Inequities in Chinese Health Services: An Overview of the Recent History of Chinese Health Care and Recommendations for Reform

The Chinese health system was once held up as a model for providing universal health care in the developing world in the 1970s, only to have what is now considered one of the least equitable systems in the world according to the World Health Organization. This article begins with a brief look at what equity in health services entails, and considers the inequities in access to health services in China among different segments of the population. [from abstract]

Health Providers’ Perspectives on Delivering Public Health Services Under the Contract Service Policy in Rural China: Evidence from Xinjian County

This study is a rare attempt to explore the perspectives of health providers on the contract service policy, and investigate the demand side’s attitude toward the public health services delivered under the contract policy. This evidence from Xinjian County, Jiangxi Province, the first and most representative pilot site of the contract service, could serve as a reference for policymakers to understand the initial effects of the policy, whereby they can regulate and amend some items before extending it to the whole country. [from abstract]

Comparative Study on Health Care System Between Myanmar and China According to World Health Organization (WHO)’s Basic Health Blocks

This paper is a comparative analysis between China’s and Myanmar’s health systems, viewed through the WHO’s six building blocs of health systems: service delivery, health workforce, health information, access to essential medicines, health financing, leadership or governance.

Stop Violence Against Medical Workers in China

The incidence of patient-doctor disputes are alarmingly increasing in China, this article reviews the current status and causes of violence against medical workers in China, six strategies to tackle the daily worrying problems have been proposed and hopefully could improve the medical working environment in China. [from abstract]

Health Services Workforce in Rural China: Baseline Description

This research tried to reveal the current situation and to track the future trends of the rural health workforce. By
stratified multistage cluster sampling processes, the baseline data of nationwide longitudinal survey were gathered
from China.

Challenges of Introducing Participant Observation to Community Health Research

In this paper, we describe how we use participant observation in a community health research study with Chinese-born immigrant women. We document discrepancies between these women’s beliefs and types of behavior regarding health and health promotion. We further discuss the ethnical, time, and setting challenges in community health research using participant observation. Possible solutions are also discussed. [from abstract]

Job Burnout, Mood State, and Cardiovascular Variable Changes of Doctors and Nurses in a Children's Hospital in China

This study examines mood and cardiovascular variables related to job stress and burnout in hospital personnel. [from abstract]

The Study of the Rational Allocatio n of China’s Human Resources for Health

Through the supply and demand of China’s human resources for health status, age structure, educational level of existing health professionals and other aspects of statistical analysis to understand the current situation of China’s
health human resources, so as to put forward the healthy development of health human resource allocation optimization suggestions, and provide the basis for the formulation of relevant policies. [from abstract]

Importance-Satisfaction Analysis for Primary Care Physicians’ Perspective on EHRs in Taiwan

This study provided a direction to the Taiwanese government by focusing on attributes which physicians found important but were dissatisfied with, to close the gap between actual and expected performance of the EHRs. [adapted from abstract]

Use of Text Messages to Communicate Clinical Recommendations to Health Workers in Rural China: A Cluster-Randomized Trial

To compare the effectiveness of mobile phone text messaging and that of traditional health worker training in communicating clinical recommendations to health workers in China. [from abstract]

Impact on Patient Health and Service Outcomes of Introducing Nurse Consultants: A Historically Matched Controlled Study

The position of nurse consultant (NC) was introduced in Hong Kong in five clinical specialties: diabetes, renal, wound and stoma care, psychiatry, and continence. This pilot explored the impact of the introduction of NCs on patient health and service outcomes. [adapted from abstract]

Impact of Nurse Working Hours on Patient Safety Culture: A Cross-National Survey Including Japan, the United States and Chinese Taiwan Using the Hospital Survey on Patient Safety Culture

The purpose of this study was to clarify the impact of long nurse working hours on patient safety culture in Japan, the US, and Chinese Taiwan using the Hospital Survey on Patient Safety Culture assessment tool. [adapted from abstract]

Implementation of Evidence-Based Practice across Medical, Nursing, Pharmacological and Allied Healthcare Professionals: A Questionnaire Survey in Nationwide Hospital Settings

This study investigated the implementation of evidence-based practice, which is regarded as core competence to improve healthcare quality, of six groups of professionals: physicians, nurses, pharmacists, physical therapists, technicians, and other allied healthcare personnel.

Medical Professionalism among Clinical Physicians in Two Tertiary Hospitals, China

This article reports a study which developed a 13-item professional attitudes and 11-item behaviors inventory in order to investigate medical professional attitudes and behaviors in China and explore the influencing factors. [adapted from abstract]

Integrative OSCE Methodology for Enhancing the Traditional OSCE Program at Taipei Medical University Hospital: A Feasibility Study

Although significant improvements in teaching methodologies have been made in all areas of medicine and health care, studies reveal that students in many areas of health care taking an objective structured clinical examination express difficulties. This feasibility study assessed the educational effectiveness of an integrated objective structured clinical examination using both standardized patients and virtual patients. [adapted from abstract]

What Interventions Do Rural Doctors Think Will Increase Recruitment in Rural Areas: A Survey of 2778 Health Workers in Beijing

Strategies have been developed by the Chinese government to improve the recruitment of rural doctors. However, the inequitable distribution of doctors has not improved significantly. The objective of this study was to explore the reasons for the poor recruitment and to propose possible strategies to improve the situation. [adapted from abstract]

Factors Associated with Burnout among Chinese Hospital Doctors: A Cross-Sectional Study

This study investigated the factors related to burnout among Chinese doctors in order to improve the health of doctors and the quality of healthcare services in China. [adapted from abstract]

Comparative Study of an Externship Program Versus a Corporate-Academic Cooperation Program for Enhancing Nursing Competence of Graduating Students

This study compared the effects of an externship program and a corporate-academic cooperation program on enhancing junior college students’ nursing competence and retention rates in the first 3 months and 1 year of initial employment.

Human Resource Development and Capacity-Building During China's Rapid Scale-Up of Methadone Maintenance Treatment Services

The purpose of this article is to review human resource development and capacity-building efforts within China’s National Methadone Maintenance Treatment Programme, illustrate changes in program performance metrics over time, and convey lessons that will provide guidance to other developing countries attempting to implement similar programs. [from author]

Effectiveness of Nurse Case Management Compared with Usual Care in Cancer Patients at a Single Medical Center in Taiwan: A Quasi-Experimental Study

The aim of this study is to evaluate the effectiveness of care quality in cancer patients using a nurse case management model. [adapted from abstract]

Burden Experienced by Community Health Volunteers in Taiwan: A Survey

Volunteers in Taiwan complement the delivery of health services by paid health professionals. This paper explores the burdens associated with their activities and the degree to which they are experienced. [adapted from abstract]

Longitudinal Study of Rural Health Workforce in Five Countries in China: Research Design and Baseline Description

The authors conducted a longitudinal study to explore the current situation and track the future evolution of the rural healthcare workforce, specifically village doctors, in China. [adapted from abstract]

Staff Retention after the Privatization of Township-Village Health Centers: A Case Study from the Haiman City of East China

In East China’s Jiangsu Province, the City of Haimen privatized all 25 township-village health centers in 2002. This study assesses the effect of privatization on staff retention among these health centers. [from abstract]

Anxiety Symptoms among Chinese Nurses and the Associated Factors: A Cross Sectional Study

The purpose of this study was to investigate anxiety symptoms and the associated factors in Chinese nurses working in public city hospitals. [from abstract]

Redistributive Effects of the National Health Insurance on Physicians in Taiwan: A Natural Experiment Time Series Study

This study examines the effects of implementing national health insurance on the problem of geographic maldistribution of health providers in Taiwan. [from abstract]

Compliance of Health Care Workers with Hand Hygiene Practices: Independent Advantages of Overt and Covert Observers

This study used covert observers to determine health worker adherence to hand hygiene compliance for hospital infection control.

Case Study of the Counterpart Technical Support Policy to Improve Rural Health Services in Beijing

This study systematically evaluated a program to improve rural health services and reduce inequality in urban and rural services by requiring urban doctors to spend time in rural hospitals. The evaluation assessed changes over time in hospital performance and the rural-urban performance gap. [adapted from abstract]

Model for Community Health Service Development in Depressed Rural Areas in China

This article describes and intervention to introduce a model of community health service organization, as implemented in urban areas, to less developed rural areas in China and evaluate the impact of this model on health care utilization. [adapted from abstract]

Work-Family Conflict and Burnout among Chinese Female Nurses: The Mediating Effect of Psychological Capital

Exploring risk factors of nurse’ burnout is important to improve nurses’ health and to increase the quality of health care services. This study aims to explore the relationship between work-family conflict and burnout among Chinese female nurses and the mediating role of psychological capital in this relationship. [from abstract]

Management and Organization of Health Professionals, and Health Human Resource Management in China

This presentation provides a background to China’s health workforce by category, the current situation of the health workforce and the challenges and latest responses. [adapted from author]