External Environments Facing Community Health Services Facilities That Belong to State-Owned Enterprises or Public Services Units in China

Abstract

This article analyzes the external environments facing community health services (CHS) facilities that belong to state-owned enterprises (SOEs) and public services units (PSUs) in urban China. Semistructured and open-ended key informant interviews were conducted in six such CHS facilities in Wuhan City. A total of 45 chief directors and various other classifications of health professionals from CHS facilities participated in the interviews. Behavioral responses of local government authorities, immediate managerial agencies (SOEs and PSUs), other medical facilities, and the general public were revealed as the external influences impacting these kinds of CHS facilities. Conclusions arrived at were that these CHS facilities need sound external environments to fulfill their roles, including financial support from government and immediate agencies, professional guidance and support, appropriate referrals from other medical facilities, and the cooperation and confidence of the general public in the work of the facilities.

Keywords

China community and public health healthcare,provider perspectives and behavior health policy

Get full access to this article

View all access options for this article.

References

Baozhen, W. (2002). Study on efficient utilization and optimal allocation of enterprises health resources (Series I). Chinese Hospital Management, 22(5), 22-25.

Baozhen, W. , Bing, W. , & Yihua, W. (2002). Study on efficient utilization and optimal allocation of enterprises health resources (Series III). Chinese Hospital Management, 22(6), 37-38.

Bo, G. , Xiaohui, R. , & Danpin, L. (2005). Community residents' health care needs and present conditions of bi-directional transference in Wuhou region in Chengdu. Modern Medicine, 32(4), 283-284.

Chuanmei, Y. , & Yao, C. (2007). Analysis of interest groups concerning implementation of public functions of CHS. Chinese Health Affairs Management , 1, 4-9.

Cunrui, H. , & Wenbing, Y. (2004). England's CHS system and its aspirations. Foreign Medicine, 21(4), 150-154.

Danping, L. , & Ningxiu, L. (2002). Study on investigation of the present condition of enterprise-controlled CHS. Chinese Primary Health Care , 16(7), 7-9.

Hongbing, Z. , & Chuanmei, Y. (2007). Stimulating college CHS facilities to play their roles to full potential. Chinese Health Economics, 26(8), 48-50.

Jin, X. (2001). Problems facing enterprise hospitals and their outlets in health reform. Occupational Health and Emergent Rescue, 18(3), 156.

Kexia, L. (2003). Discussion on orientation and functions of college CHS facilities. Chinese Factory Medicine, 16(3), 255-256.

10.

Lan, Y. , & Qihong, C. (2005). Internal marketized operation of CHS. Journal of Chinese Hospital Administration, 21(10), 657-659.

11.

Lan, Y. , & Shengguo, J. (2007). Creating conditions to promote transforming enterprises' hospitals into CHS. Chinese Health Economics, 26(8), 40-43.

12.

Lan, Y. , & Zhan, S. (2004). Analysis of influential factors impacting CHS performing public functions in Wuhan City. Chinese General Practice, 21(7), 1572-1575.

13.

Limin, L. , & Dongqin, Y. (2003). Epidemiology. Beijing, China: People's Health Publication House.

14.

Liqun, L. (2003). Comparative analysis of different types of CHS facilities in view of their different ownerships. Chinese Health Economics, 22(3), 7-8.

15.

Lixin, Z. (2001). CHS is the developing orientation of enterprises hospitals. Chinese Community Medicine, 7(4), 55-56.

16.

McAllister, C.L. , & Silverman, M.A. (1999). Community formation and community roles among persons with Alzheimer's disease: A comparative study of experience in a residential Alzheimer's facility and a traditional nursing home. Qualitative Health Research, 9, 65-85.

17.

Min, W. (2006). Tackling problems of visiting doctors with difficulties from the origins. Daily Reports of Present Affairs, 4, 44.

18.

Ministry of Health. (2002). Suggestions on accelerating development of urban CHS. Beijing, China: Author.

19.

Ministry of Health. (2004). Health Statistics Yearbook. Beijing, China: Author.

20.

State Council. (2006). Suggestions on the development of urban CHS. Beijing, China: Author.

21.

Vivian, B.G. , & Wilcox, J.R. (2000). Compliance communication in home health care: A mutually reciprocal process. Qualitative Health Research , 10, 103-116.

22.

World Health Organization. (2003). Primary health care: 25 years after ALMA-ATA. Geneva, Switzerland: Author.

23.

Zhikuan, B. (2003). Exploring the destined orientation of transforming enterprises hospitals into CHS. Modern Medicine, 19(3), 371-372.

24.

Zuxun, L. , Shuiyuan, X. , & Tuohong, Z. (2003). Social medicine. Beijing, China: Scientific Publication House.