Changes in primary health care service experiences and urban–suburban disparities among Shanghai residents

A two-year comparative study

Datos Bibliográficos

ID15394697
AutoresSen Yang (0000-0001-9953-4499, Community Health Center, autor de correspondencia), Yang Sen, Wanyu Li (0000-0002-5964-1545, Community Health Center), Li Wanyu, Shi Jian-wei (Shanghai Jiao Tong University), Shi Jianwei, Leiyu Shi (0000-0001-9227-0849, Johns Hopkins University), Shi Leiyu, Le Ma (0000-0001-7592-9779, Development Research Center), Ma Le, Ying Pan (0000-0002-7417-3890, Development Research Center), Pan Ying, Yang Wang (0009-0007-0551-9820, Development Research Center), Wang Yang (0000-0002-4844-786X), Chao Gu (0009-0008-9016-3060, Community Health Center), Gu Chao, Hanzhi Zhang (0000-0003-1023-8007, Development Research Center), Zhang Hanzhi, Guo Mengruo (Pudong New Area People's Hospital), Hua Jin (0000-0002-2176-7556, Tongji University), Jin Hua (0000-0002-9735-0335), Dehua Yu (Shanghai Medical Information Center), Yu Dehua (0000-0001-7652-938X)
Año2025
Volumen24
Número1
Páginas246-246
Fecha de publicación2025-10-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal for Equity in Health (JOURNAL)
Identificadores de la revistaISSN: 1475-9276 • E-ISSN: 1475-9276
EditorialBioMed Central (PUBLISHER • GB)
DOI10.1186/s12939-025-02633-w
PMID41034929
OpenAlexW4414709666
IdiomaEN
Citas recibidas1
Referencias citadas27

This study demonstrates that while overall perceptions of PHC services among permanent residents in Shanghai improved significantly compared to the previous year-particularly in terms of service comprehensiveness and referral coordination-urban-suburban disparities persist. Specifically, urban residents reported more favorable experiences in first-contact utilization, continuity of care, and cultural competence, whereas suburban residents expressed better perceptions of first-contact accessibility and service availability. Notably, the urban-suburban gaps in first-contact accessibility and service comprehensiveness narrowed between 2023 and 2024, suggesting a positive trajectory toward greater equity in basic health service delivery. Multivariate regression analysis further indicated that residential location, chronic disease burden, psychological distress, and self-rated health status were significant determinants of residents' PHC experiences. Based on these findings, we recommend the implementation of more targeted interventions focusing on enhancing continuity of care and strengthening integrated management for both mental health and chronic conditions. Special attention should be given to addressing structural disparities between urban and suburban areas and to meeting the health service needs of priority populations, in order to continuously advance both equity and quality in PHC delivery

Equity (law · Health equity · Health services research · Mental health · Psychological intervention · Public health · Referral · Service (business · Chronic Disease Management Strategies · Healthcare Policy and Management · Healthcare Systems and Reforms