中国全科医学2025，Vol.28Issue(34)：4300-4310,11.DOI:10.12114/j.issn.1007-9572.2023.0911
基本卫生保健质量概念内涵研究的系统综述
Exploring the Concept of the Quality of Primary Health Care:a Systematic Review
摘要
Abstract
Quality of primary health care(PHC),as an important dimension of universal health coverage,is receiving increasing attention globally.A correct understanding of the concept of PHC quality is a prerequisite for measuring,evaluating,and improving quality.PHC quality in China is not clearly defined,and there is no standardized definition and evaluation methodology.Research and policies on PHC quality face enormous challenges.This systematic review searched CNKI,VIP,Wanfang,PubMed,Embase,Google Scholar as well as official websites.Thematic analysis was used for data analysis.After screening,31 studies/reports covering both low-and middle-income and developed countries were included.The current concepts of PHC quality can be categorized into three themes:(1)content-driven definitions,(2)goals-driven definitions,and(3)characteristics-driven definitions.The content of PHC includes basic medical services,public health services,and quality improvement.The goals of PHC include safety,effectiveness,timeliness,efficiency,equity,appropriateness,patient satisfaction,and patient-centeredness.The characteristics of PHC include access,continuity,coordination,comprehensiveness,family/community-centeredness,and integration.China should define PHC quality combining the content,goals,and characteristics of PHC that considers the stage of economic and social context and health care system context.关键词
初级卫生保健/卫生保健质量/概念/系统综述Key words
Primary health care/Quality of health/Careconcept/Systematic review分类
医药卫生引用本文复制引用
李明月,汤皓晴,郑汇娴,张笑天,刘晓云..基本卫生保健质量概念内涵研究的系统综述[J].中国全科医学,2025,28(34):4300-4310,11.基金项目
国家留学基金委2023年国家建设高水平大学公派研究生项目(202306010282) （202306010282）
