Hypertension is a common and frequently occurring chronic disease of the cardiovascular system. Besides pathological factors, occurrence exacerbation hypertension are also associated with many factors lifestyle behaviors. Thus hypertensive patients' Health-related quality life (HRQL) not only influenced by itself but subjective such as health literacy self-management efficacy, especially in deeper part southwestern China thus less developed compared to other places. The purpose this study...

The National Health Insurance Scheme (NHIS) in Ghana was established by the Act, 2003 (Act 650) and Regulations, 2004 (L.I. 1809) with view to improving financial access of Ghanaians, especially poor vulnerable, quality basic health care services limit out-of-pocket payments at point service delivery. This study is assess effect on utilization healthcare Akatsi District Volta region Ghana. Both qualitative quantitative data collected through face-to-face interview 320 individuals three...

Orphan drugs are intended to treat, prevent or diagnose rare diseases. In recent years, China healthcare policy makers and patients have become increasingly concerned about orphan drug issues. However, very few studies assessed the availability affordability of for diseases in China. The aim this study was provide an overview make suggestions improve patient access drugs. Two components were examined. Market by extent which marketed with a comparison international markets, such as U.S., EU...

The health workers in rural primary care systems are at the increasing risk of job burnout. To explore prevalence and associated factors burnout among healthcare worker China, a cross-sectional survey was conducted 15,627 participants 459 township hospitals from six provinces. A combination stratified multi-stage sampling cluster method, self-administrated questionnaire with Chinese version Maslach Burnout Inventory-General Scale (MBI-GS) were used investigation. Multilevel regression...

Abstract Background Health workers are at high risk of job burnout. Primary care in China has recently expanded its scope services to a broader range public health addition clinical care. This study aims measure the prevalence burnout and identify associated factors among service providers primary facilities. Methods A cross-sectional survey (2018) was conducted 17,816 701 facilities from six provinces. Burnout measured by Chinese version Maslach Inventory-General Scale, multilevel linear...

The internet is one of the most popular health information resources, and Chinese constitute one-fifth online users worldwide. As penetration continues to rise, more details on population seeking need be known based current literature.

The increased funding and reimbursement for the New Rural Cooperative Medical System (NRCMS) have provided residents in rural China with better access to inpatient services. This research aims examine level of inappropriate admissions township hospitals under NRCMS, determinants that influence admissions. A total 2,044 medical records 10 were collected from five counties Midwestern by stratified cluster sampling evaluated using Appropriateness Evaluation Protocol (AEP), which was developed a...

China has set up a universal coverage social health insurance system since the 2009 healthcare reform. Due to inadequate funds, reimbursed inpatient expenditures with much higher ratio than outpatient expenditure. The gap in reimbursement ratios resulted rapid rising hospitalization rate but poor outcomes among Chinese population. A redistribution of funds become one main challenges for performance Social Health Insurance.Two comparable counties, Dangyang County and Zhijiang County, Hubei...

Integrated care could not only fix up fragmented health but also improve the continuity of and quality life. Despite volume variety publications, little is known about how 'integrated care' has developed. There a need for systematic bibliometric analysis on studying important features integrated literature.To investigate growth pattern, core journals jurisdictions identify key research domains care.We searched Medline/PubMed using search strategy '(delivery care, [MeSH Terms]) OR...

Background: Global budget (GB) is considered one of the most important payment methods available. Since a new round healthcare system reforms in 2009, Chinese government has been paying attention to this prospective payment. However, it unclear whether GB influenced cost control and how works rural China.Methods: YC county was chosen as intervention group, with 33,175 inpatients before 36,883 after reform (2012 2014, respectively). ZJ acted 23,668 29,555 inpatients, respectively. The...

Continuity of care is widely considered a principle primary that decreases healthcare utilization and mortality. However, the effect continuity on health-related quality life (HRQoL) for adult patients with hypertension remains unclear.To further evaluate care, we implemented cohort study among hypertensive aged over 35 years (n = 1200) in six townships Qianjiang District, Chongqing, China, between 2012 2014. The ultimately included 1079 participants. index was calculated using claim-based...

Abstract Background The association between poverty and health has been widely assessed. However, whether the health-related quality of life (HRQOL) holds among different groups is unknown. This study aimed to 1) assess HRQOL rural residents in China 2) examine populations, thereby supporting policy-making implementation. Methods A multistage, stratified, random household survey was conducted with self-administered questionnaires. Matched samples were generated by censored exact matching...

Objective This study aimed to define the end-of-life (EOL) healthcare utilisation and its cost determinants for cancer patients proactively inform related strategies in mainland China. Design A population-based retrospective study. Setting participants Data from 894 were collected urban Yichang, China 01 July 2015 30 June 2017. Outcome measures Emergency department (ED) visits, outpatient inpatient hospitalisation services, intensive care unit (ICU) admission total costs used as main...

Abstract Background Self-treatment is a common and widespread behaviour, of which the risks are multiplied in old age. However, determinants self-treatment among elders rural China remain unclear. This study aims to explore prevalence associated factors China, trying discover vulnerable groups as well service gaps elders. Methods Based on multi-stage stratified random sampling method, cross-sectional household survey was conducted 30 villages Sinan County, an impoverished county western...

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Background: Integrated care not only could fix up the fragmental healthcare caused by ageing of population, changing disease spectrum and fast-growing medical scientific knowledge, also improve continuity quality life.Purpose/Objectives: To investigate growth pattern, languages, core journals, jurisdictions research domains integrated care.Methods: Literature search: The Medline/PubMed was searched using search strategy "(delivery health care, [MeSH Terms]) OR care" without time language...

Abstract Background China poverty reduction policy (PRP) addresses two important elements: the targeted (TPA) project since 2015 in line with social assistance as national policy; and reducing inequality health services utilization by making provision of medical financial (MFA). Therefore, this study aims to assess effects PRP (both inpatient outpatient services) among central western rural poor China. Methods The conducted household survey applied propensity score matching (PSM) method on...

The safety culture in hospitals China was investigated using a self-designed questionnaire. A convenience sample of 217 registered nurses responded positively the areas shift change processes, hospital and nursing leadership attention to patient safety, staff cooperation, among others. However, punitive identified, reported lack committees, fear reporting errors, punishment person making an error, underreporting errors.

Background The simultaneous improvement of the security capability China Health Insurance System and its development in last decade remains uncertain. This study measures status trends reimbursement levels System, as well to offer policy advice subsequent insurance reforms. Methods National Reimbursement Ratio was created determine level national health system based on total expenditure covered population. Chinese data from 2004 2011 were extracted China's Statistics according standards...