Longitudinal Trends in Medicine Supply, Price and Utilisation in Primary Care Facilities in Rural Southwestern China Under National Essential Medicines Policy (2012-2017): Disparities Across Facilities and Medicines
Zhaohua Huo e outros, 2025 · International Journal of Health Policy and Management
Expansion of the National Essential Medicines Policy to secondary care reduced the quarterly trend in the number of available medicine types in rural primary care facilities by 7.
Estimativa · number of available medicine types, quarterly trend change
-7,00 [-14,0; -1,00]
change in quarterly trend of available medicine types
P = .044
- Desenho
- Série temporal interrompida. interrupted time series analysis across 20 quarters (2012–2017)
- População
- Primary care facilities (7 township health centres and 73 village clinics) in a rural county in Yunnan province, China, 2012–2017
- Amostra
- 108.111 · procurement records from 80 primary care facilities across 20 quarters
Onde está o número
Table, row 'All primary care facilities' under 'Types of medicines', column 'Change in Trend (β4)'
All primary care facilities | 417 (400, 433), P < .001 | 5 (3, 7), P < .001 | -16 (-43, 12), P = .278 | -7 (-14, -1), P = .044
Contexto
What changed: Implementation of second-stage NEMP expanded centralized procurement, mandatory essential drug prescribing, and zero-markup pricing to county hospitals in November 2015. Comparison: Pre-expansion trend (July 2012–December 2015) versus post-expansion trend (January 2016–June 2017) using segmented regression. Limits: Single rural county without an external control group; only 6 quarters observed post-intervention.
Caminho no grafo
- FamíliaProvisão direta
- TipoProvisão de serviço público
- ResultadoOferta de saúde
- EixoSaúde
MAGI só cita evidência deste instrumento
Lugares do estudo
- Yunnan · Estado ou região · CN
- Licença
- CC-BY
- Revisão
- Extraído por máquina, não revisadoExtraído por: gemini-3.8-flash, 2026-10-23