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      Introduction to special edition: The challenge of chronic non-communicable disease and the opportunity for transforming health care through primary care based population health management

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      Family Medicine and Community Health

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          Achieving Health Care Cost Containment Through Provider Payment Reform That Engages Patients And Providers

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            “Three essential elements” of the primary health care system: A comparison between California in the US and Guangdong in China

             Minfang Huang,  Donghai Wei (corresponding) ,  Louis Rubino (2015)
            The primary health care system (PHCS) is the portal and basis for the national health delivery system. There are a number of elements which comprise the PHCS, but the system cannot be established and developed without the support of “three essential elements,” including general practitioners (GPs), health insurance, and government health investment. Through comparative analysis of the “three essential elements” of the PHCS between California in the US and Guangdong in China, this article indicates that there are three important aspects in developing a PHCS in China, as follows: training qualified GPs; establishing a diversified health insurance system to strengthen the policy connections between health insurance and the PHCS thereby increasing government health investment; and broadening health financing channels.
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              Availability and social determinants of community health management service for patients with chronic diseases: An empirical analysis on elderly hypertensive and diabetic patients in an eastern metropolis of China

               Weiyan Jian (corresponding) ,  Zhijun Wu (2015)
              Objective: This study aimed to determine the availability of community health management services and the relevant social determinants for elderly patients with chronic diseases.Methods: All data were obtained from the 2013 random sampling household survey on an elderly population conducted by the School of Public Health of Peking University in an eastern metropolis in China. Information from the database of the above survey involving 1495 hypertensive or diabetic patients ≥60 years of age, as representatives of the city, were included. The study described the availability of follow-up services by community doctors among elderly hypertensive and diabetic patients during the 12 months before the survey. An ordinal multinomial logistic regression model was used to conduct the analysis on the influence of socio-economic background upon such availability.Results: Eighty-one percent of hypertensive patients and 84.7% of diabetic patients had not received any follow-up service from community doctors within 12 months prior to the survey. Among elderly hypertensive patients, those registered as non-agricultural household members, those with high and above-average income, as well as management personnel of government agencies, enterprises, and social programs have a greater chance of accepting follow-up service by community doctors because of their relatively higher socio-economic rankings. Among elderly diabetic patients, such socio-economic factors had no significant influence on the availability of the follow-up service for chronic diseases.Conclusion: The coverage of community health management services for elderly hypertensive and diabetic patients needs improvement. More effort should focus on promoting the availability of community health management services for elderly hypertensive patients, especially those with lower socio-economic status.
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                Author and article information

                Journal
                FMCH
                Family Medicine and Community Health
                FMCH
                Compuscript (Ireland )
                2009-8774
                2305-6983
                March 2015
                April 2015
                : 3
                : 1
                : 4-5
                Affiliations
                1College of Health Solutions, Arizona State University, 500 N, 3rd St, Phoenix, Arizona 85004, USA
                Author notes
                CORRESPONDING AUTHOR: Ronald R. O’Donnell, College of Health Solutions, Arizona State University, 500 N, 3rd St, Phoenix, Arizona 85004, USA, E-mail: ronald.odonnell@ 123456asu.edu
                Article
                fmch20150110
                10.15212/FMCH.2015.0110
                Copyright © 2015 Family Medicine and Community Health

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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                Self URI (journal page): http://fmch-journal.org/
                Categories
                Editorial

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