A5079461827- Healthcare Systems and Reforms
- Digital Mental Health Interventions
- Patient Satisfaction in Healthcare
- Global Maternal and Child Health
- Schizophrenia research and treatment
- Clinical practice guidelines implementation
- Health Policy Implementation Science
- Health Systems, Economic Evaluations, Quality of Life
- Influenza Virus Research Studies
- Vaccine Coverage and Hesitancy
- Ophthalmology and Visual Impairment Studies
- Healthcare Policy and Management
- Patient-Provider Communication in Healthcare
- Chronic Disease Management Strategies
- Health disparities and outcomes
- Smoking Behavior and Cessation
- Primary Care and Health Outcomes
- Bipolar Disorder and Treatment
- Social Media in Health Education
- Telemedicine and Telehealth Implementation
- Obesity, Physical Activity, Diet
- Mentoring and Academic Development
- COVID-19 Clinical Research Studies
- Ophthalmology and Visual Health Research
- Homicide, Infanticide, and Child Abuse
Southern Medical University
2021-2025
Guiyang Medical University
2022-2024
New York University
2024
Zhuhai People's Hospital
2024
Jinan University
2024
Capital Medical University
2024
National Institute for Viral Disease Control and Prevention
2024
Chinese Center For Disease Control and Prevention
2024
Shandong First Medical University
2024
Affiliated Hospital of Guizhou Medical University
2022
Background Schizophrenia is a leading cause of disability, and shift from facility- to community-based care has been proposed meet the resource challenges mental healthcare in low- middle-income countries. We hypothesized that addition mobile texting would improve schizophrenia resource-poor community setting compared with free-medicine program alone. Methods findings In this 2-arm randomized controlled trial, 278 community-dwelling villagers (patient participants) were randomly selected...
Per United Nations' Sustainable Development Goals, Nepal is aspiring to achieve universal and equitable access safe affordable drinking water provide adequate sanitation for all by 2030. For these goals be accomplished, it important understand the country's geographical heterogeneity inequality of its drinking-water supply (WSS) so that resource allocation disease control can optimized. We aimed 1) estimate spatial improved WSS among overall Nepalese population at a high resolution; 2)...
Traditional Chinese medicine (TCM) is commonly used alongside Western for stroke management in China. However, there significant variation TCM practice, and the utilisation of evidence-based clinical practice guidelines inadequate. This study aims to evaluate effectiveness three popular frameworks-Consolidated Framework Implementation Research (CFIR), Theoretical Domains (TDF) Normalization Process Theory (NPT)-in improving implementation outcomes integrated guideline management. employs a...
<title>Abstract</title> Background Influenza vaccination rates remain suboptimal globally, particularly in China, highlighting the need for effective, low-cost interventions. This randomized controlled trial aimed to evaluate effectiveness of a 30-second Rapid Verbal Persuasion intervention promoting influenza uptake among individuals visiting centers China. Methods The study was conducted from November 13 December 7, 2023, across eight primary healthcare three Chinese cities (Ningbo,...
ABSTRACT Aim This study aimed to develop and evaluate an automated large language model (LLM)‐based system for assessing the quality of medical imaging guidelines consensus (GACS) in different languages, focusing on enhancing evaluation efficiency, consistency, reducing manual workload. Method We developed QPC‐HASE‐GuidelineEval algorithm, which integrates a Four‐Quadrant Questions Classification Strategy Hybrid Search Enhancement. The was validated 45 (36 Chinese 9 English) published 2021...
Chinese patent medicines, produced using advanced pharmaceutical techniques and available in various forms, including powders, granules, tablets, pills, capsules, finds extensive utilization among Western medicine practitioners primary healthcare (WMP-PHC). However, the inappropriate overprescribing of these medicines has led to significant resource waste raised considerable concerns. Therefore, we aim address related knowledge gaps by employing unannounced standardized patients (USPs) as a...
Abstract Background An English version of the Patient Perception Patient-Centeredness (PPPC) scale was recently revised, and it is necessary to test this instrument in different primary care populations. Aim This study aimed assess validity reliability a Chinese PPPC scale. Design A mixed method used study. The Delphi collect qualitative quantitative data address content by calculating Content Validity Index, Ratio, adjusted Kappa, Item Impact Score. Confirmatory factor analysis (CFA)...
Primary healthcare (PHC) serves as the cornerstone for attainment of universal health coverage (UHC). Efforts to promote UHC should focus on expansion access and quality. However, robust quality evidence has remained scarce in China. Common assessment methods such chart abstraction, patient rating clinical vignette use indirect information that may not represent real practice. This study will send standardised patients (SP or healthy person trained consistently simulate medical history,...
BackgroundThis study aims to evaluate primary care providers' adherence the standard of measuring blood pressure for people aged 35 or above during their initial visit, as per Chinese guidelines, and identify factors affecting practices.MethodsWe developed 11 standardized patients (SP) cases tracer conditions care, deployed trained SPs unannounced visits randomly selected providers in seven provinces China. The used a checklist based on guidelines record whether how was measured. Data were...
We analyzed COVID-19 influences on the design, implementation, and validity of assessing quality primary health care using unannounced standardized patients (USPs) in China. Because pandemic, we crowdsourced our funding, removed tuberculosis from USP case roster, adjusted common cold asthma cases, used hybrid online-offline training for USPs, shared USPs across provinces, strengthened ethical considerations. With those changes, were able to conduct fieldwork despite frequent interruptions....
Background Schizophrenia is a severe and disabling condition that presents dire health equity challenge. Our initial 6-month trial (previously reported) using mobile texting lay supporters, called LEAN, significantly improved medication adherence from 0.48 to 0.61 (adjusted mean 0.11, 95% CI 0.03 0.20, P=.007) for adults with schizophrenia living in resource-poor village rural China. Objective We explored the effectiveness of our program improving participants’ adherence, functioning,...
Despite the abundance of measures to assess medication adherence by persons suffering schizophrenia, few studies have evaluated their concordance and validity against a reference standard in resource-poor community settings. We explored several antipsychotic community.
Introduction As direct-to-consumer teleconsultation (hereafter referred to as ‘teleconsultation’) has gained popularity, an increasing number of patients have been leaving online reviews their experiences. These can help guide in identifying doctors for teleconsultation. However, few studies examined the validity assessing quality against a gold standard. Therefore, we aim use unannounced standardised (USPs) validate both technical and patient-centred teleconsultations. We hypothesise that...
Abstract Background Evidence on the prevalence of smoking in China remains insufficient, with most previous studies focusing a single region. However, exhibits significant inequalities across entire country. This study aimed to evaluate risk tobacco country, taking into account spatial inequalities. Methods The data used this were collected 23 provinces, 5 autonomous regions, and 4 municipalities directly under central government 2022. Large population survey used, Bayesian geostatistical...
This study aims to examine the mediation role of satisfaction with children on association between contact (CCT) and healthy aging among middle-aged older parents in China. Data from 9,575 over 45 years old were obtained 2018 China Health Retirement Longitudinal Survey. A multinomial logistic regression model was applied measure contact, satisfaction, potential confounders controlled. We used Sobel-Goodman Mediation test analyze types CCT aging. Parents adult had higher [for weekly...
Abstract Aims Intimate partner violence (IPV) is an important risk factor for perinatal depression (PND). But IPV's impact on the natural prognosis of PND symptoms not well understood. We tested two hypotheses: (1) pregnant women with IPV experiences will exhibit more severe than without experience; (2) experience impede recovery PND. also explored contribution to comparing other factors. Method The sample comprised 813 followed through period in Hunan, China. assessed using items from Short...
Improper refractive correction can be harmful to eye health, aggravating the burden of vision impairment. During most optometry clinical consultations, practitioner-patient interactions play a key role. Maybe it is feasible for patients themselves do something get high-quality optometry. But present empirical research on quality improvement care needs strengthened. The study aims test effect brief verbal intervention (BVI) through service.This will take unannounced standardized patient (USP)...
Background Reducing the treatment gap for mental health in low- and middle-income countries is a high priority. Even with treatment, adherence to antipsychotics rather low. Our integrated intervention package significantly improved medication within 6 months villagers schizophrenia resource-poor communities rural China. However, considering resource constraint, we need test whether effect of those behavior-shaping interventions may be maintained even after suspension intervention. Objective...
Abstract Background and purpose Diabetes is a highly prevalent non-communicable disease with severe clinical consequences. China has 140.9 million diabetes patients aged 20–79 years, prevalence of 10% in 2021. The Shared Medical Appointment (SMA) group-based Chronic Care Model that improved patient health outcomes integration treatment management high-income countries or areas. Still, little known about selecting active components their levels (e.g., different service forms, intensity,...
The effects of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection persist months and years after recovery. We conducted an online survey to assess the health condition convalescents approximately 5 following primary SARS-CoV-2. study recruited 5,510 individuals who were infected, 626 participants had experienced reinfection, 521 without infective history. most common disorders group fatigue (15.18 %), memory issue (13.13 post-exertional malaise (PEM, 11.68 brain fog...
Background: Traditional Chinese medicine (TCM) is commonly used alongside western for stroke management in China. However, there significant variation TCM practice, and the utilization of evidence-based clinical practice guidelines inadequate.This study aims to evaluate effectiveness three popular frameworks (Consolidated Framework Implementation Research, Theoretical Domains Framework, Normalization Process Theory) improving implementation outcomes integrated guideline management. Methods:...
<title>Abstract</title> Background The current situation regarding tobacco consumption in China is grave, posing a significant threat to the health of smokers. Chinese government has implemented several policies aimed at controlling use. Brief verbal Intervention for Smoking Cessation (BISC) been demonstrated as highly effective and cost-efficient. Primary Healthcare (PHC) providers play pivotal role pioneers executing BISC. However, execution BISC within PHC falls short ideal standards....
<title>Abstract</title> <bold>Background</bold> Seasonal influenza poses an enormous burden worldwide, with older adults facing preventable morbidity and mortality. However, seasonal vaccination coverage is poor among populations in China. Pay-it-forward (giving a person free vaccine opportunity to donate support others) financial incentives (<italic>e.g.</italic> vaccination) could be effective improving uptake, but there are no prospective comparisons of these two strategies adults. The...
Abstract Background The Patient Perception of Patient-Centeredness (PPPC) scale in English was recently revised, and it is necessary to test this instrument different primary care populations. Aim This study aimed assess the validity reliability a Chinese version PPPC scale. Design Delphi method used address content by calculating Content Validity Index, Ratio, adjusted Kappa, Item Impact Score. Confirmatory factor analysis (CFA) exploratory (EFA) were construct internal consistency also...