Study on correlation between medical exposure and healthcare level in China / 中华放射医学与防护杂志

Objective:To study the healthcare level (HCL) in China and its influencing factors.Methods:By using the data reported in the China statistical yearbook published by the National Bureau of Statistics and in other public literature, HCL was calculated in terms of the number of population and physicians in the whole country and various provinces. Multiple regression was used to analyze the relationship between HCL and regional population, area, number of administrative divisions and gross domestic product (GDP). Pearson correlation analysis was applied to analyze the relationship between healthcare level and medical radiation frequency. Results:Since 2015, Chinese HCL value was lower than 1 000, but there were two provinces with HCL value greater than 1 000 in 2019. Population and GDP were the influencing factors for the HCL, with correlation coefficients of 0.416 and -0.583, respectively. There was a correlation between HCL and medical exposure frequency of Chinese population( r= -0.620, P=0.028). Conclusions:Chinese HCL value was 542 in 2020, but there has been great differences between various provinces. HCL as an indicator of medical exposure assessment needs further research in China.

Cobertura de PAP: barreras que determinan su accesibilidad en el primer nivel de atención / Coverage of PAP: barriers that determine its access inthe primary healthcare level

Entre 2003 y 2005 un 40-70% de las mujeres argentinas se hicieron un PAP según el Ministerio de Salud. El presente trabajo se realizó en el contexto de la rotación Medicina Familiar. El objetivo del trabajo fue estimar la cobertura de PAP en dos barrios de Bahía Blanca e identificar las barreras que limitan su práctica en atención primaria. Se utilizo un diseño de tipo transversal cuali-cuantitativo. Se realizo una encuesta estructurada a 224 mujeres sexualmente activas de entre 15 y 65 años, seleccionadas por muestreo aleatorio por conglomerados y una entrevista semiestructurada al personal de ambas unidades sanitarias. El 49,1% de las mujeres se realiza un PAP anualmente. Existe asociación entre: el tiempo desde el último PAP y la edad de la mujer (p<0.001), edad y conocimiento sobre utilidad del PAP (p<0.001) y conocimiento y cobertura (p<0.001). Del análisis cualitativo se desprende que la sobrecarga del sistema de salud repercute negativamente en la realización del PAP. La principal barrera identificada es la falta de información.

According to the Ministry of Health, between 2003 and 200540-70% of Argentine women had a PAP smear done. The present researchwas conducted in the context of a Family Medicine rotation. The objectivewas to estimate the PAP screening coverage in two neighborhoods of BahiaBlanca and to identify the barriers that limits its practice in primary care.The study design chosen was a cross-sectional quali-quantitative study. Datawas collect by structured survey of 224 sexually active women between15 and 65 years, random cluster sampling, and semistructured interviewof both primary health care centers’ staff. 49.1% of women have their PAPsmears performed annually. There’s an association between: the time fromthe last PAP smear and the woman’s age (p <0.001), age and knowledgeof PAP smears’ utility (p <0.001) and knowledge and coverage (p <0.001).Qualitative analysis shows that overload in the health system negativelyimpacts the performing of PAP smears. The main identi&ed barrier was lackof information.