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Bridging the Gaps Between Patients and Primary Care in China: A Nationwide Representative Survey

Overview of attention for article published in Annals of Family Medicine, May 2017
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  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (72nd percentile)

Mentioned by

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7 tweeters

Citations

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8 Dimensions

Readers on

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26 Mendeley
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Title
Bridging the Gaps Between Patients and Primary Care in China: A Nationwide Representative Survey
Published in
Annals of Family Medicine, May 2017
DOI 10.1370/afm.2034
Pubmed ID
Authors

William C. W. Wong, Sunfang Jiang, Jason J. Ong, Minghui Peng, Eric Wan, Shanzhu Zhu, Cindy L. K. Lam, Michael R. Kidd, Martin Roland

Abstract

China introduced a national policy of developing primary care in 2009, establishing 8,669 community health centers (CHCs) by 2014 that employed more than 300,000 staff. These facilities have been underused, however, because of public mistrust of physicians and overreliance on specialist care. We selected a stratified random sample of CHCs throughout China based on geographic distribution and urban-suburban ratios between September and December 2015. Two questionnaires, 1 for lead clinicians and 1 for primary care practitioners (PCPs), asked about the demographics of the clinic and its clinical and educational activities. Responses were obtained from 158 lead clinicians in CHCs and 3,580 PCPs (response rates of 84% and 86%, respectively). CHCs employed a median of 8 physicians and 13 nurses, but only one-half of physicians were registered as PCPs, and few nurses had training specifically for primary care. Although virtually all clinics were equipped with stethoscopes (98%) and sphygmomanometers (97%), only 43% had ophthalmoscopes and 64% had facilities for gynecologic examination. Clinical care was selectively skewed toward certain chronic diseases. Physicians saw a median of 12.5 patients per day. Multivariate analysis showed that more patients were seen daily by physicians in CHCs organized by private hospitals and those having pharmacists and nurses. Our survey confirms China's success in establishing a large, mostly young primary care workforce and providing ongoing professional training. Facilities are basic, however, with few clinics providing the comprehensive primary care required for a wide range of common physical and mental conditions. Use of CHCs by patients remains low.

Twitter Demographics

The data shown below were collected from the profiles of 7 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 26 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 26 100%

Demographic breakdown

Readers by professional status Count As %
Unspecified 10 38%
Researcher 5 19%
Student > Ph. D. Student 3 12%
Professor 2 8%
Student > Master 2 8%
Other 4 15%
Readers by discipline Count As %
Unspecified 15 58%
Medicine and Dentistry 5 19%
Nursing and Health Professions 3 12%
Psychology 1 4%
Social Sciences 1 4%
Other 1 4%

Attention Score in Context

This research output has an Altmetric Attention Score of 6. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 January 2018.
All research outputs
#2,915,321
of 12,861,153 outputs
Outputs from Annals of Family Medicine
#745
of 1,172 outputs
Outputs of similar age
#70,510
of 260,530 outputs
Outputs of similar age from Annals of Family Medicine
#20
of 23 outputs
Altmetric has tracked 12,861,153 research outputs across all sources so far. Compared to these this one has done well and is in the 77th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,172 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 29.2. This one is in the 36th percentile – i.e., 36% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 260,530 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 72% of its contemporaries.
We're also able to compare this research output to 23 others from the same source and published within six weeks on either side of this one. This one is in the 13th percentile – i.e., 13% of its contemporaries scored the same or lower than it.