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Table 1 Assessment survey of PHC facilities

From: Barriers and facilitators to primary care management of type 2 diabetes in Shijiazhuang City, China: a mixed methods study

 

PHC clinics

PHC centers

Characteristics

Urban (N = 34)

Rural (N = 163)

Urban (N = 13)

Rural (N = 53)

Service coverage, median (IQR)

    

 Area (km^2)

2.0 (0.4–2.5)

2.3 (1.2-4.0)

3.1 (1.7–7.2)

48.1 (25.0-69.9)

 Permanent residents

8158 (6416–11,000)

1980 (1054–3150)

32,761 (23,278–34,572)

33,486 (24,430–46,630)

 Population aged over 65

820 (540–1477)

180 (102–311)

2712 (2200–5121)

2966 (2120–4668)

Human resources per each PHC facility, median (IQR)

    

 Total staff

11.5 (8–14)

2 (1–4)

37 (32–48)

28 (18–36)

 Licensed doctor and assistant doctora

5 (4–7)

1 (0–1)

18 (13–22)

11 (7–19)

 Registered nurse

4 (2–6)

0 (0–0)

11 (10–13)

4 (2–6)

 Others

1 (0–3)

1 (1–3)

8 (6–17)

11 (5–16)

Human resources per 1,000 residents, median (IQR)

    

 Total staff

1.4 (0.9–2.2)

1.4 (0.9–1.9)

1.4 (1.1–2.1)

0.9 (0.6–1.2)

 Licensed doctor and assistant doctora

0.8 (0.5–1.1)

0.4 (0-0.8)

0.6 (0.5–0.9)

0.4 (0.3–0.6)

 Registered nurse

0.5 (0.3–0.8)

0 (0–0)

0.4 (0.3–0.5)

0.1 (0.1–0.2)

 Others

0.1 (0-0.3)

0.8 (0.3–1.4)

0.4 (0.2–0.5)

0.3 (0.2–0.4)

Staff involved in NCD prevention and control works b, median (IQR)

    

 Number of staff involved per facility

3 (2–4)

2 (1–2)

5 (3–6)

2 (1–3)

 Cumulative full-time equivalent staff per facility

1.3 (0.8-2.0)

0.7 (0.5-1.0)

2 (1.3–3.6)

1 (0.8–1.8)

Equipment availability, %

    

 Blood pressure measuring devices

100

98.8

100

98.1

 Glucometer

97.0

99.4

100

98.1

 Electrocardiograph

100

83.4

100

98.1

 Audiovisual equipment for health education

91.2

64.4

84.6

100

 Biochemical analyzer

32.3

0.6

100

96.2

 Ultrasound machine

17.7

3.1

100

98.1

 X-ray machine

2.9

1.8

53.9

86.8

Trainings of NCD prevention and control

    

 Trainings received (yes), %

100

96.3

100

88.7

 Trainings received in last year (person-time), median (IQR)

8.5 (6–15)

9 (4–16)

25 (12–39)

8 (4–17)

 Ever received on-site technical guidance from superior institutes (yes), %

94.1

94.4

-

-

 Ever provided on-site technical guidance to inferior institutes (yes), %

-

-

77.0

94.3

 Ever received supports from hospital experts (yes), %

58.8

61.5

92.3

73.1

Hypertension management reported by PHC provider, median (IQR)

    

 Number of registered patients

465.5 (353–707)

190 (97–299)

-

-

 Number of patients followed-up

461.5 (350–808)

178 (96–283)

-

-

 Proportion of patients who proactively seek PHC services (yes), %

41 (20–57)

65 (40–81)

-

-

 Proportion of patients who own BP measurement devices at home (yes), %

80 (30–89)

20 (10–40)

-

-

Diabetes management reported by PHC provider, median (IQR)

    

 Number of registered patients

183 (145–303)

50 (26–95)

-

-

 Number of patients followed-up

171 (130–263)

50 (25–86)

-

-

 Proportion of patients who proactively seek PHC services (yes), %

49 (21–70)

65 (36–82)

-

-

 Proportion of patients who own glucometers at home (yes), %

50 (19–70)

10 (5–30)

-

-

  1. NCD Non-communicable chronic disease, PHC Primary health care, IQR Interquartile range
  2. aCompletion of medical college is required to become a licensed doctor and junior medical college training is required to become a licensed assistant doctor. Meanwhile, they also need to pass the National Practicing Doctor (or Assistant Doctor) Examination and periodic government assessments [8]
  3. bNCD prevention and control works are mainly the hypertension and diabetes management as per the NBPHSP