FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4385340355> ?p ?o ?g. }

• W4385340355 endingPage "1078" @default.
• W4385340355 startingPage "1064" @default.
• W4385340355 abstract "Abstract China’s comprehensive primary healthcare (PHC) reforms since 2009 aimed to deliver accessible, efficient, equitable and high-quality healthcare services. However, knowledge on the system-wide effectiveness of these reforms is limited. This systematic review synthesizes evidence on the reforms’ health and health system impacts. In 13 August 2022, international databases and three Chinese databases were searched for randomized controlled trials, quasi-experimental studies and controlled before-after studies. Included studies assessed large-scale PHC policies since 2009; had a temporal comparator and a control group and assessed impacts on expenditures, utilization, care quality and health outcomes. Study quality was assessed using Risk of Bias In Non-randomized Studies of Interventions, and results were synthesized narratively. From 49 174 identified records, 42 studies were included—all with quasi-experimental designs, except for one randomized control trial. Nine studies were assessed as at low risk of bias. Only five low- to moderate-quality studies assessed the comprehensive reforms as a whole and found associated increases in health service utilization, whilst the other 37 studies examined single-component policies. The National Essential Medicine Policy (N = 15) and financing reforms (N = 11) were the most studied policies, whilst policies on primary care provision (i.e. family physician policy and the National Essential Public Health Services) were poorly evaluated. The PHC reforms were associated with increased primary care utilization (N = 17) and improved health outcomes in people with non-communicable diseases (N = 8). Evidence on healthcare costs was unclear, and impacts on patients’ financial burden and care quality were understudied. Some studies showed disadvantaged regions and groups that accrued greater benefits (N = 8). China’s comprehensive PHC reforms have made some progress in achieving their policy objectives including increasing primary care utilization, improving some health outcomes and reducing health inequalities. However, China’s health system remains largely hospital-centric and further PHC strengthening is needed to advance universal health coverage." @default.
• W4385340355 created "2023-07-29" @default.
• W4385340355 creator A5040957901 @default.
• W4385340355 creator A5043111263 @default.
• W4385340355 creator A5062649881 @default.
• W4385340355 creator A5065045262 @default.
• W4385340355 creator A5066071164 @default.
• W4385340355 creator A5082720701 @default.
• W4385340355 date "2023-07-28" @default.
• W4385340355 modified "2023-10-14" @default.
• W4385340355 title "Health and health system impacts of China’s comprehensive primary healthcare reforms: a systematic review" @default.
• W4385340355 cites W1550932741 @default.
• W4385340355 cites W1965673962 @default.
• W4385340355 cites W1969555735 @default.
• W4385340355 cites W1976252055 @default.
• W4385340355 cites W1982069761 @default.
• W4385340355 cites W2006207965 @default.
• W4385340355 cites W2009766863 @default.
• W4385340355 cites W2038006841 @default.
• W4385340355 cites W2042184870 @default.
• W4385340355 cites W2042386526 @default.
• W4385340355 cites W2059776822 @default.
• W4385340355 cites W2081483506 @default.
• W4385340355 cites W2092274394 @default.
• W4385340355 cites W2095706833 @default.
• W4385340355 cites W2106115490 @default.
• W4385340355 cites W2108150050 @default.
• W4385340355 cites W2110680638 @default.
• W4385340355 cites W2111265765 @default.
• W4385340355 cites W2133592524 @default.
• W4385340355 cites W2138713655 @default.
• W4385340355 cites W2146102944 @default.
• W4385340355 cites W2163869527 @default.
• W4385340355 cites W2165815793 @default.
• W4385340355 cites W2179592566 @default.
• W4385340355 cites W2203092361 @default.
• W4385340355 cites W2257701345 @default.
• W4385340355 cites W2264426334 @default.
• W4385340355 cites W2269778582 @default.
• W4385340355 cites W2288700000 @default.
• W4385340355 cites W2304577957 @default.
• W4385340355 cites W2315055879 @default.
• W4385340355 cites W2337193191 @default.
• W4385340355 cites W2472018168 @default.
• W4385340355 cites W2501993181 @default.
• W4385340355 cites W2507852648 @default.
• W4385340355 cites W2515189678 @default.
• W4385340355 cites W2515468225 @default.
• W4385340355 cites W2520959556 @default.
• W4385340355 cites W2531269403 @default.
• W4385340355 cites W2568469407 @default.
• W4385340355 cites W2574743407 @default.
• W4385340355 cites W2575710929 @default.
• W4385340355 cites W2749214664 @default.
• W4385340355 cites W2770062178 @default.
• W4385340355 cites W2773266137 @default.
• W4385340355 cites W2782748575 @default.
• W4385340355 cites W2792308249 @default.
• W4385340355 cites W2805584423 @default.
• W4385340355 cites W2809928293 @default.
• W4385340355 cites W2891125414 @default.
• W4385340355 cites W2896665846 @default.
• W4385340355 cites W2900547728 @default.
• W4385340355 cites W2904755744 @default.
• W4385340355 cites W2949560491 @default.
• W4385340355 cites W2949855882 @default.
• W4385340355 cites W2950732867 @default.
• W4385340355 cites W2952578205 @default.
• W4385340355 cites W2952925950 @default.
• W4385340355 cites W2968106919 @default.
• W4385340355 cites W2968458690 @default.
• W4385340355 cites W2976258142 @default.
• W4385340355 cites W2977463962 @default.
• W4385340355 cites W2982635935 @default.
• W4385340355 cites W2990876552 @default.
• W4385340355 cites W2994153865 @default.
• W4385340355 cites W2995584823 @default.
• W4385340355 cites W2995817350 @default.
• W4385340355 cites W3016826869 @default.
• W4385340355 cites W3017075581 @default.
• W4385340355 cites W3048402380 @default.
• W4385340355 cites W3082640623 @default.
• W4385340355 cites W3087168383 @default.
• W4385340355 cites W3097800094 @default.
• W4385340355 cites W3112674389 @default.
• W4385340355 cites W3112835387 @default.
• W4385340355 cites W3115341546 @default.
• W4385340355 cites W3158001292 @default.
• W4385340355 cites W3186439736 @default.
• W4385340355 cites W3187705722 @default.
• W4385340355 cites W3188357290 @default.
• W4385340355 cites W3197723669 @default.
• W4385340355 cites W3211214027 @default.
• W4385340355 cites W4200230313 @default.
• W4385340355 cites W4210741605 @default.
• W4385340355 cites W4225375618 @default.
• W4385340355 cites W4226043484 @default.
• W4385340355 cites W4248201564 @default.

• next