title: Factors associated with traditional Chinese medicine utilization among urban community health centers in Hubei Province of China.
abstract: This study aims to examine resources and utilization of traditional Chinese medicine (TCM) and factors influencing TCM utilization in urban community health centers (CHCs) in Hubei Province of China. A cross-sectional survey including 234 government-owned CHCs was conducted in 2009. One-way analysis of variance analysis and a Poisson regression model were used to examine distribution of TCM resources and factors influencing TCM utilization. This study found unequal distribution of TCM resources among districts. TCM outpatient visits were positively associated with higher economic development districts, lower initial capital investment of the CHCs, health services covered by health insurance, higher qualification of TCM physicians, provision of TCM health records and rehabilitation, and greater availability of herbal medicine. To achieve equal access to TCM services, policy makers should consider the socioeconomic differences and income groups, provide training for TCM physicians, build pathway to recruit senior TCM physicians, and cover more TCM therapies by health insurance.
authors.affiliation: Wuhan University School of Public Health, Wuhan, Hubei, China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Cai
authors.affiliation: Wuhan University School of Public Health, Wuhan, Hubei, China zfmao@126.com.
authors.forename: Zongfu
authors.initials: Z
authors.lastname: Mao
authors.affiliation: University of Michigan School of Medicine, Ann Arbor, MI, USA.
authors.forename: Bruce
authors.initials: B
authors.lastname: Xu
authors.affiliation: Duke University, Durham, NC, USA.
authors.forename: Bei
authors.initials: B
authors.lastname: Wu
mesh_terms: D002681:China; D003151:Community Health Centers; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care; D006801:Humans; D007348:Insurance, Health; D008516:Medicine, Chinese Traditional / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
keywords: China; community health services; traditional Chinese medicine