Regional Heterogeneity of Application and Effect of Telemedicine in the Primary Care Centres in Rural China
Bibliographic Data
| ID | 15499677 |
|---|---|
| Authors | Wanchun Xu (0000-0002-6183-571X, Huazhong University of Science and Technology), Zijing Pan (0000-0003-0902-831X, Huazhong University of Science and Technology), Shan Lu (0000-0003-4740-0610, Huazhong University of Science and Technology), Liang Zhang (0000-0001-9041-1150, Huazhong University of Science and Technology, corresponding author) |
| Year | 2020 |
| Volume | 17 |
| Issue | 12 |
| Pages | 4531-4531 |
| Publication date | 2020-06-24 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph17124531 |
| PMID | 32599689 |
| OpenAlex | W3035924501 |
| Language | EN |
| Citations received | 2 |
| References cited | 55 |
The increasing concerns of the geographical maldistribution of medical resources have sparked worldwide interests in exploring the potential of telemedicine in the rural health system. This study aimed to investigate the application and effect of telemedicine as well as their regional heterogeneity in the primary care centres in rural China. Based on the stratified multistage cluster sampling, a cross-sectional study was conducted among 358 township health centres (THCs) from eastern, central and western China. A self-administered questionnaire was used and the data of the Health Statistical Annual Reports in 2017 were collected to investigate the implication of telemedicine as well as the performance and other characteristics of each THCs. Propensity score matching was used to estimate the effect of telemedicine application on the bed occupancy rate and the number of annual outpatient visits of the THCs, with comparison among the regions. The overall prevalence of telemedicine application was 58.66% in 2017, and it was found to increase the bed occupancy rate of the THCs in the national range ( p p p < 0.1). Disparities in the degree of remoteness and the capability of THCs among the regions were also found in this study, which may be the reasons for the regional heterogeneous effects of telemedicine. These findings suggested the potential of telemedicine in improving the utilization of primary care centres in rural areas. Further studies were needed to investigate the underlying reasons for its regional heterogeneous effects
China · Cluster (spacecraft · Economic growth · Environmental health · Family medicine · Geography · Health care · Medical emergency · Primary care · Propensity score matching · Rural area · Telemedicine · Chronic Disease Management Strategies · Health disparities and outcomes · Healthcare Systems and Reforms · Medicine · Internal Medicine
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| Unique citing works | 2 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2022 - 2022 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 2 |