- Healthcare Systems and Reforms
- Global Maternal and Child Health
- Global Health Care Issues
- Healthcare Policy and Management
- Vaccine Coverage and Hesitancy
- Global Public Health Policies and Epidemiology
- Hepatitis B Virus Studies
- Health disparities and outcomes
- Child Nutrition and Water Access
- Chronic Disease Management Strategies
- Cervical Cancer and HPV Research
- Tuberculosis Research and Epidemiology
- Health Systems, Economic Evaluations, Quality of Life
- Demographic Trends and Gender Preferences
- Global Health and Surgery
- Primary Care and Health Outcomes
- thermodynamics and calorimetric analyses
- Hepatitis Viruses Studies and Epidemiology
- Lipid metabolism and biosynthesis
- Clinical Nutrition and Gastroenterology
- Maternal and Perinatal Health Interventions
- HIV/AIDS Impact and Responses
- Healthcare innovation and challenges
- Influenza Virus Research Studies
- Immune responses and vaccinations
Duke University
2016-2025
Duke Kunshan University
2016-2025
SingHealth Duke-NUS Academic Medical Centre
2021-2025
Duke Institute for Health Innovation
2016-2025
SingHealth
2023-2025
National University of Singapore
2015-2025
Duke-NUS Medical School
2025
Duy Tan University
2025
Changsha Mining and Metallurgy Research Institute (China)
2024
Tarim University
2023
In terms of economic development, China is widely acclaimed as a miracle economy. Over period rapid growth, however, China's reputation for health has been slipping. the 1970s was shining example but no longer. Government and public concerns about equity have grown. health-equity challenges are truly daunting because vicious cycle three synergistic factors: social determinants become more inequitable; imbalances in roles market government developed; among grown fairness health. With boom...
SummaryBackgroundMultimorbidity, the presence of two or more mental physical chronic non-communicable diseases, is a major challenge for health system in China, which faces unprecedented ageing its population. Here we examined distribution multimorbidity relation to socioeconomic status; association between multimorbidity, health-care service use, and catastrophic expenditures; whether these associations varied by group social insurance schemes.MethodsIn this population-based, panel data...
BackgroundExposure to natural vegetation, or greenness, might affect health through several pathways, including increased physical activity and social engagement, improved mental health, reductions in exposure air pollution, extreme temperatures, noise. Few studies of the effects greenness have focused on Asia, and, best our knowledge, no study has assessed effect vulnerable oldest-old populations. We association between residential mortality an older cohort China.MethodsWe used five waves...
Abstract Background Many countries are developing health financing mechanisms to pursue the goal of universal coverage. In China, a rural insurance system entitled New Cooperative Medical Scheme (NCMS) is being developed since 2003. Although there concern about whether NCMS will influence serious situation inequity in service utilization only limited evidence available. This paper aims assess utilisation outpatient and inpatient services among different income groups provinces under China....
Abstract Background Health care system reform is a major issue in many countries and therefore how to evaluate the effects of changes incredibly important. This study measured residents’ satisfaction with community health service Shanghai, China, aimed effect recent reform. Methods Face-to-face interviews were performed stratified random sample 2212 residents Shanghai using structured questionnaires. In addition, 972 valid responses retrieved from internet contact. Controlling for sex, age,...
China has about 350 million smokers, more commonly men. Using data from National Health Service Surveys conducted in 1993, 1998 and 2003, we (i) estimated trends smoking prevalence cessation according to sociodemographic variables (ii) analysed rates, quitting intentions, reasons for relapsing.Data were collected approximately 57 000 households 200 individuals each survey year. Household members > 15 years of age interviewed their habits, intentions attitudes towards smoking. We present...
Introduction The COVID-19 pandemic caused a healthcare crisis in China and continues to wreak havoc across the world. This paper evaluated COVID-19’s impact on national regional service utilisation expenditure China. Methods Using big data approach, we collected from 300 million bank card transactions measure individual mainland Since outbreak coincided with 2020 Chinese Spring Festival holiday, difference-in-difference (DID) method was employed compare changes before, during after 2019. We...
Background Managing noncommunicable diseases through primary healthcare has been identified as the key strategy to achieve universal health coverage but is challenging in most low- and middle-income countries. Stroke leading cause of death disability rural China. This study aims determine whether a care-based integrated mobile intervention (SINEMA intervention) could improve stroke management Methods findings Based on extensive barrier analyses, contextual research, feasibility studies, we...
Abstract Background In 1997 there was a major reform of the government run urban health insurance system in China. The principal aims were to widen coverage for employed and contain medical costs. Following this has been transition from dual Government Insurance Scheme (GIS) Labour (LIS) new Urban Employee Basic Health (BHIS). Methods This paper uses data National Services Surveys 1998 2003 examine impact on population coverage. Particular attention is paid terms gender, age, employment...
Abstract Background A growing number of developing countries are health insurance schemes that aim to protect households, particularly the poor, from financial catastrophe and impoverishment caused by unaffordable medical care. This paper investigates extent which patients suffering chronic disease in rural China face catastrophic expenditure on healthcare, how far New Co-operative Medical Insurance Scheme (NCMS) offers them protection against this. Methods household survey was conducted six...
An increasingly number of low- and middle-income countries have developed implemented a national policy towards universal coverage healthcare for their citizens over the past decade. Among them is China which has expanded its population by health insurance from around 29.7% in 2003 to 90% at end 2010. While both central local governments significantly increased financial inputs into two newly established schemes: new cooperative medical scheme (NCMS) rural population, urban resident basic...
Abstract Over the last sixty years advances have been made in control of schistosomiasis P.R. China. There are, however, difficult challenges still to be met. This paper looks at extent which health system offers a positive environment for disease. It starts by tracing three phases control: disease elimination strategy through snail (1950s-early 1980s); morbidity based on chemotherapy (mid 1980s 2003); integrated (2004+). Each one these took place distinct policy-making environments. The...
China's health system reform launched in early 2000s has achieved better coverage of insurance and significantly increased the use healthcare for vast majority Chinese population. This study was to examine changes structure total expenditures China 2000-2011, investigate financial burden placed on its population, particularly between urban rural areas across different socio-economic development regions.Health data came from National Health Accounts 1990-2011, other used calculate were...
Health care financing reforms in both China and Vietnam have resulted greater financial difficulties accessing health care, especially for the rural poor. Both countries been developing insurance decades. This study aims to evaluate compare equity access system two countries. Household survey qualitative were conducted 6 counties 4 districts Vietnam. policy its impact on utilization of outpatient inpatient service analyzed compared measure care. In China, membership had no significant...
Tuberculosis (TB) often causes catastrophic economic effects on both the individual suffering disease and their households. A number of studies have analyzed patient household expenditure TB care, but there does not appear to be any that assessed incidence, intensity determinants health (CHE) relating care in China. That will objective this paper. The data used for study were derived from baseline survey China Government – Gates Foundation Phase II program. Our analysis included 747 cases....
Background The Sustainable Development Goals (SDGs), adopted by all United Nations (UN) member states in 2015, established a set of bold and ambitious health-related targets to achieve 2030. Understanding China's progress toward these is critical improving population health for its 1.4 billion people. Methods findings We used estimates from the Global Burden Disease (GBD) Study 2016, national surveys surveillance data China, qualitative data. Twenty-eight 37 indicators included GBD 2016 were...