Established but unused? An empirical study on the impact of health records on the utilization of basic public health services in China

IF 2 4区社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY

Evaluation and Program Planning Pub Date : 2025-07-10 DOI:10.1016/j.evalprogplan.2025.102654

Xiafei Tao , Si Shi , Junqiang Liu

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引用次数: 0

Abstract

Objectives

Health records are crucial for implementing basic public health services (BPHSs) in China, yet their utilization rate lags behind the coverage rate. This study aimed to provide insights into the underutilization issue by exploring whether health records facilitate the utilization of other BPHSs.

Methods

We conducted empirical analyses to examine the impact of health records on the utilization of two specific BPHSs: health education and health management services for patients with hypertension and type 2 diabetes mellitus (T2DM). Multiple linear regression and binary logistic models were employed in the analyses. Additionally, we used the propensity score matching approach to address potential biases.

Results

Health records significantly enhanced the diversity of health education attended by residents, fostered active engagement in health education, and facilitated the utilization of corresponding health management services for patients with hypertension and T2DM.

Conclusions

Despite widespread skepticism concerning the utilization rate of health records, our findings provided empirical evidence that health records may benefit citizens’ self-health management and the utilization of other BPHSs. However, the specific mechanism of this impact needs to be further investigated. This study offers insights into the evaluation of public health programs in the Chinese context and highlights their implications for promoting health equity.

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已建立但未使用？健康档案对中国基本公共卫生服务利用影响的实证研究

目的健康档案是中国实施基本公共卫生服务的关键，但其使用率远低于覆盖率。本研究旨在探讨健康记录是否能促进其他bphs的利用，从而深入了解利用不足的问题。方法通过实证分析，探讨健康记录对高血压合并2型糖尿病（T2DM）患者健康教育和健康管理服务的影响。采用多元线性回归和二元logistic模型进行分析。此外，我们使用倾向得分匹配方法来解决潜在的偏差。结果健康档案显著提高了居民健康教育参与的多样性，促进了居民积极参与健康教育，促进了高血压和2型糖尿病患者对相应健康管理服务的利用。结论尽管人们对健康档案的使用率普遍持怀疑态度，但我们的研究结果提供了经验证据，证明健康档案可能有利于公民的自我健康管理和其他bphs的利用。然而，这种影响的具体机制需要进一步研究。本研究为中国背景下的公共卫生项目评估提供了见解，并强调了它们对促进卫生公平的意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Evaluation and Program Planning SOCIAL SCIENCES, INTERDISCIPLINARY-

CiteScore

3.10

自引率

6.20%

发文量

112

期刊介绍： Evaluation and Program Planning is based on the principle that the techniques and methods of evaluation and planning transcend the boundaries of specific fields and that relevant contributions to these areas come from people representing many different positions, intellectual traditions, and interests. In order to further the development of evaluation and planning, we publish articles from the private and public sectors in a wide range of areas: organizational development and behavior, training, planning, human resource development, health and mental, social services, mental retardation, corrections, substance abuse, and education.