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Assessing the effects of the percentage of chronic disease in households on health payment-induced poverty in Shaanxi Province, China SSCI SCIE
期刊论文 | 2018 , 18 | BMC HEALTH SERVICES RESEARCH
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Abstract :

BackgroundChronic disease has become one of the leading causes of poverty in China, which posed heavy economic burden on individuals, households and society, and accounts for an estimated 80% of deaths and 70% of disability-adjusted life-years lost now in China. This study aims to assess the effect of chronic diseases on health payment-induced poverty in Shaanxi Province, China.MethodsThe data was from the 5th National Health Survey of Shaanxi Province, which was part of China's National Health Service Survey (NHSS) conducted in 2013. Totally, 20,700 households were selected for analysis. We used poverty headcount, poverty gap and mean positive poverty gap to assess the incidence, depth and intensity of poverty before and after health payment, respectively. Logistic regression models were further undertaken to evaluate the influence of percentage of chronic patients in households on the health payment-induced poverty with the control of other covariates.ResultsIn rural areas, the incidence of poverty increased 31.90% before and after health payment in the household group when the percentage of chronic patients in the households was 0, and the poverty gap rose from 932.77 CNY to 1253.85 CNY (50.56% increased). In the group when the percentage of chronic patients in the households was 1-40% and 41-50%, the poverty gap increased 76.78 and 89.29%, respectively. In the group when the percentage of chronic patients in the households was 51 similar to 100%, the increase of poverty headcount and poverty gap was 49.89 and 46.24%. In the logistic model, we found that the proportion of chronic patients in the households was closely related with the health payment-induced poverty. The percentage of chronic disease in the households increased by 1 %, the incidence of poverty increased by 1.01 times. On the other hand, the male household head and the household's head with higher educational lever were seen as protective factors for impoverishment.ConclusionsWith the percentage of chronic patients in the households growing, the health payment-induced poverty increases sharply. Furthermore, the households members with more chronic diseases in rural areas were more likely to suffer poverty than those in urban areas. Our analysis emphasizes the need to protect households from the impoverishment of chronic diseases, and our findings will provide suggestions for further healthcare reforms in China and guidance for vulnerable groups.

Keyword :

NHSS Chronic diseases China Health payment-induced poverty Logistic model

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GB/T 7714 Lan, Xin , Zhou, Zhongliang , Si, Yafei et al. Assessing the effects of the percentage of chronic disease in households on health payment-induced poverty in Shaanxi Province, China [J]. | BMC HEALTH SERVICES RESEARCH , 2018 , 18 .
MLA Lan, Xin et al. "Assessing the effects of the percentage of chronic disease in households on health payment-induced poverty in Shaanxi Province, China" . | BMC HEALTH SERVICES RESEARCH 18 (2018) .
APA Lan, Xin , Zhou, Zhongliang , Si, Yafei , Shen, Chi , Fan, Xiaojing , Chen, Gang et al. Assessing the effects of the percentage of chronic disease in households on health payment-induced poverty in Shaanxi Province, China . | BMC HEALTH SERVICES RESEARCH , 2018 , 18 .
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Importance of medical information for health-care utilisation in China: a cross-sectional study CPCI-S SCIE
会议论文 | 2018 , 392 , 49-49 | Lancet-CAMS Health Summit
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GB/T 7714 Si, Yafei , Su, Min , Dong, Wanyue et al. Importance of medical information for health-care utilisation in China: a cross-sectional study [C] . 2018 : 49-49 .
MLA Si, Yafei et al. "Importance of medical information for health-care utilisation in China: a cross-sectional study" . (2018) : 49-49 .
APA Si, Yafei , Su, Min , Dong, Wanyue , Yang, Zesen , Zhou, Zhongliang , Chen, Xi . Importance of medical information for health-care utilisation in China: a cross-sectional study . (2018) : 49-49 .
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Prevalences and trends of chronic diseases in Shaanxi Province, China: Evidence from representative cross-sectional surveys in 2003, 2008 and 2013 SSCI SCIE PubMed Scopus
期刊论文 | 2018 , 13 (8) | PLOS ONE
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Objectives Non-communicable diseases, which can refer to chronic diseases that are not caused by infectious agents and can endure for a long time, are currently regarded as a critical public health problem in China. This study aimed to estimate the prevalences of self-reported physician-diagnosed chronic diseases among urban and rural populations aged 15 years and older in Shaanxi Province, China, during 2003-2013 and explore how these changes differ by subpopulation. Methods Three independent cross-sectional surveys were implemented in 2003, 2008 and 2013 in Shaanxi Province. A multistage stratified cluster random sampling method was used in each wave to collect representative samples. In total, 10,568 residents in 2003, 15,453 in 2008 and 48,808 in 2013 were included in this analysis. Information on self-reported physician-diagnosed chronic diseases was collected using face-to-face interviews in each survey. Multilevel Poisson regression with robust error variance was employed to calculate the adjusted prevalence ratios to estimate the relative change in chronic conditions in 2008 and 2013, compared to that in 2003. Results In 2013, 23.9%/22.1% of urban/rural residents, respectively, reported having at least one chronic condition, which represents an increase from 17.0%/15.1%, respectively, in 2008 and 12.8%/10.9%, respectively, in 2003. Adjusted for socio-demographic characteristics, the prevalence of chronic diseases was significantly higher in 2013 than that in 2003. Among the chronic diseases studied, the prevalence of hypertension and diabetes has increased dramatically over a decade. The increase in chronic diseases occurred mainly among the middle-aged and elderly. Conclusions Chronic diseases are highly prevalent and continuously increasing in the adult population in Shaanxi Province from 2003 to 2013. Given its large aging population, China may face a greater chronic disease burden. A national chronic disease surveillance system and screening program should be established to acquire comprehensive information regarding the distribution and trends of chronic diseases.

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GB/T 7714 Lai, Sha , Gao, Jianmin , Zhou, Zhongliang et al. Prevalences and trends of chronic diseases in Shaanxi Province, China: Evidence from representative cross-sectional surveys in 2003, 2008 and 2013 [J]. | PLOS ONE , 2018 , 13 (8) .
MLA Lai, Sha et al. "Prevalences and trends of chronic diseases in Shaanxi Province, China: Evidence from representative cross-sectional surveys in 2003, 2008 and 2013" . | PLOS ONE 13 . 8 (2018) .
APA Lai, Sha , Gao, Jianmin , Zhou, Zhongliang , Yang, Xiaowei , Xu, Yongjian , Zhou, Zhiying et al. Prevalences and trends of chronic diseases in Shaanxi Province, China: Evidence from representative cross-sectional surveys in 2003, 2008 and 2013 . | PLOS ONE , 2018 , 13 (8) .
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The role of parental health care utilization in children's unnecessary utilization in China: evidence from Shaanxi province SSCI PubMed Scopus
期刊论文 | 2017 , 16 | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH | IF: 1.71
WoS CC Cited Count: 1 SCOPUS Cited Count: 2
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Background: China has a large population of children under 18 years of age, whose health is of great concern to the Chinese health care system. However, few studies have been conducted to analyze the factors associated with children's unnecessary health care utilization in China. The objective of this study is to provide some empirical evidence on this issue by investigating the role of parental health care utilization in children's unnecessary health care use. Methods: The data were obtained from the fifth Health Service Survey of Shaanxi province in 2013. We employed three dependent variables to measure children's health care utilization: the number of children's outpatient visits during the past 2 weeks, whether or not infusion was used if the child had any outpatient visits during the past 2 weeks, and the number of children's inpatient visits during last year. Based on specific characteristics of these outcome variables, negative binomial models were used for the non-negative numbers of outpatient and inpatient visits, while a probit model was used for the zero-one indicator variable showing whether infusion was used during outpatient visits. Results: Based on a sample of 11,024 children, our results of multivariate analysis showed that children whose parents used outpatient care were estimated to have a larger number of outpatient visits than those whose parents did not have outpatient visits in the past 2 weeks (with a difference of 0.0393 visits). Among children having outpatient visits in the last 2 weeks, the probability of obtaining infusion was 57.01 percentage points higher for children whose parents used infusion in the past 2 weeks than the probability for those whose parents did not use infusion. The predicted number of inpatient visits was higher for children whose parents used inpatient services in the last year, compared with the group whose parents did not use (with a difference of 0.0567 visits). Moreover, we noted that the positive association between parental and children's health care use was more prominent among younger children. Conclusions: Chinese children whose parents were high health care users were more likely to overuse health care services, holding other factors constant. Parents can play an important role in reducing children's unnecessary outpatient visits, infusion use, and inpatient visits. The results suggest that interventions aimed at affecting patterns of parental use may be helpful in improving appropriate health care utilization for children.

Keyword :

Health care Parents Children Utilization

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GB/T 7714 Zhang, Yi , Zhou, Zhongliang , Si, Yafei . The role of parental health care utilization in children's unnecessary utilization in China: evidence from Shaanxi province [J]. | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH , 2017 , 16 .
MLA Zhang, Yi et al. "The role of parental health care utilization in children's unnecessary utilization in China: evidence from Shaanxi province" . | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH 16 (2017) .
APA Zhang, Yi , Zhou, Zhongliang , Si, Yafei . The role of parental health care utilization in children's unnecessary utilization in China: evidence from Shaanxi province . | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH , 2017 , 16 .
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Impact of an SMS advice programme on maternal and newborn health in rural China: study protocol for a quasi-randomised controlled trial SSCI SCIE PubMed Scopus
期刊论文 | 2016 , 6 (8) | BMJ OPEN | IF: 2.369
WoS CC Cited Count: 4 SCOPUS Cited Count: 2
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Introduction: Expectant mothers in low-income and middle-income countries often lack access to vital information about pregnancy, preparation for birth and best practices when caring for their newborn. Innovative solutions are needed to bridge this knowledge gap and dramatically improve maternal and neonatal health in these settings. This study aims to evaluate the impact of an innovative text messaging intervention on maternal and neonatal health outcomes. Methods and analysis: This study offers expectant mothers in rural China a package of free short messages via cell phone regarding pregnancy and childbirth. These messages are tailored to each mother's gestational week. It is hypothesised that delivering these short advice messages to pregnant women can improve maternal and newborn health. The study uses factorial quasi-randomisation to compare psychological, behavioural and health outcomes between 4 groups: 2 groups receiving different sets of short message interventions (ie, good household prenatal practices and healthcare seeking), a group receiving both interventions and a control group. Treatment assignment occurs at the individual level. The primary outcome is newborn health, measured by appropriateness of weight for gestational age. Secondary outcomes include severe neonatal and maternal morbidity as well as psychological and behavioural measures. This study has enrolled pregnant women who attend county maternal and child health centres for their prenatal visits. Discussion: This pilot is the first large-scale effort to build a comprehensive evidence base on the impact of prenatal text messages via cell phone on maternal and newborn health outcomes in China. The study has broad implications for public health policy in China and the implementation of mobile health interventions in low-resource settings around the world. Ethics: This study was approved by the Ethics Committee of the School of Medicine at Xi'an Jiaotong University on 18 January 2013.

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GB/T 7714 Su, Yanfang , Yuan, Changzheng , Zhou, Zhongliang et al. Impact of an SMS advice programme on maternal and newborn health in rural China: study protocol for a quasi-randomised controlled trial [J]. | BMJ OPEN , 2016 , 6 (8) .
MLA Su, Yanfang et al. "Impact of an SMS advice programme on maternal and newborn health in rural China: study protocol for a quasi-randomised controlled trial" . | BMJ OPEN 6 . 8 (2016) .
APA Su, Yanfang , Yuan, Changzheng , Zhou, Zhongliang , Heitner, Jesse , Campbell, Benjamin . Impact of an SMS advice programme on maternal and newborn health in rural China: study protocol for a quasi-randomised controlled trial . | BMJ OPEN , 2016 , 6 (8) .
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