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BMJ Open. 2017 Aug 28;7(8):e016195. doi: 10.1136/bmjopen-2017-016195.

Protocol for a nationwide survey of primary health care in China: the China PEACE (Patient-centered Evaluative Assessment of Cardiac Events) MPP (Million Persons Project) Primary Health Care Survey.

Author information

1
National Clinical Research Center of Cardiovascular Diseases, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
2
Center for Clinical Brain Sciences, College of Medicine & Veterinary Medicine, University of Edinburgh, Edinburgh, UK.
3
Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
4
Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
5
Institute of Applied Health Research, University of Birmingham, Birmingham, UK.
6
Center for Translation Research and Implementation Science, National Institutes of Health, Bethesda, Maryland, USA.
7
Temple University, Philadelphia, Pennsylvania, USA.
8
Department of Health Policy, London School of Economics and Political Science, London, UK.
9
Center for Outcomes Research and Evaluation, Yale New Haven Hospital, New Haven, Connecticut, USA.
10
Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
11
Department of Health Policy and Management, Yale School of Public Health, New Haven, Connecticut, USA.

Abstract

INTRODUCTION:

China has pioneered advances in primary health care (PHC) and public health for a large and diverse population. To date, the current state of PHC in China has not been subjected to systematic assessments. Understanding variations in primary care services could generate opportunities for improving the structure and function of PHC.

METHODS AND ANALYSIS:

This paper describes a nationwide PHC study (PEACE MPP Primary Health Care Survey) conducted across 31 provinces in China. The study leverages an ongoing research project, the China Patient-centered Evaluative Assessment of Cardiac Events (PEACE) Million Persons Project (MPP). It employs an observational design with document acquisition and abstraction and in-person interviews. The study will collect data and original documents on the structure and financing of PHC institutions and the adequacy of the essential medicines programme; the education, training and retention of the PHC workforce; the quality of care; and patient satisfaction with care. The study will provide a comprehensive assessment of current PHC services and help determine gaps in access and quality of care. All study instruments and documents will be deposited in the Document Bank as an open-access source for other researchers.

ETHICS AND DISSEMINATION:

The central ethics committee at the China National Centre for Cardiovascular Disease (NCCD) approved the study. Written informed consent has been obtained from all patients. Findings will be disseminated in future peer reviewed papers, and will inform strategies aimed at improving the PHC in China.

TRIAL REGISTRATION NUMBER:

NCT02953926.

KEYWORDS:

health services administration & management; primary care; public health

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