OBJECTIVE: To establish a comprehensive evaluation system for the development of health services, and to assess the levels of health services in 2008 and 2009 in Hunan compared with seven other provinces in central China, so as to provide a basis for hygiene management decisions. METHODS: In order to establish a comprehensive evaluation system, a Delphi method, a boundary value method, and an RSR method were applied, respectively, to survey indices of health service development, to screen indices, and to determine index weights. A weighted TOPSIS method was used to evaluate the development status of health services of the eight provinces. RESULTS: The Cronbach's alpha coefficient of the questionnaire was 0.884, indicating a proper surface validity and a content validity. The expert positive coefficient, authority coefficient and Kendall coefficient were 93.75%, 0.8117, and 0.31, respectively. A comprehensive evaluation system, which consisted of 3 primary indices, 10 secondary indices and 52 tertiary indices, was established. The result of the comprehensive evaluation showed that the health services development of Hunan Province ranked 7th and 6th among the 8 central provinces for 2008 and 2009, respectively. CONCLUSION The established, comprehensive evaluation system has a high reliability. Health services development of Hunan Province is relatively backward among the 8 central provinces.
China ; Health Services ; standards ; statistics & numerical data ; Humans ; Surveys and Questionnaires

China ; Occupational Health ; statistics & numerical data ; Occupational Health Services ; Organizations ; statistics & numerical data

OBJECTIVE: To study the health service development in Hunan Province, and to find out the advantages and disadvantages, and to make tentative specific suggestions. METHODS: Comparison was made in Yunnan, Hunan, and Zhejiang Provinces in 4 major areas: health institutions, personnels, facilities, and funding. RESULTS: The overall health service of Hunan Province was good: The health resources increased, the allocations were reasonable, and the health expenditure decreased. Some problems appeared, such as backward primary health, shortage of medical talents, inefficient use of hospital beds, deducted government investment, increased business income, and large urban-rural gap. CONCLUSION There is urgent need to further develop health institutions and increase personnels, particularly improving the primary health care and making use of traditional Chinese medicine; improving the management of hospital beds to increase efficiency, increasing financial support to reduce the patients' burden, and ensuring the need of rural health care.
China ; Delivery of Health Care ; trends ; Health Services ; economics ; statistics & numerical data ; Health Services Administration ; Humans ; Rural Health ; economics

OBJECTIVETo apply mixed logit model for analyzing the data of new rural cooperative medical with suitability and identify the factors affecting the residents choices of insurance mode.

METHODSHypothesis test of IIA was performed using the mogtest module of Stata10.0 to test the eligibility of the condition. The mixed logit model was established to allow the parameters to vary in the population using SAS9.1 MDC module.

RESULTSThe data in this study did not satisfy the IIA assumption (P<0.01), so that the multinomial logit model was not applicable. The adjusted Estrella of the mixed logit model was 0.6658.

CONCLUSIONThe mixed logit approach does not rely on the restrictive IIA assumption and allows for correlation patterns between choices and individual variation. This approach can help in the determination of the choices in new rural cooperative medical system.

China ; Humans ; Poverty ; Practice Patterns, Physicians' ; statistics & numerical data ; Rural Health Services ; statistics & numerical data

The demand for knowledge of productive health and the current status of productive health services provided by relevant governmental institutions were qualitatively and quantitatively studied. The study identified the key factors that influenced the demand for the productive health services and results of the services. It also discussed the effective approaches to control, planning and sustainable development of the reproductive health services for the floating populations.
Attitude to Health ; China ; Health Services Accessibility ; Health Services Needs and Demand/*statistics & numerical data ; Questionnaires ; *Reproductive Health Services/supply & distribution ; Sampling Studies ; Transients and Migrants ; Travel ; Urban Health Services/*organization & administration ; Urban Health Services/standards ; Young Adult

We explored village maternal deaths in an area of the East Sepik Province of Papua New Guinea where most women delivered at home. Postpartum haemorrhage, retained placenta and puerperal sepsis were common causes of death. Follow-up of a group of pregnant women showed that abnormal labour was frequent. 24% of multigravidae (95% CI 17-33) reported a labour that lasted longer than 24 hours. In 9% of all births (95% CI 5-15) the third stage lasted longer than one hour, or products were retained. Despite a high proportion of obstetric complications in apparently low-risk villages births, few women attend a health facility for delivery. Health centre attenders were a relatively privileged group. Some hospital users complained about staff attitudes. A poor reputation means that women are less likely to use health services for delivery. Providers need to improve the acceptability of the care provided, and communities should be encouraged to help with transport for their women to go to a health facility when they are in labour.
Community Health Services - statistics & ; numerical data ; Female ; Health Facilities - statistics & ; numerical data ; Health Services Accessibility ; Maternal Mortality ; Papua New Guinea

Information Services ; Information Systems ; standards ; Public Health ; statistics & numerical data ; Public Health Informatics

China ; Health Facilities ; statistics & numerical data ; Humans ; Occupational Health Services ; manpower

Australia ; China ; Health Services Accessibility ; organization & administration ; statistics & numerical data ; Humans ; Mental Health Services ; organization & administration ; statistics & numerical data ; Models, Theoretical ; Organizational Objectives