Author(s)

Xiao Fu¹, Lei Liu¹, Xinyi Chen¹, Anshi Wang², Bin Zhang^1*

¹School of Public Health and Management, Chongqing Medical University, Chongqing Research Center for Medical and Social Development, Collaborative Innovation Center for Social Risk Prediction and Governance in the Health Field, Chongqing, China.
²Chongqing Medical Insurance Research Association, Chongqing, China.

Objective: Epilepsy is a serious disease in China, and its community prevention and control is a great challenge, but few studies have focused on depicting these difficulties from a broader perspective. The purpose of this study was to identify barriers to prevention and control of epilepsy in the community from the perspective of medical institution managers, health care providers, and epilepsy patients. Methods: A total of 6 heads of CHS centers, 16 specialists, and 270 epilepsy patients were selected through purposeful sampling, and the qualitative data from the interviews were analyzed using a thematic framework. Results: The main obstacles to the prevention and control of epilepsy in community were the lack of community self-service ability, imperfect inter-agency sharing mechanism, poor disease-related cognition and insufficient cognition of community health service of patients. Conclusion: It is suggested that the existing platform should be used to promote and guarantee the community service ability, optimize the community health management service, adjust the medical insurance compensation method, correctly publicize the first consultation at the grass-roots level, and strengthen health education, so as to improve the community prevention and control planning of epilepsy.

Community, Epilepsy, Prevention and Control, Barrier Factors

Fu, X. , Liu, L. , Chen, X. , Wang, A. and Zhang, B. (2019) Analysis on the Main Obstacle Factors of Preventing and Controlling Epilepsy in Chongqing Community. Journal of Service Science and Management, 12, 755-766. doi: 10.4236/jssm.2019.127051.