Academic Journal of Medicine & Health Sciences, 2025, 6(2); doi: 10.25236/AJMHS.2025.060206.
Wenjin Huang1, Yongfu Tang1, Jiaguo Liang1, Zukang Deng1, Linfeng Zhong1, Shikang Huang1, Min Wei1, Liujiao Huang1, Bowei Jiang1, Jie Liang2
1Youjiang Medical University for Nationalities, Baise, Guangxi, 533000, China
2Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, Guangxi, 533000, China
Under the Healthy China strategy, enhancing primary medical services is critical for national health. This study evaluates regional disparities in the service levels of primary care doctors and proposes improvement strategies. A multi-dimensional evaluation system was constructed, integrating quantitative assessments (e.g., diagnosis capability, patient satisfaction) and qualitative analysis (e.g., service behaviors, challenges). Statistical methods, including χ² tests, revealed significant regional differences: Central regions outperformed eastern and western regions in diagnosing common diseases (χ²=128.722, *P*<0.001), while eastern regions had higher physician quality in hospitals and primary institutions. Job satisfaction varied by institution type, with first-class second-grade hospitals and community health centers scoring higher. Resource allocation was skewed toward eastern regions, exacerbating urban-rural gaps. Key strategies include optimizing resource distribution, advancing medical informatization, and strengthening talent training. Post-intervention comparisons demonstrated notable improvements in service levels. The findings underscore the need for region-specific policies to balance resource allocation, enhance infrastructure, and prioritize workforce development, ensuring equitable, high-quality primary care nationwide.
primary care doctors in different regions, medical service level; sinking of medical resources; medical service quality; medical informatization construction; training of primary medical talents
Wenjin Huang, Yongfu Tang, Jiaguo Liang, Zukang Deng, Linfeng Zhong, Shikang Huang, Min Wei, Liujiao Huang, Bowei Jiang, Jie Liang. Analysis on the Differences in Medical Service Levels of Primary Care Doctors in Different Regions of China and the Paths for Improvement. Academic Journal of Medicine & Health Sciences (2025), Vol. 6, Issue 2: 36-42. https://doi.org/10.25236/AJMHS.2025.060206.
[1] Yang Yuxia. Research on the Quality and Governance of Rural Primary Medical Services under the New Rural Cooperative Medical System [D]. Southwest University, 2013.
[2] Niu Yadong, Zhang Yan, Ye Ting, et al. The Development and Current Situation of Medical Service Capability in Primary Medical and Health Institutions in China [J]. Chinese Hospital Management, 2018, 38(06): 35-37 + 41.
[3] Lian Lu, Chen Jiaying, Wang Xuanxuan, et al. Research on the Current Situation and Countermeasures of the Medical Service Ability of Primary Doctors in China [J]. Chinese General Practice, 2023, 26(34): 4246-4253.
[4] Guo Zaixin, Feng Wen. Analysis of the Structural Differences in the Quality of Medical Personnel Allocation in China [J]. Chinese Health Service Management, 2021, 38(02): 100-102.
[5] Chen Mei, Su Lixi, Nong Yuhong, et al. Research on the Relationship between Job Satisfaction and Job Burnout of Grassroots Medical Staff [J]. Health Vocational Education, 2022, 40(24): 142-145. DOI: 10.20037/j.issn.1671-1246.2022.24.50.
[6] Gao Xing, Hu Hongpu, He Yao, et al. Analysis of the Equalization of Basic Medical Services in China since the New Medical Reform [J]. Chinese Primary Health Care, 2019, 33(02): 1-4.
[7] Yang Yuxia. Research on the Quality and Governance of Rural Primary Medical Services under the New Rural Cooperative Medical System [D]. Southwest University, 2012.
[8] Dong Huiling, Pang Yue, Wu Heting, et al. Visual Analysis of the Research Situation of the Cultivation of Rural Order-oriented Medical Students in China [J]. Chinese Health Service Management, 2023, 40(12): 946-950.
[9] Zheng Haoqu, Guo Dan, Liu Xiongxin, et al. Research on the Fairness of the Allocation of Medical and Health Resources in Pearl River Delta Cities [J]. Primary Medicine Forum, 2024, 28(10): 11-13 + 21. DOI: 10.19435/j.1672-1721.2024.10.004.
[10] Liu Liqun. Promoting the Contracted Service of Family Doctors and Strengthening the Construction of the Hierarchical Diagnosis and Treatment System [J]. Chinese General Practice, 2018, 21(01): 1-4.