Public satisfaction with Healthy China Action Plan implementation: a web-based cross-sectional survey in southwest China
Objective The Healthy China (Guangxi) Action Plan has been in effect for approximately 4 years, with its primary goals being to improve public health and prevent diseases. However, there is limited information available on the community-level public satisfaction with the outcomes of its implementati...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2025-02-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/2/e091039.full |
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| author | Li Pan Yi Chen Virasakdi Chongsuvivatwong Dongyang Liu Wuzhao Chen Xinyu Bai |
| author_facet | Li Pan Yi Chen Virasakdi Chongsuvivatwong Dongyang Liu Wuzhao Chen Xinyu Bai |
| author_sort | Li Pan |
| collection | DOAJ |
| description | Objective The Healthy China (Guangxi) Action Plan has been in effect for approximately 4 years, with its primary goals being to improve public health and prevent diseases. However, there is limited information available on the community-level public satisfaction with the outcomes of its implementation. Therefore, we intend to conduct an assessment based in southwest China.Design A population-based, cross-sectional survey was performed between 1 June 2023 and 31 July 2023.Setting Community members of all 14 prefecture-level cities within Guangxi, China, during June 2023 to July 2023.Participants A total of 62 4016 participants were included for analysis based on exclusion criteria, with 44.4% aged 18–35 and a male to female ratio of 3:2.Primary outcome measure ‘Public satisfaction with the Healthy China (Guangxi) Action Plan implementation’ was measured by the combination of ‘Willingness to join health promotion’ and ‘Satisfaction to overall medical implementation measures and services’ using a structural equation model with a multiple-indicator, multiple-cause approach in R software.Results The study proposed a comprehensive five-factor model to evaluate the public satisfaction with Healthy China (Guangxi) Action Plan implementation. With the mediator of ‘awareness of Healthy China (Guangxi) Action Plan’, health education/promotion demonstrated important effect on overall public satisfaction with Healthy China (Guangxi) Action Plan implementation. Mental health had small but positive effect on the outcomes. High socio-characteristic variables showed negative effects on all latent variables except for the mental health status. All of the effects were statistically significant.Conclusions Understanding the impact of background variables on public satisfaction with Healthy China (Guangxi) Action Plan implementation was crucial, along with considering the sociodemographic traits of participants. This knowledge helped policymakers to develop tailored interventions and strategies. |
| format | Article |
| id | doaj-art-2dcc0a861ce24c84abe92bc04cbc83f9 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-2dcc0a861ce24c84abe92bc04cbc83f92025-02-12T05:20:17ZengBMJ Publishing GroupBMJ Open2044-60552025-02-0115210.1136/bmjopen-2024-091039Public satisfaction with Healthy China Action Plan implementation: a web-based cross-sectional survey in southwest ChinaLi Pan0Yi Chen1Virasakdi Chongsuvivatwong2Dongyang Liu3Wuzhao Chen4Xinyu Bai52 Guangxi Academy of Medical Sciences & The People`s Hospital of Guangxi Zhuang Autonomous Region, Nanning, China2 Guangxi Academy of Medical Sciences & The People`s Hospital of Guangxi Zhuang Autonomous Region, Nanning, China4 Prince of Songkla University, Hat Yai, Thailand3 Guangxi Medical University, Nanning, China1 School of Public Policy and Administration of Guangxi University, Nanning, China2 Guangxi Academy of Medical Sciences & The People`s Hospital of Guangxi Zhuang Autonomous Region, Nanning, ChinaObjective The Healthy China (Guangxi) Action Plan has been in effect for approximately 4 years, with its primary goals being to improve public health and prevent diseases. However, there is limited information available on the community-level public satisfaction with the outcomes of its implementation. Therefore, we intend to conduct an assessment based in southwest China.Design A population-based, cross-sectional survey was performed between 1 June 2023 and 31 July 2023.Setting Community members of all 14 prefecture-level cities within Guangxi, China, during June 2023 to July 2023.Participants A total of 62 4016 participants were included for analysis based on exclusion criteria, with 44.4% aged 18–35 and a male to female ratio of 3:2.Primary outcome measure ‘Public satisfaction with the Healthy China (Guangxi) Action Plan implementation’ was measured by the combination of ‘Willingness to join health promotion’ and ‘Satisfaction to overall medical implementation measures and services’ using a structural equation model with a multiple-indicator, multiple-cause approach in R software.Results The study proposed a comprehensive five-factor model to evaluate the public satisfaction with Healthy China (Guangxi) Action Plan implementation. With the mediator of ‘awareness of Healthy China (Guangxi) Action Plan’, health education/promotion demonstrated important effect on overall public satisfaction with Healthy China (Guangxi) Action Plan implementation. Mental health had small but positive effect on the outcomes. High socio-characteristic variables showed negative effects on all latent variables except for the mental health status. All of the effects were statistically significant.Conclusions Understanding the impact of background variables on public satisfaction with Healthy China (Guangxi) Action Plan implementation was crucial, along with considering the sociodemographic traits of participants. This knowledge helped policymakers to develop tailored interventions and strategies.https://bmjopen.bmj.com/content/15/2/e091039.full |
| spellingShingle | Li Pan Yi Chen Virasakdi Chongsuvivatwong Dongyang Liu Wuzhao Chen Xinyu Bai Public satisfaction with Healthy China Action Plan implementation: a web-based cross-sectional survey in southwest China BMJ Open |
| title | Public satisfaction with Healthy China Action Plan implementation: a web-based cross-sectional survey in southwest China |
| title_full | Public satisfaction with Healthy China Action Plan implementation: a web-based cross-sectional survey in southwest China |
| title_fullStr | Public satisfaction with Healthy China Action Plan implementation: a web-based cross-sectional survey in southwest China |
| title_full_unstemmed | Public satisfaction with Healthy China Action Plan implementation: a web-based cross-sectional survey in southwest China |
| title_short | Public satisfaction with Healthy China Action Plan implementation: a web-based cross-sectional survey in southwest China |
| title_sort | public satisfaction with healthy china action plan implementation a web based cross sectional survey in southwest china |
| url | https://bmjopen.bmj.com/content/15/2/e091039.full |
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