Objective To analyze the coverage and influential factors of the national basic public health service (BPHS) in Jilin province from the perspective of chronic disease management.
Methods Using the household survey data on residents aged ≥ 18 years from the fourth and fifth wave of the National Health Services Survey conducted in 2008 and 2013 in Jilin province, we described the coverage of and the change in BPHS and analyzed influential factors of BPHS coverage with logistic regression model.
Results Compared to that in 2008, the coverage of chronic disease-related BPHS had been improved in 2013; the rate of health checkup for the patients with chronic diseases increased from 22.52% to 53.59%; the rate of health education increased from 63.51% to 66.63% and the rate of regular blood pressure monitoring increased from 82.56% to 93.13% in the hypertensives. In comparison with those among the rural residents, the rate of the health checkup and regular blood pressure monitoring among urban residents were higher (odds ratio OR = 1.5, P < 0.01; OR = 2.3, P < 0.01), but the rate of health record establishment and the rate of health education in the hypertensives were lower (OR = 0.3, P < 0.01; OR = 0.6, P < 0.01). The coverage of some BPHS items are associated with personal education, family income, type of medical insurance, and age among the residents.
Conclusion The coverage of the basic public health services in Jilin province has been improved from 2008 to 2013, but it has not reached the goal of universal coverage, with the gaps between different population groups.
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