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A qualitative study of two management models of community health centres in two Chinese megacities.
- Source :
- Global Public Health; Nov2018, Vol. 13 Issue 11, p1612-1624, 13p
- Publication Year :
- 2018
-
Abstract
- Two common public models of community health centres (CHCs) exist in China, i.e. the ‘government-owned and government-managed’ CHCs (G-CHCs) and the ‘government-owned and hospital-managed’ CHCs (H-CHCs). Shanghai and Shenzhen are two Chinese megacities that lead the primary care development on the G-CHC and H-CHC models, respectively. Using a qualitative case study design, this study compares the management of the G-CHC model in Shanghai and H-CHC model in Shenzhen, through perspectives of a range of health providers. In each city, we randomly selected four CHCs and in total conducted 31 interviews with officers from the municipal health authorities, directors, GPs, nurses and public health doctors of the CHCs. When comparing with the H-CHC model in Shenzhen, the G-CHC model in Shanghai, a model with more simplified but accountable structure tended to present better management conditions, in terms of financial transparency, recruitment autonomy, community health workforce development (CHC staffing and family medicine training), funding and priority for public health. However, regardless of the models, staff retention remained a challenge. While our study tends to suggest that the G-CHC model in Shanghai presents better management conditions, future study can test whether and to what extent the model itself can lead to such differences. [ABSTRACT FROM AUTHOR]
- Subjects :
- ATTITUDE (Psychology)
AUTONOMY (Psychology)
COMMITMENT (Psychology)
COMMUNITY health services
INTERVIEWING
MEDICAL personnel
METROPOLITAN areas
MOTIVATION (Psychology)
PERSONNEL management
PRIMARY health care
PUBLIC health
RESEARCH evaluation
RESEARCH funding
RESPONSIBILITY
STATISTICAL sampling
EMPLOYEE retention
QUALITATIVE research
JUDGMENT sampling
THEMATIC analysis
DATA analysis software
Subjects
Details
- Language :
- English
- ISSN :
- 17441692
- Volume :
- 13
- Issue :
- 11
- Database :
- Complementary Index
- Journal :
- Global Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 132043471
- Full Text :
- https://doi.org/10.1080/17441692.2017.1407812