Abstract Background The World Health Organization has proposed a model of healthy aging built around the concept functional ability, comprising an individual’s intrinsic capacity, physical and social environment they occupy, interactions between two. However, these constructs have been poorly defined. We examined structure capacity in representative sample Chinese population aged 60 years older assessed its value predicting declining performance instrumental activities daily living (IADLs)...

China has three basic health insurance schemes: Urban Employee Basic Medical Insurance (UEBMI), Resident (URBMI) and New Rural Cooperative Scheme (NRCMS). This study aimed to compare the equity of health-related quality life (HRQoL) residents under any two schemes. Using data from 5th National Health Services Survey Shaanxi Province, China, coarsened exact matching method was employed control confounding factors. We included a matched sample 6802 respondents between UEBMI URBMI, 34,169...

China has been undergoing tremendous demographic and epidemiological transitions during the past three decades increasing burden from non-communicable diseases an ageing population have presented great health-care challenges for country. Numerous studies examine catastrophic healthcare expenditures (CHE) worldwide on whole populations rather than specific vulnerable groups. As hypertension other chronic conditions impose a growing share of disease in China, they will become increasingly...

The inequality of health human resource is a worldwide problem, and solving it also one the major goals China's recent system reform. Yet there huge disparity among cities in mainland China. aim this study to analyze distribution 322 prefecture-level China 2014, reveal facets causes inequalities. data for were acquired from provincial municipal Health Statistics Yearbook (2014) Statistical (2014), National Economic Bulletin official websites governments, involving cities. Meanwhile,...

Objective To investigate the contribution of early-life factors on intrinsic capacity Chinese adults older than 45 years.Methods We used data 21 783 participants from waves 1 (2011) and 2 (2013) China Health Retirement Longitudinal Study (CHARLS), who also participated in 2014 CHARLS Life History Survey to calculate a previously validated measure capacity.We considered 11 investigated their direct association with participants' later life, as well indirect through four current socioeconomic...

Abstract Background Improving health equity is a fundamental goal for establishing social insurance. This article evaluated the benefits of Integration Social Medical Insurance (ISMI) policy services utilization in rural China. Methods Using China Health and Retirement Longitudinal study (2011‒2018), we estimated changes rates by generalized linear mixed model, concentration curves, indices, horizontal inequity index before after introduction ISMI policy. Results For rates, model showed that...

Background: China has the largest number of aging people in need long-term care, among whom 70% have chronic diseases. For policy planners, it is necessary to understand different levels needs care and provide insurance ensure all can be met. Methods: This study combines 2013 wave CHARLS survey Life Course Survey 2014. The combination allows us factor both childhood adulthood data life-course analysis. We identified 7,734 older adults with diseases for defined by presence functional...

Effective patient-physician communication has been considered a central clinical function and core value of health system. Currently, there are no studies directly evaluating the association between patient-centered (PCC) primary care quality in urban China. This study aims to investigate PCC quality. The standardized patients were used measure care. We recruited 12 from local communities presenting fixed cases (unstable angina asthma), including 492 interactions physicians across 63 CHCs...

Population ageing is a transforming demographic force. To support evidence-based efforts for promoting healthy ageing, summary of data availabilities and gaps to study needed. Through multifaceted search strategy, we identified relevant cohort studies worldwide studying provided available pertinent measurements. Following the World Health Organization's definition extracted information on intrinsic capacity domains sociodemographic, social, environmental factors. We 287 studies. South...

Using simulated patients to mimic 9 established noncommunicable and infectious diseases, we assessed ChatGPT’s performance in treatment recommendations for common diseases low- middle-income countries. ChatGPT had a high level of accuracy both correct diagnoses (20/27, 74%) medication prescriptions (22/27, 82%) but concerning unnecessary or harmful medications (23/27, 85%) even with diagnoses. performed better managing than ones. These results highlight the need cautious AI integration...

Hypertension has become a global health challenge given its high prevalence and but low awareness detection. Whether the actual of hypertension been estimated is important, especially for poor. This study aimed to measure tested self-reported compare inequity between them in China.Data were derived from China Health Nutrition Survey (CHNS) conducted 2011. By using multistage, stratified, random sampling method, 12,168 respondents aged 18 or older identified analysis. Both (systolic blood...

The aim of this study was to estimate the effects maternal text messages on inappropriate weight for gestational age (IWGA) in newborns rural China. Participants were pregnant women presenting antenatal care at a Maternal and Child Health Center Xi'an, China during 2013-2015 period. In total, 2115 completed program with follow-up information included final analyses. All mothers divided into four groups, including (1) control group that received only few "Basic" messages, (2) Care-Seeking...

China's New Cooperative Medical Scheme (NCMS) enables insured citizens to enjoy the same benefit package by paying a flat-rate premium. However, it still remains uncertain whether economically disadvantaged enrollees receive insurance benefits that at least match those of non-disadvantaged enrollees. This article, therefore, estimates distribution under NCMS across economic groups and compares magnitude economic-related inequity changes in benefits. Data were drawn from two-wave large-scale...

Background: In China, tobacco consumption is a leading risk factor for non-communicable diseases, and understanding the pattern of socio-economic inequalities will, thus, help to develop targeted policies public health control. Methods: Data came from China Health Retirement Longitudinal Study in 2013, involving 17,663 respondents aged 45 above. Tobacco use prevalence quantities were defined further analysis. Using concentration index (CI) its decomposition, grouped by gender estimated....

Objective Despite the latest wave of China’s healthcare reform initiated in 2009 has achieved unprecedented progress rural areas, little is known for specific vulnerable groups’ catastrophic health expenditure (CHE) urban China. This study aims to estimate trend incidence, intensity and inequality CHE hypertension households (households with one or more than patient) Shaanxi, China from 2008 2013. Methods Based on fourth fifth National Health Service Surveys we identified 460 1289 2013,...

Objectives The aim of this study was to analyse the status regarding inequities in adult obesity and central China. Thus, income-related inequality for both diseases underlying factors were examined. Methods design China Health Nutrition Survey (CHNS)—conducted from 1997 2011—included 128 307 participants; study, 79 566 individuals classified as obese 65 250 regarded suffering according CHNS analysed. A body mass index greater than 27 considered indicative obesity; men women with a waist...

Previous studies have been limited by not directly comparing the quality of public and private CHCs using a standardized patient method (SP). This study aims to evaluate compare primary care provided in urban China. We recruited 12 patients from local community presenting fixed cases (unstable angina asthma), including 492 interactions between physicians across 63 Xi’an, measured on seven criteria: (1) adherence checklists, (2) correct diagnosis, (3) treatment, (4) number unnecessary exams...

Chronic disease has become one of the leading causes poverty in China, which posed heavy economic burden on individuals, households and society, accounts for an estimated 80% deaths 70% disability-adjusted life-years lost now China. This study aims to assess effect chronic diseases health payment-induced Shaanxi Province, China.The data was from 5th National Health Survey part China's Service (NHSS) conducted 2013. Totally, 20,700 were selected analysis. We used headcount, gap mean positive...

Along with economic growth and living standard improvement, hypertension has become one of the most prevalent chronic diseases in China. Self-reported measures tested may differ significantly due to low awareness prevalence. The objective this study is figure out whether how self-reported from terms prevalence equity.

Objectives: To evaluate the economic implications of payments based on Chinese diagnosis-related groups for critically ill patients in ICUs terms total hospital expenditure, out-of-pocket payments, and length stay. Design: A pre-post comparison patient cohorts admitted to 1 year before after group reform was undertaken. Demographic characteristics, clinical data, medical expenditures were collated from a health insurance database. Setting: Twenty-two public hospitals Sanming, Southern China....

The aim of this study was to assess the trends in equity receiving inpatient health service utilization (IHSU) China over period 2011-2018.

Abstract Background The role of social environment, that is, the aggregate effect determinants health (SDOHs), in determining dementia is unclear. Methods We developed a novel polysocial risk score for based on 19 SDOH among 5 199 participants Health and Retirement Study, United States, to measure environmental risk. used survival analysis approach assess association between environment 2006–2020. further studied interaction lifestyles, explored racial disparities. Results study (mean age =...