.MethodsIn this cross-sectional study, we used county-level data from routine reports of each county provided by the National Health Commission and Bureau of Statistics. The primary outcome was U5MR per 1000 live births, in 1965 rural counties from all 31 provinces of China in 2014. Primary care use was measured as outpatient visits per 1000 inhabitants in primary health institutions, and we used the level of primary health institution use as a proxy for the level of primary care use. Multilevel regression analysis with a random intercept model was conducted to estimate the association between the level of primary care use and U5MR, adjusting for the number of primary care physicians per 1000 people, demographics and socioeconomic determinants of health.FindingsThe results indicate that an increase of one primary care physician per 1000 people was associated with 2·7 fewer under-5 deaths per 1000 children (p=0·0001) after controlling for socioeconomic factors. Moreover, we found that a higher level of primary care use moderated this relationship, and was correlated with lower U5MR (p=0·004), whereas the number of specialist physicians per 1000 people had a statistically insignificant association with lower U5MR (p=0·125). In addition, higher GDP per capita and lower female illiteracy rate were significantly associated with lower U5MR (p=0·001 and p<0·0001, respectively).InterpretationLower U5MR is associated with higher per capita primary care use, which may indicate that primary care is more effective for the health outcome that we measured. A strong primary care system could be recognised as a critical strategy for improving population health.FundingHL was supported by the China Scholarship Council for 1 year of study at Harvard University." @default.
- W2980404018 created "2019-10-25" @default.
- W2980404018 creator A5008488180 @default.
- W2980404018 creator A5067391643 @default.
- W2980404018 creator A5069808799 @default.
- W2980404018 creator A5082687699 @default.
- W2980404018 date "2019-10-01" @default.
- W2980404018 modified "2023-09-26" @default.
- W2980404018 title "Is a high level of primary care use associated with low under-5 mortality rate in rural China? A county-based cross-sectional study" @default.
- W2980404018 doi "https://doi.org/10.1016/s0140-6736(19)32377-3" @default.
- W2980404018 hasPublicationYear "2019" @default.
- W2980404018 type Work @default.
- W2980404018 sameAs 2980404018 @default.
- W2980404018 citedByCount "1" @default.
- W2980404018 countsByYear W29804040182020 @default.
- W2980404018 crossrefType "journal-article" @default.
- W2980404018 hasAuthorship W2980404018A5008488180 @default.
- W2980404018 hasAuthorship W2980404018A5067391643 @default.
- W2980404018 hasAuthorship W2980404018A5069808799 @default.
- W2980404018 hasAuthorship W2980404018A5082687699 @default.
- W2980404018 hasBestOaLocation W29804040181 @default.
- W2980404018 hasConcept C127598652 @default.
- W2980404018 hasConcept C129047720 @default.
- W2980404018 hasConcept C142052008 @default.
- W2980404018 hasConcept C142724271 @default.
- W2980404018 hasConcept C144024400 @default.
- W2980404018 hasConcept C147077947 @default.
- W2980404018 hasConcept C149923435 @default.
- W2980404018 hasConcept C165205368 @default.
- W2980404018 hasConcept C166957645 @default.
- W2980404018 hasConcept C17744445 @default.
- W2980404018 hasConcept C191935318 @default.
- W2980404018 hasConcept C199539241 @default.
- W2980404018 hasConcept C205649164 @default.
- W2980404018 hasConcept C2908647359 @default.
- W2980404018 hasConcept C71924100 @default.
- W2980404018 hasConcept C99454951 @default.
- W2980404018 hasConceptScore W2980404018C127598652 @default.
- W2980404018 hasConceptScore W2980404018C129047720 @default.
- W2980404018 hasConceptScore W2980404018C142052008 @default.
- W2980404018 hasConceptScore W2980404018C142724271 @default.
- W2980404018 hasConceptScore W2980404018C144024400 @default.
- W2980404018 hasConceptScore W2980404018C147077947 @default.
- W2980404018 hasConceptScore W2980404018C149923435 @default.
- W2980404018 hasConceptScore W2980404018C165205368 @default.
- W2980404018 hasConceptScore W2980404018C166957645 @default.
- W2980404018 hasConceptScore W2980404018C17744445 @default.
- W2980404018 hasConceptScore W2980404018C191935318 @default.
- W2980404018 hasConceptScore W2980404018C199539241 @default.
- W2980404018 hasConceptScore W2980404018C205649164 @default.
- W2980404018 hasConceptScore W2980404018C2908647359 @default.
- W2980404018 hasConceptScore W2980404018C71924100 @default.
- W2980404018 hasConceptScore W2980404018C99454951 @default.
- W2980404018 hasLocation W29804040181 @default.
- W2980404018 hasOpenAccess W2980404018 @default.
- W2980404018 hasPrimaryLocation W29804040181 @default.
- W2980404018 hasRelatedWork W11435460 @default.
- W2980404018 hasRelatedWork W12994416 @default.
- W2980404018 hasRelatedWork W13304448 @default.
- W2980404018 hasRelatedWork W13307673 @default.
- W2980404018 hasRelatedWork W15001929 @default.
- W2980404018 hasRelatedWork W20775768 @default.
- W2980404018 hasRelatedWork W7448501 @default.
- W2980404018 hasRelatedWork W7647101 @default.
- W2980404018 hasRelatedWork W17153893 @default.
- W2980404018 hasRelatedWork W8162637 @default.
- W2980404018 hasVolume "394" @default.
- W2980404018 isParatext "false" @default.
- W2980404018 isRetracted "false" @default.
- W2980404018 magId "2980404018" @default.
- W2980404018 workType "article" @default.