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Assessing the Quality of Primary Healthcare in Seven Chinese Provinces with Unannounced Standardised Patients: Protocol of a Cross-Sectional Survey

Citation

Xu, Dong Roman; Hu, Mengyao; He, Wenjun; Liao, Jing; Cai, Yiyuan; Sylvia, Sean; Hanson, Kara; Chen, Yaolong; Pan, Jay; & Zhou, Zhongliang, et al. (2019). Assessing the Quality of Primary Healthcare in Seven Chinese Provinces with Unannounced Standardised Patients: Protocol of a Cross-Sectional Survey. BMJ Open, 9, e023997. PMCID: PMC6398795

Abstract

INTRODUCTION: Primary healthcare (PHC) serves as the cornerstone for the attainment of universal health coverage (UHC). Efforts to promote UHC should focus on the expansion of access and on healthcare quality. However, robust quality evidence has remained scarce in China. Common quality assessment methods such as chart abstraction, patient rating and clinical vignette use indirect information that may not represent real practice. This study will send standardised patients (SP or healthy person trained to consistently simulate the medical history, physical symptoms and emotional characteristics of a real patient) unannounced to PHC providers to collect quality information and represent real practice.
METHODS AND ANALYSIS: 1981 SP-clinician visits will be made to a random sample of PHC providers across seven provinces in China. SP cases will be developed for 10 tracer conditions in PHC. Each case will include a standard script for the SP to use and a quality checklist that the SP will complete after the clinical visit to indicate diagnostic and treatment activities performed by the clinician. Patient-centredness will be assessed according to the Patient Perception of Patient-Centeredness Rating Scale by the SP. SP cases and the checklist will be developed through a standard protocol and assessed for content, face and criterion validity, and test-retest and inter-rater reliability before its full use. Various descriptive analyses will be performed for the survey results, such as a tabulation of quality scores across geographies and provider types.

URL

http://dx.doi.org/10.1136/bmjopen-2018-023997

Reference Type

Journal Article

Year Published

2019

Journal Title

BMJ Open

Author(s)

Xu, Dong Roman
Hu, Mengyao
He, Wenjun
Liao, Jing
Cai, Yiyuan
Sylvia, Sean
Hanson, Kara
Chen, Yaolong
Pan, Jay
Zhou, Zhongliang
Zhang, Nan
Tang, Chengxiang
Wang, Xiaohui
Rozelle, Scott
He, Hua
Wang, Hong
Chan, Gary
Melipillan, Edmundo Roberto
Zhou, Wei
Gong, Wenjie

PMCID

PMC6398795