Table 2 Five domains, 14 attributes and illustrative quotes from qualitative interviews with 58 PHC patients
Domains | Attributes | Exemplar quotes |
|---|---|---|
Organizational resources (55) | Medical equipment and medicines (49) | “It is sufficient for CHCs to have basic medical equipment to do general tests.” (HRB5) |
Human resources (40) | “Patients can use their cell phones to register and pick up test results from the self-service machines.” (HZ3) | |
Health information resources (12) | “A CHC should be equipped with a certain number of general practitioners.” | |
Service provision and clinical practice (48) | Practice scope (39) | “CHCs can treat or relieve common illnesses such as colds and fevers and minor bruises and injuries.” (JN1) “The CHCs can inform residents regarding health check-ups, such as urine and stool tests, blood tests, blood pressure measurements, etc.” (TY2) |
Internal integration (32) | “A set of procedures for registration, consultation, infusion, drug purchase, etc. should be reasonably configured and smoothly connected.” (TY2) | |
External integration (16) | “When the CHCs can't handle it, they can proactively help the patient access the hospital and transfer the patient's electronic medical record to the hospital.” (TY6) | |
General features (48) | Location (43) | “A CHC should be closer to home, so that it is more convenient for me.” (HZ3) |
Environment (25) | “As a minimum, CHCs should maintain a clean environment.” (TY7) | |
Ownership (17) | “CHCs should be public and managed by the government.” (TY2) | |
Quality and cost (39) | Quality (37) | “Patients’ treatment must be effective.” (HRB2) “I hope the experience of visiting the CHC is improved.” (LY5) “I also have expectations regarding medical safety. Medical errors should be avoided in a good CHC.” (LY1) |
Cost (20) | “For minor diseases such as colds and fevers, it is unreasonable for medical expenses to exceed 50 yuan. If the illness is serious, it should probably be within 100 yuan. The cost cannot be too high.” (LY6) | |
Organizational structure (34) | Continuous learning mechanism (20) | “PHC professionals should be continuously deepening their clinical expertise and tailoring their attitude and communication style to the patients.” (TY7) |
Administrative structure (15) | “The rules and regulations of CHCs should be detailed and made transparent.” (HRB4) | |
Governance (11) | “It is inconvenient that health insurance cards from other areas cannot be used at the CHCs here.” (HZ8) |