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Journal articles on the topic 'Medicine National health services Medical policy Medicine, Chinese'

Author: Grafiati

Published: 4 June 2021

Last updated: 9 February 2022

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1

Li, Qian, Fei Chen, Min Yang, et al. "The Effect of China’s National Essential Medicine Policy on Health Expenses: Evidence From a National Study." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 55 (January 2018): 004695801878705. http://dx.doi.org/10.1177/0046958018787057.

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To increase use of medical service across the country, the Chinese government has tried to improve equity in health care access and reduce patients’ medical expenses. For this purpose, the National Essential Medicine Policy (NEMP) was introduced in 2009 to mandate the distribution of medicines to health care facilities at a low cost and without profit. This study aims to evaluate the effect of the essential medicine policy on average per-visit expenses for outpatient and inpatient services. The annual national surveillance system data covering all the grassroots-level primary health care facil

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Hu, Hao, Shengqi Chen, Meng Li, Carolina Oi Lam Ung, and Yunfeng Lai. "PP290 Exploratory Investigation On Innovative Business Models Of Internet Hospitals In China: A Focus Group Study Of Key Stakeholders." International Journal of Technology Assessment in Health Care 36, S1 (2020): 26. http://dx.doi.org/10.1017/s026646232000152x.

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IntroductionUnder the national guidance of Internet Plus Healthcare, Internet hospital was officially recognized in 2018 by the Chinese government, however, how to innovate the business models of Internet hospitals remains controversial. This study sought to explore key stakeholders’ perspectives on key dilemmas about innovative business models of Internet hospitals in China.MethodsA focus group study of key stakeholders was performed. Twelve key stakeholders (six senior officials from related ministries, two industry practitioners of Internet medicine, one hospital leader, two healthcare rese

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Song, Hongxun, Da Feng, Ruoxi Wang, et al. "Urban-rural disparity in the utilization of national community-based hypertension monitoring service—results from the China Health and Retirement Longitudinal Study, 2015." PeerJ 7 (October 15, 2019): e7842. http://dx.doi.org/10.7717/peerj.7842.

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Background Since 2009, community-based hypertension monitoring service (CBHMS) has been provided free of charge by the Chinese government as part of the national Essential Public Health Services (EPHS) policy. This study aimed to examine the disparity in the utilization of CBHMS between urban and rural community-dwelling middle-aged and older adults with hypertension. Methods Subjects were 3,479 community-residing hypertensive patients, identified from the China Health and Retirement Longitudinal Study (CHARLS), 2015, a nationally representative survey of Chinese residents aged 45 years and ol

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Huang, Guo, Yizhong Zhang, and Di Xue. "OP605 Artificial Intelligence Assisted Diagnosis Technology For Benign-Malignant Lung Nodule Classification On Computerized Tomography Images: A Meta-Analysis." International Journal of Technology Assessment in Health Care 36, S1 (2020): 14–15. http://dx.doi.org/10.1017/s0266462320001233.

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IntroductionArtificial Intelligence (AI) is an important product of the rapid development of computer technology today. It has a far-reaching impact on the development of medical diagnostic technology especially in combination with medical imaging. The aim of this study was to analyze the diagnostic accuracy of AI-assisted diagnosis technology for classification of benign and malignant lung nodules on Computerized Tomography (CT) images.MethodsA meta-analysis was conducted of published research articles on diagnostic accuracy of AI-assisted diagnosis technology for lung nodules classification

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Huang, Guo, and Di Xue. "OP611 Breast Cancer Classification In Histopathological Images Using Artificial Intelligence Assisted Diagnosis Technology: A Meta-Analysis." International Journal of Technology Assessment in Health Care 36, S1 (2020): 15. http://dx.doi.org/10.1017/s0266462320001257.

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IntroductionArtificial Intelligence (AI) is an important product of the rapid development of computer technology today. It has a far-reaching impact on the development of medical diagnostic technology especially in combination with medical imaging. The aim of this study was to analyze the diagnostic accuracy of AI-assisted diagnosis technology for classification of breast cancer in histopathological images.MethodsA meta-analysis was conducted of published research articles on diagnostic accuracy of AI-assisted diagnosis technology for breast cancer classification between January 2010 and Septe

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Zhao, Yang, Lin Zhang, Yu Fu, Minyu Wang, and Luwen Zhang. "Socioeconomic Disparities in Cancer Treatment, Service Utilization and Catastrophic Health Expenditure in China: A Cross-Sectional Analysis." International Journal of Environmental Research and Public Health 17, no. 4 (2020): 1327. http://dx.doi.org/10.3390/ijerph17041327.

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Background: This study aims (1) to assess socioeconomic disparities in healthcare use and catastrophic health expenditure (CHE) among cancer patients in China, which is defined as the point at which annual household health payments exceeded 40% of non-food household consumption expenditure, and (2) to examine the association of different treatments for cancers with health service utilization and CHE. Methods: We used nationally representative data from the China Health and Retirement Longitudinal Study in 2015 with 17,018 participants in which 381 with doctor-diagnosed cancer. The main treatme

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Rodríguez Vicente, Ana E., Maria José Herrero Cervera, María Luisa Bernal, Luis Rojas, and Ana M. Peiró. "Personalized medicine into health national services: barriers and potentialities." Drug Metabolism and Personalized Therapy 33, no. 4 (2018): 159–63. http://dx.doi.org/10.1515/dmpt-2018-0017.

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Abstract Research and innovation in personalized medicine (PM) are extensive and expanding, with several pharmacogenetic/pharmacogenomic (PGx) testing options currently available for a wide range of health problems. However, PGx-guided therapy faces many barriers to full integration into clinical practice and acceptance by practitioner/patient: utilization and uptake by payers in real-world practice are being discussed, and the criteria to guide clinicians and policy makers in PGx test selection are not fully incorporated. This review focuses on the advances of pharmacogenomics to individualiz

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Zhou, Wenyu, Anthony Lin Zhang, Brian H. May, Vivian K. Lin, Anne-Louise Carlton, and Charlie Changli Xue. "The Victorian experience of transitional registration for Chinese Medicine practitioners and its implications for national registration." Australian Health Review 36, no. 1 (2012): 61. http://dx.doi.org/10.1071/ah09861.

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Background. Statutory registration of Chinese Medicine (CM) practitioners was introduced in Victoria in 2000. The application assessment process for those who were granted registration during the transitional period (2002–04) was resource intensive, as little was known about their age, education, practice and language proficiency. This study offers insights that may be useful for the planning of national registration to commence in 2012. Methods. Data were extracted from registration application forms submitted to the Chinese Medicine Registration Board of Victoria (CMRB) between 2002 and 2004

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Kunpeng, Huang. "Implementation of the national health policy in PRC (1981–2017)." Актуальные проблемы международных отношений и глобального развития, no. 7 (December 30, 2019): 118–31. http://dx.doi.org/10.33581/2311-9470-2019-7-118-131.

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Since the founding of the People’s Republic of China, China’s national health and sanitation industry has achieved remarkable achievements. Before the liberation, the Chinese people suffered from hunger, famine and infectious diseases. The average life expectancy was only 35 years old. In the early days of the founding of New China, under the condition that the national strength was extremely weak and there was a serious shortage of medical treatment and medicine, the state adopted a «prevention-based» medical and health strategy to mobilize social resources and effectively curb prevention mea

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Jha, Arun, and S. R. Adhikari. "Mental Health Services in New Nepal – Observations, Objections and Outlooks for the Future." Journal of Nepal Medical Association 48, no. 174 (2009): 185–90. http://dx.doi.org/10.31729/jnma.242.

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It has been over a decade since the government of Nepal adopted the National Mental Health Policy (NMHP) in 1997. This article analyses the current provision of fragmented mental health services in Nepal through case scenarios from Jumla innorthwest and Janakpur in southeast Nepal, criticises the proposed mental health Act, discusses the reasons why the NMHP has not been implemented and suggests future models of delivering mental health services in the wider community. Absence of a mental health section within the department of health, insuffi cient budget, chronic shortage of trained manpower

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Guo, Chao, Ning Li, Gong Chen, and Xiaoying Zheng. "Mental health service utilization and its associated social factors among elderly people with a mental disability in China: A national population-based survey." Scandinavian Journal of Public Health 47, no. 2 (2017): 215–20. http://dx.doi.org/10.1177/1403494817722705.

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Aim: This study explored patterns of service use and associated socioeconomic factors among Chinese elders with mental disabilities. Methods: Data from the second China National Sample Survey on Disability (CNSSD) were used in this study. Univariate and multivariate logistic regression models were used to calculate the odds ratios and 95% confidence intervals for factors associated with utilization of mental health services among Chinese elderly people with a mental disability. Results: Among elderly people with a mental disability in the CNSSD, 46.35% had used mental health services. Urban re

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Steindel, Steven J., William J. Rauch, Marianne K. Simon, and James Handsfield. "National Inventory of Clinical Laboratory Testing Services (NICLTS)." Archives of Pathology & Laboratory Medicine 124, no. 8 (2000): 1201–8. http://dx.doi.org/10.5858/2000-124-1201-nioclt.

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Abstract Context.—A statistically valid inventory of the distribution, both geographic and by laboratory type, of clinical and anatomical laboratory testing in the United States is needed to assess the impact of the Clinical Laboratory Improvements Amendments of 1988 and to provide information for other health care and public health policy decisions. Objective.—To present initial US laboratory testing volume data compiled by the National Inventory of Clinical Laboratory Testing Services. Design.—Stratified random sample of laboratories performing testing in 1996 with data on the number of labo

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Trilk, Jennifer L., Dennis Muscato, and Rani Polak. "Advancing Lifestyle Medicine Education in Undergraduate Medical School Curricula Through the Lifestyle Medicine Education Collaborative (LMEd)." American Journal of Lifestyle Medicine 12, no. 5 (2016): 412–18. http://dx.doi.org/10.1177/1559827616682475.

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Physicians are uniquely positioned to stem the tide of the world’s top lifestyle-related diseases; however, most are not trained to provide effective patient care. The Lifestyle Medicine Education Collaborative (LMEd) has a plan that is a comprehensive and sustainable approach to policies, programs, and initiatives to increase graduating US medical students’ knowledge and application of lifestyle medicine. LMEd’s strategic plan is to (1) provide high-quality curricular material; (2) solicit support of medical school deans, critical administration, and faculty; (3) influence federal and state p

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Green, Gill, Hannah Bradby, Anita Chan, Maggy Lee, and Kimmy Eldridge. "Is the English National Health Service meeting the needs of mentally distressed Chinese women?" Journal of Health Services Research & Policy 7, no. 4 (2002): 216–21. http://dx.doi.org/10.1258/135581902320432741.

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Objectives: To identify barriers to communication between health care workers and Chinese women living in England, a group who are known to use the National Health Service (NHS) less than other ethnic groups; to consider whether such barriers lead to inequitable access to NHS mental health treatment; and to determine the extent to which this results from institutional racism. Method: A purposive sample of 42 Chinese women living in South-East England aged 29-60 years derived from a primary care group, two secondary mental health service providers and three Chinese associations. Subjects had al

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White, Kerr. "Comments on Navarro's Review of Health Services Research: An Anthology." International Journal of Health Services 23, no. 3 (1993): 603–5. http://dx.doi.org/10.2190/cuql-qbya-arhh-2trc.

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In preparing Health Services Research: An Anthology, the editors attempted to broaden the definition of health services research promulgated by the National Library of Medicine. Many articles in the Anthology focused on stemming the avalanche of medicine's unevaluated procedures and prescribing practices, and on broadening the horizons of the medical establishment. Another anthology is clearly needed to address Virchow's dictum that medicine is politics writ large.

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Wang, Yu-Jun, Chung-Chih Liao, Hsuan-Ju Chen, Ching-Liang Hsieh, and Tsai-Chung Li. "The Effectiveness of Traditional Chinese Medicine in Treating Patients with Leukemia." Evidence-Based Complementary and Alternative Medicine 2016 (2016): 1–12. http://dx.doi.org/10.1155/2016/8394850.

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Leukemia is the most common malignancy among all childhood cancers and is associated with a low survival rate in adult patients. Since 1995, the National Health Insurance (NHI) program in Taiwan has been offering insurance coverage for Traditional Chinese Medicine (TCM), along with conventional Western medicine (WM). This study analyzes the status of TCM utilization in Taiwan, in both pediatric and adult patients with leukemia. A retrospective cohort study was conducted using population-based National Health Insurance Research Database of Registry of Catastrophic Illness, involving patient dat

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Offord, Natalie, Zoe Wyrko, Tom Downes, Adrian Hopper, Paul Harriman, and Adam L. Gordon. "Frailsafe: from conception to national breakthrough collaborative." Acute Medicine Journal 15, no. 3 (2016): 134–39. http://dx.doi.org/10.52964/amja.0624.

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The number of people aged over 60 years worldwide is projected to rise from 605 million in 2000 to almost 2 billion by 2050, while those over 80 years will quadruple to 395 million. Two-thirds of UK acute hospital admissions are over 65, the highest consultation rate in general practice is in those aged 85–89 and the average age of elective surgical patients is increasing. Adjusting medical systems to meet the demographic imperative has been recognised by the World Health Organisation to be the next global healthcare priority and is a key feature of discussions on policy, health services struc

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Taymour, Rekar K., Mahshid Abir, Margaret Chamberlin, et al. "Policy, Practice, and Research Agenda for Emergency Medical Services Oversight: A Systematic Review and Environmental Scan." Prehospital and Disaster Medicine 33, no. 1 (2018): 89–97. http://dx.doi.org/10.1017/s1049023x17007129.

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AbstractIntroductionIn a 2015 report, the Institute of Medicine (IOM; Washington, DC USA), now the National Academy of Medicine (NAM; Washington, DC USA), stated that the field of Emergency Medical Services (EMS) exhibits signs of fragmentation; an absence of system-wide coordination and planning; and a lack of federal, state, and local accountability. The NAM recommended clarifying what roles the federal government, state governments, and local communities play in the oversight and evaluation of EMS system performance, and how they may better work together to improve care.ObjectiveThis system

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Li, Virginia Cheng. "Critical Public Health Problems Perceived by Urban Chinese Health Workers." International Quarterly of Community Health Education 6, no. 4 (1986): 297–308. http://dx.doi.org/10.2190/c3kb-tyd4-p0ah-k509.

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This study surveyed a cross section of urban Chinese health workers' perception of problems, needs and priorities in health care delivery. Eleven categories of problems were identified by the health workers. When asked to prioritize what they perceived as critical public health problems in China, more respondents (25.9%) cited family planning and maternal child health as the most critical problem. However, in terms of response frequency, family planning and maternal child health ranked fifth (10.7%) behind disease prevention (18.4%), health education of the public (15.4%), health services admi

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Jensen, Jan L., and Andrew H. Travers. "Contemporary evidence-based practice in Canadian emergency medical services: a vision for integrating evidence into clinical and policy decision-making." CJEM 19, no. 3 (2016): 220–29. http://dx.doi.org/10.1017/cem.2016.364.

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AbstractNationally, emphasis on the importance of evidence-based practice (EBP) in emergency medicine and emergency medical services (EMS) has continuously increased. However, meaningful incorporation of effective and sustainable EBP into clinical and administrative decision-making remains a challenge. We propose a vision for EBP in EMS: Canadian EMS clinicians and leaders will understand and use the best available evidence for clinical and administrative decision-making, to improve patient health outcomes, the capability and quality of EMS systems of care, and safety of patients and EMS profe

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Gajic-Stevanovic, Milena, Nevenka Teodorovic, Snezana Dimitrijevic, and Dragan Jovanovic. "Assessment of financial flow in the health system of Serbia in a period 2003-2006." Vojnosanitetski pregled 67, no. 5 (2010): 397–402. http://dx.doi.org/10.2298/vsp1005397g.

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Background/Aim. The main goal of every health policy is not merely the establishment of the health system sustainability, but the accessibility of health services to the whole population, as well. This objective is shared in European Union countries, and the consequence is the implementation of National Health Accounts (NHA). NHA, as a tool for evidence-based management, provides data regarding financial flow in health at national level and alows international comparability. The aim of this study was to determine Serbian overall health spending patterns by National Health Accounts, and to dete

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Kipor, G. V., S. F. Goncharov, and N. K. Pichugina. "(P2-99) Russian–Chinese Collaboration for Disaster Risk Reduction." Prehospital and Disaster Medicine 26, S1 (2011): s168—s169. http://dx.doi.org/10.1017/s1049023x11005449.

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The Disaster Medicine Centre “Zaschita” is a coordinating center with the general goal of management and medical relief delivery in response to major emergencies. The Russian Disaster Medicine Service has accumulated a national and international experiences of emergency responses to earthquakes (Columbia 1999, Neftegorsk 1995, Turkey 1999, Iran 2003, Afghanistan 2002, China 2008, etc.). The Health Ministries of the Russian Federation and of Peoples Republic of China have concluded a treaty of collaborative activities in the field of in public health services and disaster medicine. The promotio

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Stanworth, James O., Ryan Shuwei Hsu, and Clyde A. Warden. "Validation of a Measure of Chinese Outpatients’ Satisfaction in the Taiwan Setting." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 54 (January 1, 2017): 004695801668897. http://dx.doi.org/10.1177/0046958016688979.

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The medical services market is rapidly expanding around the world, following the experience of the industrialized Western economies. Cultural differences make existing assumptions about health care quality risky to export, leading to an increasing interest in understanding patient satisfaction with care within non-Western contexts. Within the Greater China region, both Western and traditional Chinese medicine coexist, yet there is a lack of research instruments that include distinct values of Chinese patients. This article reports the development of a measure of Chinese patient satisfaction wi

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Liao, Chien-Chang, Jaung-Geng Lin, Chin-Chuan Tsai, et al. "An Investigation of the Use of Traditional Chinese Medicine in Stroke Patients in Taiwan." Evidence-Based Complementary and Alternative Medicine 2012 (2012): 1–8. http://dx.doi.org/10.1155/2012/387164.

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Background. The use of complementary and alternative medicine in critical illness is increasing worldwide. This study investigates how traditional Chinese medicine (TCM) is used in stroke patients.Methods. Using Taiwan National Health Insurance reimbursement claims, we compared the annual use of TCM between stroke patients and general population, identifying 15,330 patients with a new onset of stroke in 2000–2009. The sociodemographic status and medical comorbidities between stroke patients receiving TCM services and those without using the service were compared.Results. The use of TCM was hig

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Forst, Linda, Deborah Masters, Joseph Zanoni, Susan Avila, Francisco Chaidez, and Arlene Miller. "Medical Interpretation for Immigrant Workers." NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy 22, no. 1 (2012): 37–50. http://dx.doi.org/10.2190/ns.22.1.d.

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Foreign-born workers have high rates of occupational mortality and morbidity, despite downward trends for the U.S. workforce overall. They have limited access to health care services. Medical interpreters (MIs) facilitate care of acutely injured, low-English-proficiency (LEP) patients, including those sustaining occupational injuries. Our goal was to assess the potential for MIs to serve as advocates of LEP patients injured at work and to deliver preventive messages. We conducted interviews and a focus group of MIs regarding their attitudes toward foreign-born workers, knowledge of occupationa

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Zhu, Lin. "Complementary and Alternative Medical Service Use for Mental Health Problems among Chinese Americans: The Roles of Acculturation-related Factors." Society and Mental Health 9, no. 3 (2018): 366–87. http://dx.doi.org/10.1177/2156869318804304.

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The author used data from the Collaborative Psychiatric Epidemiology Surveys to examine the 12-month prevalence and predictors of the use of complementary and alternative medicine (CAM) relative to conventional Western medical services among Chinese Americans. The author examined the differences in service utilization patterns between Chinese Americans and non-Hispanic whites and the effects of acculturation factors such as generational status and English proficiency within the population of Chinese Americans. Multinomial logistic regression analyses revealed significant heterogeneity of exclu

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Inbadas, Hamilton, José Miguel Carrasco, Michelle Gillies, and David Clark. "The level of provision of specialist palliative care services in Scotland: an international benchmarking study." BMJ Supportive & Palliative Care 8, no. 1 (2017): 87–92. http://dx.doi.org/10.1136/bmjspcare-2016-001301.

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ObjectivesComparative benchmarking of specialist palliative care (SPC) services across jurisdictions can be used to assess the adequacy of provision. Published in 2016, the Scottish Atlas of Palliative Care unlocks the possibility of benchmarking Scotland’s provision against other European Union (EU) countries. Our objectives were to describe the provision of SPC services in Scotland and compare this with other EU countries, assessing coverage against European norms.MethodsWe conducted a secondary analysis of data collected as part for the Scottish Atlas by structured telephone (n=33) or onlin

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Fan, Ruiping. "Modern Western Science as a Standard for Traditional Chinese Medicine: A Critical Appraisal." Journal of Law, Medicine & Ethics 31, no. 2 (2003): 213–21. http://dx.doi.org/10.1111/j.1748-720x.2003.tb00082.x.

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It is generally recognized that China, while attempting to develop modern scientific medicine in carrying out its national policy for modernization, has also made significant efforts to integrate traditional Chinese medicine into its health care system. For instance, the World Health Organization's first global strategy on traditional and alternative medicine (released in May 2002) lists China as one of only four of its member states to have attained an integrative health care system. However, medical integration can take many different forms and involve quite different health care standards.

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Christy, J. K. "(A66) Integration of Psycho-Social Social Support and Mental Health Services in to National Disaster Management Guidelines." Prehospital and Disaster Medicine 26, S1 (2011): s18. http://dx.doi.org/10.1017/s1049023x11000732.

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Integration of Psycho-social Social Support and Mental Health Services in to National Disaster Management Guidelines India is vulnerable, in varying degrees, to a large number of natural as well as man-made disasters and also a high risk country for disasters due to expanding population, urbanization and industrialisation, development within high-risk zones, environmental degradation and climate changes. The creation of National Disaster Management Authority (NDMA) in 2005, as the apex body for disaster management, has brought out a paradigm shift in the area of disaster management. One of the

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Cardelle, Alberto J. F. "The Preeminence of Primary Care within Cuban Predoctoral Medical Education." International Journal of Health Services 24, no. 3 (1994): 421–29. http://dx.doi.org/10.2190/2yg8-0p0c-ccyj-330n.

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As a result of a massive public health system and state-of-the-art tertiary medical care services, Cuba's health profile now indicates a high incidence of chronic noncommunicable diseases; Cuban health authorities concluded that this required a community-based primary care solution. In the early 1980s the Ministry of Health (MINSAP) implemented a national family medicine program with the goal of providing one “Medico de la Familia” (family physician) for every 700 persons. To attain and ensure the sustainability of this primary care model, MINSAP reformed the medical education curriculum. The

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Huang, Nicole, Yiing-Jenq Chou, Long-Shen Chen, Cheng-Hua Lee, Pen-Jen Wang, and Jen-Huoy Tsay. "Utilization of Western Medicine and Traditional Chinese Medicine Services by Physicians and Their Relatives: The Role of Training Background." Evidence-Based Complementary and Alternative Medicine 2011 (2011): 1–7. http://dx.doi.org/10.1093/ecam/nep094.

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Despite extensive efforts to improve the attitude and practice of physicians with respect to complementary and alternative medicine (CAM), the role of training background on physician's own utilization of mainstream Western medicine (WM) and CAM remains unclear. We aimed to compare personal utilizations of WM and traditional Chinese medicine (TCM) among doctors trained in WM only, TCM only or both. A retrospective population-based study was conducted using the 2004 Taiwan's National Health Insurance data. A total of 103 879 doctors and their relatives and 2 623 658 other adults with equivalent

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Li, Jung-Miao, Cheng-Li Lin, Ke-Ru Liao, and Chung-Chih Liao. "Use of Traditional Chinese Medicine for Patients Diagnosed with Postpartum Depression: A Nationwide Population-Based Study." Evidence-Based Complementary and Alternative Medicine 2020 (July 20, 2020): 1–8. http://dx.doi.org/10.1155/2020/7060934.

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Postpartum depression (PPD) is one of most common postnatal complications, affecting approximately 10%–15% of women after childbirth annually. Traditional Chinese medicine (TCM) has been gaining popularity as the choice of treatment for PPD in Taiwan. Hence, our aim was to analyze the utilization of TCM among PPD patients in Taiwan. A cross-sectional study was conducted using a random sample of one million beneficiaries selected from the Taiwanese National Health Insurance Research Database. We identified patients with PPD who had received either TCM treatment or non-TCM treatment from the dat

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Fang, Xiaoping. "Changing Narratives and Persisting Tensions: Conflicts between Chinese and Western Medicine and Professional Profiles in Chinese Films and Literature, 1949–2009." Medical History 63, no. 4 (2019): 454–74. http://dx.doi.org/10.1017/mdh.2019.44.

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This paper analyses the shifting images of Chinese medicine and rural doctors in the narratives of literature and film from 1949 to 2009 in order to explore the persisting tensions within rural medicine and health issues in China. Popular anxiety about health services and the government’s concern that it be seen to be meeting the medical needs of China’s most vulnerable citizens – its rural dwellers – has led to the production of a continuous body of literary and film works discussing these issues, such as Medical Practice Incident, Spring Comes to the Withered Tree, Chunmiao, and Barefoot Doc

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Zhuo, Lin, Heli Zhang, Rongmei Geng, et al. "Protocol for the National Nurse Health Study (NNHS): a web-based ambispective cohort study." BMJ Open 11, no. 8 (2021): e049958. http://dx.doi.org/10.1136/bmjopen-2021-049958.

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IntroductionThe physical and mental health of nurses may significantly impact the entire medical care group and directly affect the quality of medical services. Due to the intense emotional involvement and often problematic working conditions that characterise their profession, nurses appear to be especially susceptible to a complex set of stressors with repercussions to their health. Several landmark studies of nurses have provided an abundance of evidence on risk factors that influence the health status of nurses. However, few studies have investigated the health status of nurses who work in

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Shi, Xuefeng, Dawei Zhu, Xiaowei Man, et al. "“The biggest reform to China's health system”: did the zero-markup drug policy achieve its goal at traditional Chinese medicines county hospitals?" Health Policy and Planning 34, no. 7 (2019): 483–91. http://dx.doi.org/10.1093/heapol/czz053.

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Abstract The zero-markup drug policy (ZMDP) was heralded as the biggest reform to China’s modern health system. However, there have been a very limited number of investigations of the ZMDP at county hospital level, and those limited county hospital studies have several limitations in terms of sample representativeness and study design. We investigated the overall and dynamic effects of ZMDP at traditional Chinese medicine (TCM) county hospitals. We obtained longitudinal data from all TCM county hospitals in 2004–16 and the implementation year of ZMDP for each hospital. We used differences-in-d

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Wang, Yu, Hui-Xin Liu, Yan-Hua Wang, et al. "Establishment of trauma treatment teams within a regional severe trauma treatment system in China: study protocol for a national cluster-randomised trial." BMJ Open 8, no. 12 (2018): e023347. http://dx.doi.org/10.1136/bmjopen-2018-023347.

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IntroductionThe implementation of first aid processes for patients with trauma in China faces significant challenges. These challenges include long response times of prehospital first aid services, lack of information exchange between prehospital first aid services and in-hospital emergency services, lack of a professional rescue team in the majority of hospitals, and lack of standardised training for prehospital and in-hospital emergency personnel. The purpose of the trial is to guide the establishment of an urban trauma treatment system in China, highlight the construction of a trauma treatm

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Johnson, Amanda L., Caroline X. Gao, Martine Dennekamp, et al. "Coal-mine fire-related fine particulate matter and medical-service utilization in Australia: a time-series analysis from the Hazelwood Health Study." International Journal of Epidemiology 49, no. 1 (2019): 80–93. http://dx.doi.org/10.1093/ije/dyz219.

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Abstract Background This study assessed the association between coal-mine-fire-related fine particulate matter (PM2.5) and medical-service utilization, following a 6-week coal-mine fire in Australia, in 2014. Areas in the immediate vicinity of the mine experienced hourly mine-fire-related PM2.5 concentrations of up to 3700 μg/m3. Methods Data on medical-service utilization were collected from the Medicare Benefits Schedule—a national database of payment for medical services. PM2.5 concentrations were modelled using atmospheric chemical transport modelling. Quasi-Poisson interrupted distributed

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Morad, Mohammed, Shifra Shvarts, Joav Merrick, and Jeffrey Borkan. "The Influence of Israel Health Insurance Law on the Negev Bedouin Population — A Survey Study." Scientific World JOURNAL 6 (2006): 81–95. http://dx.doi.org/10.1100/tsw.2006.06.

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The extension of universal health service insurance to national populations is a relatively new phenomenon. Since 1995, the Israeli National Health Insurance Law (NHIL) has provided universal health services to every resident, but the effect of this law on health and health services among minorities has not been examined sufficiently. The goals of this study were to track some of the first changes engendered by the NHIL among the Negev Bedouin Arabs to examine the effects of universal health care services. Methods included analysis of historical and health policy documents, three field apprais

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Yin, Hui, Qunhong Wu, Yu Cui, et al. "Socioeconomic status and prevalence of chronic non-communicable diseases in Chinese women: a structural equation modelling approach." BMJ Open 7, no. 8 (2017): e014402. http://dx.doi.org/10.1136/bmjopen-2016-014402.

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ObjectiveTo investigate the role of socioeconomic status (SES) in chronic non-communicable diseases (NCDs) and offer theoretical evidence for the prevention and control of NCDs.DesignCross-sectional survey and structural equation modelling.SettingNationwide, China.ParticipantsFemale participants in the 2008 National Health Services Survey in China who were 15 years and older.ResultsSES factors were associated with the increased risk of NCDs in Chinese women. Education was identified as the most important factor with a protective role (factor loading=−0.115) for NCDs. Income mainly affected NCD

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Mousavi, Seyyed Meysam, Amirhossein Takian, and Mahmood Tara. "Design and validity of a questionnaire to assess national eHealth architecture (NEHA): a study protocol." BMJ Open 8, no. 12 (2018): e022885. http://dx.doi.org/10.1136/bmjopen-2018-022885.

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IntroductioneHealth is critically important to build strong health systems, and accelerate the achievement of sustainable development goals, particularly universal health coverage. To support and strengthen the health system, the eHealth architecture needs to be formulated and established prior to the implementation and development of any national eHealth applications and services. The aim of this study is to design and validate a standard questionnaire to assess the current status of national eHealth architecture (NEHA) components.Methods and analysisThis study will use a mixed-methods design

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Frenopoulo, Christian. "Underlying premises in medical mission trips for Madiha (Kulina) Indigenous people in the Brazilian Amazon." Aporia 13, no. 1 (2021): 46–68. http://dx.doi.org/10.18192/aporia.v13i1.5284.

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This article proposes two premises that underlie biomedical health care delivery provided through medical missions to Madiha (Kulina) Indigenous Amazonian people living in forest villages. First, that health care is implemented through a set of detached transferable goods and services. Second, that health is a condition that requires the importation of knowledge and resources. The premises were induced through qualitative research on the Brazilian government’s medical missions that provide biomedical care to Madiha (Kulina) in the southwestern Amazon as part of the national health care system.

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Courtney, Brooke, Susan Sherman, and Matthew Penn. "Federal Legal Preparedness Tools for Facilitating Medical Countermeasure Use during Public Health Emergencies." Journal of Law, Medicine & Ethics 41, S1 (2013): 22–27. http://dx.doi.org/10.1111/jlme.12033.

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Law can greatly facilitate responses to public health emergencies, including naturally-occurring infectious disease outbreaks and intentional or accidental exposures to chemical, biological, radiological, or nuclear (CBRN) agents. At the federal level, the Secretary of the Department of Health and Human Services (HHS), as the lead for federal public health and medical responses to public health emergencies and incidents, has a range of authorities to support federal, state, tribal, local, and territorial responses. For example, under the Public Health Service (PHS) Act, the Secretary may provi

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Wacht, O., K. Dopelt, N. Davidovitch, D. Schwartz, and A. Goldberg. "(A313) Integrating Paramedics into the Health System — Israel as a Case Study." Prehospital and Disaster Medicine 26, S1 (2011): s88. http://dx.doi.org/10.1017/s1049023x11002974.

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BackgroundSince its development in the 1970s, the paramedic profession has tried to expend its traditional role of providing prehospital emergency care in ambulances into new fields of practice (e.g. community care). Paramedics in Israel are employed almost exclusively in the emergency medical services (EMS). Similar to other countries, the manpower shortage in the Israeli health system forced policy-makers to consider the expansion of traditional roles of various healthcare professions including paramedics.ObjectivesThis presentation seeks to: (1) map the current situation and challenges faci

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Triki, Noa, Nachman Ash, Avi Porath, Yair Birnbaum, Dan Greenberg, and Ariel Hammerman. "Risk sharing or risk shifting? On the development of patient access schemes in the process of updating the national list of health services in Israel." Expert Review of Pharmacoeconomics & Outcomes Research 19, no. 6 (2019): 749–53. http://dx.doi.org/10.1080/14737167.2019.1702525.

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Yu, Wei, Todd H. Wagner, Shuo Chen, and Paul G. Barnett. "Average Cost of VA Rehabilitation, Mental Health, and Long-Term Hospital Stays." Medical Care Research and Review 60, no. 3_suppl (2003): 40S—53S. http://dx.doi.org/10.1177/1077558703256724.

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This article describes the development of a database for the cost of inpatient rehabilitation, mental health, and long-term care stays in the Department of Veterans Affairs from fiscal year 1998 forward. Using “bedsection,” which is analogous to a hospital ward, the authors categorize inpatient services into nine categories: rehabilitation, blind rehabilitation, spinal cord injury, psychiatry, substance abuse, intermediate medicine, domiciliary, psychosocial residential rehabilitation, and nursing home. For each of the nine categories, they estimated a national and a local (i.e., medical cente

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Ni, Ziling, Jie Jia, Lu Cui, Siyu Zhou, and Xiaohe Wang. "The Impact of China’s Zero Markup Drug Policy on Hospitalization Expenses for Inpatients in Tertiary Public Hospitals: Evidence Based on Quantile Difference-in-Difference Models." Healthcare 9, no. 7 (2021): 908. http://dx.doi.org/10.3390/healthcare9070908.

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Objectives: The aim of this study was to determine the impact of the Zero Markup drug (ZMD) policy on hospitalization expenses for inpatients in tertiary Chinese hospitals. Methods: Using the administrative data from hospital electronic health records (EHRs) between 2015 and 2017, we implemented the quantile difference-in-differences (QDID) estimators to evaluate the impact of the ZMD policy on hospitalization expenses while controlling for patient-level and hospital-level characteristics. Results: According to the QDID models, the introduction of ZMD policy significantly induced lower drug co

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Jiang, Zhu-ming, Si-yan Zhan, Li Zuo, et al. "Guideline for [Clinical Guidelines Constitution/Amendment] in China." International Journal for Quality in Health Care 31, no. 7 (2018): 568–74. http://dx.doi.org/10.1093/intqhc/mzy214.

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Abstract Quality problem or issue Chinese medical institutions need clinical guidelines to improve healthcare quality. Unfamiliarity with clinical methodology and procedures leads to poor quality. Initial assessment This study examined 327 clinical guidelines made in China during the period of 2006–10 and found these clinical guidelines have many problems in terms of guideline making procedures-compliant process, conflicts of interest disclosure. Choice of solution Chinese Medical Association organized a working group in 2014 to make a national [Guideline for Clinical Guidelines Constitution/A

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Rose, Susannah L. "Patient Advocacy Organizations: Institutional Conflicts of Interest, Trust, and Trustworthiness." Journal of Law, Medicine & Ethics 41, no. 3 (2013): 680–87. http://dx.doi.org/10.1111/jlme.12078.

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Patient advocacy organizations (PAOs) provide patient- and caregiver-oriented education, advocacy, and support services. PAOs are formally organized nonprofit groups that (a) concern themselves with medical conditions or potential medical conditions and (b) have a mission and take actions that seek to help people affected by those medical conditions or to help their families. Examples of PAOs include the American Cancer Society, the National Alliance on Mental Illness, and the American Heart Association. These organizations advocate for, and provide services to, millions of people with physica

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Kass, Nancy E., Marvin R. Natowicz, Sara Chandros Hull, et al. "The Use of Medical Records in Research: What Do Patients Want?" Journal of Law, Medicine & Ethics 31, no. 3 (2003): 429–33. http://dx.doi.org/10.1111/j.1748-720x.2003.tb00105.x.

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In the past ten years, there has been growing interest in and concern about protecting the privacy of personal medical information. Insofar as medical records increasingly are stored electronically, and electronic information can be shared easily and widely, there have been legislative efforts as well as scholarly analyses calling for greater privacy protections to ensure that patients can feel safe disclosing personal information to their health-care providers. At the same time, the volume of biomedical research conducted in this country continues to grow. The budget of the National Institute

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Holcombe, Randall G. "Eliminating Scope of Practice and Licensing Laws to Improve Health Care." Journal of Law, Medicine & Ethics 31, no. 2 (2003): 236–46. http://dx.doi.org/10.1111/j.1748-720x.2003.tb00084.x.

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Entry into the practice of medicine is heavily regulated through scope of practice and licensing laws that make it illegal for nonlicensed individuals to perform many medical services. As institutions are structured at the beginning of the twenty-first century, most regulation takes place at the state level, through state departments of health that establish criteria for performing different types of medical activities, and that restrict allowable activities for various types of health care professionals. The regulations over the activities of physicians are more uniform across states than for

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