Institute of Population Research/WHO Collaborating Center on Reproductive Health and Population Science, Peking University, Beijing, People's Republic of China.
Asia Pac J Public Health. 2012 Sep;24(5):833-47. doi: 10.1177/1010539511403801. Epub 2011 Apr 13.
This study aims to develop an accessibility index to illustrate the status of the accessibility of primary health care workers in remote and rural areas in China. Relevant county-level data were used to analyze the number and distribution of primary health care workforce in rural China, and relevant provincial-level data were used to analyze the accessibility index. The study found that the development of rural primary health care workers is suboptimal. The rural Primary Health Care Worker Accessibility index shows that the accessibility to primary health care workers in western rural areas is poor. The correlation between PHCWA index and maternal mortality rate is more significant than that between primary health care workers density and maternal mortality rate. In addition to increasing the number of primary health care workers, strategies addressing the challenge of distance are also required.
本研究旨在开发一个可达性指数，以说明中国偏远农村地区基层卫生工作者可达性的现状。研究使用相关县级数据分析了中国农村地区基层卫生人力数量和分布情况，并利用相关省级数据分析了可达性指数。研究发现，农村基层卫生工作者的发展并不理想。农村基层卫生工作者可达性指数表明，西部地区农村地区获得基层卫生工作者的机会较差。PHCWA 指数与孕产妇死亡率之间的相关性比基层卫生工作者密度与孕产妇死亡率之间的相关性更为显著。除了增加基层卫生工作者的数量外，还需要采取应对距离挑战的策略。
