Abstract:
:Hypertension should be best managed under primary care settings. This study aimed to compare, between Shanghai and Shenzhen, the perceived quality of primary care in terms of accessibility, continuity, co-ordination, and comprehensiveness among hypertensive patients.A cross-sectional study was conducted in Shanghai and Shenzhen, China. Multistage random sampling method was used to select 8 community health centers. Data from primary care users were collected through on-site face-to-face interviews using the primary care assessment tool. Good quality standard was set as a value of 3 for each attribute and a value of 18 for total score.We included 568 patients in Shanghai and 128 patients in Shenzhen. Compared with those in Shenzhen, hypertensive patients in Shanghai reported a higher score in co-ordination of information (3.37 vs 3.66; P < 0.001), but lower scores in continuity of care (3.36 vs 3.27; P < 0.001), and comprehensiveness-service provision (3.26 vs 2.79; P < 0.001). There was no statistically significant difference in total scores between the 2 cities (18.19 vs 18.15). Over 3-quarters of hypertensive patients in both cities reported accessibility (97.2% vs 91.4%) and co-ordination of services (76.1% vs 80.5%) under good quality standard, while <1-quarter of them rated continuity of care (23.6% vs 22.7%), co-ordination of information (4.8% vs 21.1%), and comprehensiveness-service availability (15.1% vs 25.0%) under that standard.Compared with Shenzhen, the perceived quality of primary care for hypertensive patients in Shanghai was better in terms of co-ordination of information, but poorer on continuity of care and comprehensiveness-service provision. Our study suggests that there is room for quality improvement in both cities.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Li H,Wei X,Wong MC,Wong SY,Yang N,Griffiths SMdoi
10.1097/MD.0000000000001388subject
Has Abstractpub_date
2015-08-01 00:00:00pages
e1388issue
34eissn
0025-7974issn
1536-5964pii
00005792-201508040-00017journal_volume
94pub_type
杂志文章相关文献
MEDICINE文献大全abstract:BACKGROUND:Exhaled nitric oxide (eNO) has been proposed as a noninvasive measure of airway inflammation. However, its value in patients with obstructive sleep apnea (OSA) is still controversial. The authors aim to assess the difference in eNO levels between patients with OSA and controls by a meta-analysis. METHODS:A ...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000006429
更新日期:2017-03-01 00:00:00
abstract:RATIONALE:Crohn disease includes 3 phenotypes, inflammatory, stricturing, and penetrating. In cases where corticosteroids and immunosuppressive agents are not suitable treatment options, enteral nutrition (EN) can be used to reduce disease severity and enhance barrier defense with fewer potential adverse effects. PATI...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016750
更新日期:2019-08-01 00:00:00
abstract::We present 6 cases of spontaneous hemothorax and comprehensively review the medical literature on this subject. We categorize the reported causes and offer a rational diagnostic approach to patients with nontraumatic hemothorax. We recommend specific treatments for specific etiologies, and emphasize the importance of ...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-11-01 00:00:00
abstract::Several studies have investigated the incidence of and risk factors for acute exacerbation (AE) in patients with interstitial lung disease (ILD) after lung resection surgery. However, the incidence and risk factors for AE-ILD after non-pulmonary surgery are not known. The aim of this study was to investigate the incid...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014296
更新日期:2019-02-01 00:00:00
abstract::The objective to assess the association between gastrectomy and the risk of pulmonary tuberculosis among patients without gastric cancer in Taiwan.There were 762 subjects with newly performing gastrectomy as the gastrectomy group since 2000 to 2012, and 2963 randomly selected subjects without gastrectomy as the non-ga...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011388
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:Differential diagnosis of hypokalemia and adrenocorticotropic hormone (ACTH)-dependent Cushing's syndrome often presents challenging in endocrinology and requires careful clinical, biochemical, radiological, and pathological investigations. Hypokalemia is a common abnormality and systematic approach is requi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005046
更新日期:2016-12-01 00:00:00
abstract::We aimed to establish a new formula for estimating renal depth, based on anthropometric variables, and to compare the estimates with actual data from a group of living kidney donors undergoing computed tomography angiography (CTA).Renal depths in 167 living kidney donors were measured by CTA. Regression analysis was u...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005940
更新日期:2017-02-01 00:00:00
abstract::The aim of the study was to review the operative experiences of emergency hysterectomy for life-threatening postpartum hemorrhage (PPH) performed over a 12-year period at Fujian Provincial Maternity and Children's Hospital; to examine the incidence and risk factors for emergency obstetric hysterectomy; and to evaluate...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008443
更新日期:2017-11-01 00:00:00
abstract::[This corrects the article DOI: 10.1097/MD.0000000000000444.]. ...
journal_title:Medicine
pub_type: 已发布勘误
doi:10.1097/MD.0000000000008578
更新日期:2017-11-03 00:00:00
abstract::This study aims to evaluate the clinical and radiographic treatment outcomes of comminuted Mason type II radial head fractures, which underwent open reduction and internal fixation (ORIF) using a new implant (mother-child screw, MCS).This study included 16 patients (7 male and 9 female patients; mean age: 40.9 years, ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010086
更新日期:2018-03-01 00:00:00
abstract:RATIONALE:Extracorporeal membrane oxygenation (ECMO) is a well-known technique to provide cardio-pulmonary support. Although continuous renal replacement therapy (CRRT) is frequently indicated, the need for faster fluid removal as the primary indication for ECMO is uncommon. Experiences on concomitant applications of E...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014194
更新日期:2019-01-01 00:00:00
abstract::This study aimed to examine whether Mandarin-speaking late-talking (LT) toddlers have a higher incidence of behavioral problems than typical language developing (TLD) children in toddlerhood and at preschool age from a community sample in Taiwan.This prospective case-control study comprised 32 LT and 32 TLD toddlers. ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023341
更新日期:2020-11-25 00:00:00
abstract::Thrombosis are severe complications of paroxysmal nocturnal hemoglobinuria (PNH), effectively reduced by eculizumab. Extracellular vesicles (EVs) may play a central role. The objective of this study was to assess the procoagulant activity of plasma isolated from PNH patients (treated or not by eculizumab) and to quant...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016164
更新日期:2019-07-01 00:00:00
abstract::Previous series presented the timing between embolization and surgery in a wide range on the basis of their experience rather than supportive data. And comparative studies were limited to small samples. In addition, there is no study publishing the timing by considering both safety and efficacy of embolization. The ai...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010912
更新日期:2018-06-01 00:00:00
abstract::Antibiotics resistance in Helicobacter pylori (H. pylori) is the major factor for eradication failure. Molecular tests including fluorescence in situ hybridization, PCR-restriction fragment length polymorphism, and dual priming oligonucleotide-PCR (DPO-PCR) play critical roles in the detection of antibiotic susceptibi...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000002056
更新日期:2015-11-01 00:00:00
abstract::East Asian patients with diabetes have a higher risk for renal complications and strokes than Europeans. We aimed to evaluate the effect of methylenetetrahydrofolate reductase (MTHFR) gene 677 C → T polymorphism, which was associated with a higher stroke risk and was common in the Chinese population, as well as homocy...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000563
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:Migraine, ranked as the 7th-highest specific cause of disability worldwide, has caused an enormous burden on the economy and society. Tricyclic antidepressant (TCA) is one of the most commonly drugs for migraine prevention. However, evidence about the efficacy and tolerability of TCAs in the prophylaxis of m...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000006989
更新日期:2017-06-01 00:00:00
abstract:PURPOSE:The aim of the soft tissue reconstruction of plantar forefoot should yield weight-bearing function and aesthetic contour, which poses a significant challenge for reconstructive surgeons to provide an appropriate flap according to the "like for like" reconstructive principle. Local flaps and pedicled flaps have ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020819
更新日期:2020-12-11 00:00:00
abstract:RATIONALE:Castleman's disease (CD) is a rare lymphoproliferative disease. Compared to unicentric CD, multicentric Castleman disease (MCD) displays poorer prognosis and great variance to different therapies. Though chemotherapy, immunization therapy, and glucocorticoids have been used in the treatment of MCD, its optima...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017681
更新日期:2019-11-01 00:00:00
abstract::Community-acquired pneumonia (CAP) is a common infectious disease in children. Rational drug use (RDU) is an important approach to reducing the disease burden and mortality rate of CAP in children. There are no monitoring indicators for assessing RDU in children. This study aimed to develop a set of indicators to asse...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009308
更新日期:2017-12-01 00:00:00
abstract:RATIONALE:When patients are intubated and treated with mechanical ventilation, the upper respiratory tract is bypassed by the flow of dry and cold air. To prevent disturbances of airway homeostasis, a heat and moisture exchanger filter (HMEF) has been applied to breathing circuit. PATIENT CONCERNS:A 4-month-old male i...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012158
更新日期:2018-08-01 00:00:00
abstract::Uremic pruritus is common and bothersome in patients receiving either peritoneal dialysis (PD) or hemodialysis (HD). To date, the preferred dialysis modality regarding the alleviation of uremic pruritus remains controversial. We conducted this cross-sectional study to compare the prevalence, intensity, and characteris...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002935
更新日期:2016-03-01 00:00:00
abstract:RATIONALE:Capecitabine (CAP) is a chemotherapeutic agent used to treat breast and gastrointestinal cancers. The most common adverse reactions of CAP primarily included gastrointestinal and dermatological effects. Whereas, the CAP-induced fatty liver had never been reported. PATIENT CONCERNS:In this study, a-69-year ol...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008547
更新日期:2017-11-01 00:00:00
abstract::Upper extremity vein thrombosis (UE-VT) are more and more frequent pathologies and yet little studied. The aim is to describe the clinical and ultrasound features, UE-VT-related diseases, and the prevalence of pulmonary embolism (PE) and associated deaths.All UE-VT patients diagnosed by Doppler-ultrasound in Nantes Un...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018996
更新日期:2020-02-01 00:00:00
abstract::[This corrects the article DOI: 10.1097/MD.0000000000002532.]. ...
journal_title:Medicine
pub_type: 已发布勘误
doi:10.1097/01.md.0000494756.80250.4a
更新日期:2016-08-26 00:00:00
abstract::Previous studies suggest that the future risk for type 2 diabetes is not similar among subjects in the same glucose tolerance category. In this study, we aimed to evaluate simple intuitive indices to identify subjects at high risk for future diabetes development by using 0, 30, 120 minute glucose levels obtained durin...
journal_title:Medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/MD.0000000000003053
更新日期:2016-03-01 00:00:00
abstract::Cough is frequently self-limiting, but may persist longer in certain individuals. Most of previous studies on the epidemiology of chronic cough have only measured period prevalence, and thus have afforded limited information on the burden and natural course. We aimed to investigate the epidemiology of chronic cough by...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006486
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Prostaglandin E1 (P) or methylcobalamin (M) treatment has been suggested as a therapeutic approach for diabetic peripheral neuropathy (DPN) in many clinical trial reports. However, the combined effects of 2 drugs still remain dubious. OBJECTIVE:The aim of this report was to evaluate the efficacy of M plus P...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000013020
更新日期:2018-11-01 00:00:00
abstract::To observe the effect of sub-hypothermia (HT) blood purification technique in the treatment of cardiac shock after heart valve disease.The patients were randomly divided into normothermic (NT) continuous blood purification (CBP) group (NT group) and HT CBP group (HT group). Observe the cardiac index (CI), the oxygen d...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000019476
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Long-term use of aspirin for primary prevention of cancer remains inconclusive, and variation in the effects of aspirin use on cancer outcomes by cancer site, aspirin dose, follow-up duration, or different populations has never been systematically evaluated. METHODS:Seven electronic databases (PubMed, EMBAS...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017382
更新日期:2019-09-01 00:00:00