|Revenues/ expenditures of CHCs||
Proportion of drug expenditure and service charges declined as % of the total health expenditure of CHC;|
CHCs might not be to receive the payment from governments timely to cover the expenditure .
District/county governments increased funding to CHCs;|
Ave expenditure per outpatient visit declined;
CHCs sometimes did not receive payments from governments or social health insurance timely
District/county governments increased financial inputs under SRES;|
Ave expenditure of outpatient visit declined;
CHCs might not receive the payments from government timely [17, 31].
|Quantity of services provided||
The quantity of outpatient visits and public health services provided in CHCs increased significantly;|
No changes in home visits .
The quantity of outpatient visits increased significantly;|
While more NCD patients have been effectively managed, many NCD patients bypassed CHCs to seek tertiary care
The use of CHCs increased;|
CHCs provided more public health services related to NCDs control .
|Quality of care||
Patients' satisfaction with outpatient services increased, as more patients chose CHC as the first contact with professional care;|
No changes in the management of NCDs .
Patients' satisfaction with the services increased, resulting in high use rate;|
Lack of qualified general practitioners prevented further increase of quality of care
Overall satisfaction with the CHC services increased significantly;|
Lack of qualified general practitioners resulted in slow development of CHCs .
|Perceptions of community health workers (CHWs)||
SERS can ensure the income of CHWs, and reduce unnecessary treatments that used to produce profits for CHCs, making healthcare at community level more affordable;|
SERS does not provide CHWs with financial incentive to work hard .
|Most CHWs were satisfied with the reform, while others were less keen to provide public health services, as defined in the SERS.||
Increased workload, particularly related to NCD control, at CHCs may not be sustainable;|
While salaries of CHWs are secured, the income level did not match the increased level of workloads. Many CHWs were not satisfied with their income levels after the reform [18, 31].