The Research Center of National Drug Policy & Ecosystem, China Pharmaceutical University, Nanjing City, China.
Front Public Health. 2021 Jul 30;9:689765. doi: 10.3389/fpubh.2021.689765. eCollection 2021.
Primary health care (PHC) services are underused due to the unbalanced distribution of medical resources. This is especially true in developing countries where the construction of PHC systems has begun to take effect. Social capital is one of the important factors affecting primary health care utilization. This study investigated the utilization of PHC services by Chinese community residents in the past year. Social capital, PHC utilization, age, health care insurance, etc., were measured. A multilevel negative binomial model was adopted to analyze the association of social capital with PHC utilization. Data of 5,471 residents from 283 communities in China were collected through a questionnaire survey in 2018. The results showed that community social capital (CSC) is significantly associated with PHC utilization in China, but individual social capital (ISC) had no significant association with PHC utilization. A one-standard deviation increase in the CSC leads to a 1.9% increase in PHC utilization. Other factors like gender, education, income, health insurance, health status, etc., are significantly associated with PHC utilization in China. Community social capital plays a more important role in promoting PHC utilization, while ISC plays an unclear role in PHC utilization by the residents of China.
由于医疗资源分布不均衡，初级卫生保健（PHC）服务的利用率较低。在发展中国家，这种情况尤其如此，因为这些国家的 PHC 系统建设已经开始生效。社会资本是影响初级卫生保健利用的重要因素之一。本研究调查了中国社区居民在过去一年中对 PHC 服务的利用情况。测量了社会资本、PHC 利用率、年龄、医疗保险等。采用多水平负二项模型分析社会资本与 PHC 利用率的关系。2018 年通过问卷调查收集了来自中国 283 个社区的 5471 名居民的数据。结果表明，社区社会资本（CSC）与中国的 PHC 利用率显著相关，但个人社会资本（ISC）与 PHC 利用率无显著相关性。CSC 每增加一个标准差，PHC 利用率就会增加 1.9%。其他因素，如性别、教育、收入、健康保险、健康状况等，与中国的 PHC 利用率显著相关。社区社会资本在中国促进 PHC 利用率方面发挥着更重要的作用，而ISC 在中国居民 PHC 利用率方面的作用尚不清楚。
