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Ten Years Of National Essential Public Health Services Programs Implementation: Challenges And Recommendations, Lili You, Xinyue Chen, Linghe Yang, Jinhong Zhao, Yuting Pan, Siqi Zhang, Yuanli Liu 2022 School of Health Management Policy Chinese Academy of Medical Sciences/Peking Union Medical College, Beijing 100730, China

Ten Years Of National Essential Public Health Services Programs Implementation: Challenges And Recommendations, Lili You, Xinyue Chen, Linghe Yang, Jinhong Zhao, Yuting Pan, Siqi Zhang, Yuanli Liu

General Practice in China

As an important measure to deepen the reform of the medical and pharmaceutical health system, the national essential public health services programs has been carried out for more than ten years. Therefore, it is of great significance to evaluate the effect and remaining problems of the programs over the decade of implementation period (2009-2019) and to further promote the country's basic public health services. With reference to Donabedian quality theory, this paper summarized and analyzed the key problems existing in China's basic public health services from the aspects of project objectives, project contents, operation mechanisms, implementation processes and ...


Progress And Achievements Of The Implementation Of National Essential Public Health Services Programs Over The Past Decade, Lili You, Jinhong Zhao, Xinyue Chen, Linghe Yang, Meicen Liu, Yuting Pan, Siqi Zhang, Yuanli Liu 2022 School of Health Management Policy Chinese Academy of Medical Sciences/Peking Union Medical College, Beijing 100730, China

Progress And Achievements Of The Implementation Of National Essential Public Health Services Programs Over The Past Decade, Lili You, Jinhong Zhao, Xinyue Chen, Linghe Yang, Meicen Liu, Yuting Pan, Siqi Zhang, Yuanli Liu

General Practice in China

As an important measure to deepen the reform of the medical and pharmaceutical health system, the national essential public health services programs has been carried out for more than ten years. Therefore, it is of great significance to evaluate the effect and remaining problems of the programs over the decade of implementation period (2009-2019) and to further promote the country's basic public health services. With reference to Donabedian quality theory, this paper summarized and analyzed the key problems existing in China's basic public health services from the aspects of project objectives, project contents, operation mechanisms, implementation processes and ...


The Significance And Experience Of Implementing National Essential Public Health Programs, Lili You, Yuanli Liu 2022 School of Health Management Policy, Chinese Academy of Medical Sciences/Peking Union Medical College, Beijing 100730, China

The Significance And Experience Of Implementing National Essential Public Health Programs, Lili You, Yuanli Liu

General Practice in China

The National Essential Public Health Services Programs (NEPHSP) is a systematic and overall basic public service system arrangement made by the Chinese government at the national level aiming at the main health problems existing in urban and rural residents and targeting at key population key diseases and the whole population. Year of 2019 is the tenth anniversary of the NEPHSP implementation. This article summarized the significance of implementing NEPHSP based on a 10-year evaluation of NEPHSP from four aspects: universal health coverage, Healthy China 2030 strategy, China's deepening health system reform and major institutional innovation. At the same time ...


Research Hotspots And Evolution On Hierarchical Diagnosis And Treatment System In China, Qinde Wu 2022 1.School of Economics and Management,Fuzhou University,Fuzhou 350116,China 2.Fujian Medical University Union Hospital,Fuzhou 350001,China

Research Hotspots And Evolution On Hierarchical Diagnosis And Treatment System In China, Qinde Wu

General Practice in China

Background The hierarchical diagnosis and treatment system has become the top priority of deepening medical reform at present, and it is particularly important to understand its research hotspots and evolution.ObjectiveTo systematically summarize the development trend and evolution process of hierarchical diagnosis and treatment system in China and grasp its knowledge base, research hotspots and development trends, in order to provide scientific reference for subsequent research.Methods China National Knowledge Infrastructure(CNKI) database was used as the data source and "hierarchical diagnosis" "hierarchical treatment" "ladder network of medical prevention" "hierarchical medical system and division of labor in blocks" "hierarchical medical ...


Criteria For Setting Fever Sentinel Clinics In Primary Health Care Institutions: An Inductive Summary Based On Expert Discussions, Yunyun Yan, Tengyang Fan, Haitang Wang, Jianmin Zhang, Zhaohui Du, Xiaoming Sun 2022 Department of General Practice,Zhongshan Hospital,Fudan University,Shanghai 200030,China

Criteria For Setting Fever Sentinel Clinics In Primary Health Care Institutions: An Inductive Summary Based On Expert Discussions, Yunyun Yan, Tengyang Fan, Haitang Wang, Jianmin Zhang, Zhaohui Du, Xiaoming Sun

General Practice in China

Background Many countries have carried out sentinel surveillance programs to monitor infectious diseases. As containing COVID-19 has become normalized,the Department of Primary Health of the National Health Commission of the People's Republic of China recommends primary healthcare institutions to set up a fever sentinel surveillance clinic. Objective To develop a set of nationwide used standards for the establishment of a fever sentinel surveillance clinic in primary healthcare institutions with regional differences in healthcare level and medical resources taken into account,to surveil and contain possible regional epidemiology of COVID-19 and other infectious diseases in autumn and winter in ...


Reflections And Recommendations On Setting Up Fever Sentinel Surveillance Clinic In Primary Healthcare Institutions, Yi Ren, Yanli Liu, Li Ma 2022 Department of Education,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China

Reflections And Recommendations On Setting Up Fever Sentinel Surveillance Clinic In Primary Healthcare Institutions, Yi Ren, Yanli Liu, Li Ma

General Practice in China

In the system of public health emergency preparedness network,primary care plays an important role as the "bottom of the net". Establishing fever sentinel surveillance clinics in primary healthcare institutions is conducive to the realization of early detection,diagnosis,and isolation and timely reporting of public health emergencies,thus controlling the spread of an epidemic.Currently,China is stepping up efforts to construct fever sentinel surveillance clinics and fever clinics in primary healthcare institutions,but the construction standards and functions of such clinics are still preliminary exploration. According to the requirements of relevant regulations,the minimum standards of fever sentinel ...


Level Of Trust In Health Care Systems During Covid-19 Pandemic Among Health Care Workers Of Pakistan, Asmara Ahmed Malik, Sobia Awan, Ali Tahir Rana, Jahanzeb Malik, Uzma Ishaq, Mamoona Zahoor, Syed Muhammad Jawad Zaidi 2022 Department of Community Medicine, National University of Medical Sciences

Level Of Trust In Health Care Systems During Covid-19 Pandemic Among Health Care Workers Of Pakistan, Asmara Ahmed Malik, Sobia Awan, Ali Tahir Rana, Jahanzeb Malik, Uzma Ishaq, Mamoona Zahoor, Syed Muhammad Jawad Zaidi

Journal of Community Hospital Internal Medicine Perspectives

This survey aimed to evaluate the levels of trust and satisfaction among healthcare workers towards the national healthcare delivery system and whether it has been affected by the global disruption created by COVID-19. This was an analytical cross-sectional study that took place from January to October 2021 at a tertiary level health care facility in Rawalpindi, Pakistan, using an online data collection tool. Our sample included 10, 133 healthcare workers of all cadres. Our study found a significant level of distrust of healthcare workers towards multiple aspects of the healthcare delivery system, particularly towards government agencies and other members of ...


Global Perspectives For Strengthening Health Education: A Mixed-Methods Study, Mohammad Torabi, Wasantha Jayawardene, Dennis Daniels, Tapati Dutta, Nicola Bragazzi, David K. Lohrmann 2022 Indiana University Bloomington

Global Perspectives For Strengthening Health Education: A Mixed-Methods Study, Mohammad Torabi, Wasantha Jayawardene, Dennis Daniels, Tapati Dutta, Nicola Bragazzi, David K. Lohrmann

Health Behavior Research

This study aimed to identify the knowledge, experiences, and attitudes about current practices of health education (HE) among government-affiliated high-profile health administrators in developed and developing nations. Respondents (N = 21) were purposively selected based on their affiliation as a health administrator at the national level, with roles in high-profile decision-making for devising policies/programs and allocating funding or advocating strategies to advance HE. Information was gathered using a web-based cross-sectional survey in 5 languages, consisting of 14 closed-ended and 8 open-ended questions. A majority were males (70%) and spoke English (57%), 45% had postgraduate degrees, and 57% were from high-income ...


Efficacy Of Various Interventions For Achieving Target Hba1c Levels For Patients With Type Ii Diabetes Mellitus And On Exogenous Insulin, Caitlin S. Welch, Archie Troxel 2022 University of Tennessee Health Science Center

Efficacy Of Various Interventions For Achieving Target Hba1c Levels For Patients With Type Ii Diabetes Mellitus And On Exogenous Insulin, Caitlin S. Welch, Archie Troxel

Longitudinal Scholar's Project

Objective: To learn the rates at which patients at UT Family Medicine–St. Francis (UTFM–SF) with type II diabetes mellitus are being prescribed recommended medications—namely metformin, sodium-glucose cotransporter 2 (SGLT2) inhibitors, and glucagon-like peptide 1 receptor agonists (GLP1RAs)—whether these rates correspond to the severity of hyperglycemia (as indicated by HbA1C level). A secondary goal of the study was to investigate if HbA1C levels are being checked at recommended intervals.

Methods: A retrospective chart review was conducted using records of patients seen at the clinic in the previous four years between the ages of 18 and 65 who ...


Improving Knowledge, Attitude, And Compliance Of Hand Hygiene Of Iranian Healthcare Workers: A Pilot Study Using Reminder Card, Zahra Chegini, Ifeoluwapo Kolawole, Prashant Singh, Farzaneh Alikhah, Yalda Rasti, Zahra Motazedi 2022 Chulalongkorn University

Improving Knowledge, Attitude, And Compliance Of Hand Hygiene Of Iranian Healthcare Workers: A Pilot Study Using Reminder Card, Zahra Chegini, Ifeoluwapo Kolawole, Prashant Singh, Farzaneh Alikhah, Yalda Rasti, Zahra Motazedi

Journal of Health Research

Background: Compliance rate of hand hygiene practice by healthcare workers has been observed to be universally low despite its importance, simplicity and cost-effectiveness in preventing the spread of infectious diseases in the healthcare settings. This study aimed to improve healthcare workers’ knowledge, attitudes, and compliance with hand hygiene by using reminder cards displayed by patients.

Method: This before-after interventional study was carried out in 2019 among healthcare workers of a hospital in Tabriz, Iran. The intervention was a ‘Reminder Card’ showed by patients to remind healthcare workers to clean their hands. Participants' knowledge and attitude about hand hygiene and compliance ...


Provider Attitude Towards Postpartum Sexual Health, Katie Shearer, Pallavi Khanna 2022 University of Tennessee Health Science Center

Provider Attitude Towards Postpartum Sexual Health, Katie Shearer, Pallavi Khanna

Longitudinal Scholar's Project

Background: The prevalence of female sexual dysfunction (FSD) worldwide is estimated to be 41%. FSD is even more prevalent in postpartum patients. There are significant barriers to addressing FSD in a busy clinic, and the use of a standardized screening questionnaire could be used to improve outcomes during postpartum appointments.

Methodology: Providers that care for postpartum patients at Regional One Health in Memphis, TN, were asked to complete an anonymous survey online. General knowledge and practices of providers were assessed.

Results: 79% of respondents answered that they felt very comfortable assessing for postpartum sexual health, and 88% of respondents expressed ...


Increasing Appointment Adherence In Patients With Diabetes Mellitus Via Appointment Reminders And Patient Education, Leslie Guy 2022 University of St. Augustine for Health Sciences

Increasing Appointment Adherence In Patients With Diabetes Mellitus Via Appointment Reminders And Patient Education, Leslie Guy

Student Scholarly Projects

Practice Problem: Appointment no-shows and nonadherence have been an organization-wide concern within the project setting, resulting in increased healthcare costs and workload while disrupting the continuity of patient care.

PICOT: The PICOT question that guided this project was: In adult diabetic patients ages 19-99 (P), how do appointment reminders by nursing staff and patient education related to appointment adherence (I) compared to the current practice of appointment reminders by administrative assistants and no patient education related to appointment adherence (C) affect appointment adherence rates (O) within ten weeks (T)?

Evidence: Current evidence demonstrates that patient appointment reminders improve appointment adherence ...


Comparison Of Routine Health Screening Rates Between Two Emr Systems, Lauren M. Cancio, Caleb J. Berta 2022 University of Tennessee Health Science Center

Comparison Of Routine Health Screening Rates Between Two Emr Systems, Lauren M. Cancio, Caleb J. Berta

Longitudinal Scholar's Project

An EMR, electronic medical record, system refers to the software widely adopted by medical practitioners to reduce the use of hard-copy files, and improve the documentation, storage, and retrieval of patient information. Some EMR systems can generate automatic alerts reminding providers when patients are due for certain preventive services or meet the criteria for various screening measures. Epic, one of the leading EMR systems in use today, contains this additional feature. The screening recommendations built into Epic are derived from a committee of USPSTF, U.S. Preventive Services Task Force, medical experts whose focus is to improve patient health across ...


Ethical Implications Of Covid-19 Surveillance In Karnataka Using Nancy Kass Framework, Apurva Jain, Lakshya Arora 2022 Tata Institute of Social Sciences (TISS), Mumbai, India

Ethical Implications Of Covid-19 Surveillance In Karnataka Using Nancy Kass Framework, Apurva Jain, Lakshya Arora

Journal of Health Ethics

Numerous public health hurdles, including pandemics such as COVID-19, have led to concerns about community health practices in relation, necessitating the application of an ethical perspective. International research ethics guidelines are only used in a restricted range of contexts of public health. As a result, a variety of frameworks have been established to assist ethical analysis of public health concerns. In this study, we have used the Nancy Kass framework for analyzing COVID-19 surveillance in Karnataka state of India, which is a six-step approach that can assist public health practitioners in evaluating the ethical consequences of interventions, policy initiatives, services ...


Overview Of Transition Care Clinics And Patient No-Shows, Manul Awasthi 2022 East Tennessee State University

Overview Of Transition Care Clinics And Patient No-Shows, Manul Awasthi

Electronic Theses and Dissertations

Introduction

Transition care clinics (TCCs) have proven to be effective in meeting the time-sensitive needs of patients in the post-discharge period and ensuring smooth transitions of patients from hospital to home. These clinics have led to lower readmissions, lower emergency department visits, cost savings, and lower rates of other adverse events following discharge. However, TCCs, including the East Tennessee State University Family Medicine (ETSU-FM) TCC have been facing high rates of patient no-shows.

Aim

The aim of this dissertation is to identify the different components and outcomes of TCC based on the literature. We further aim to analyze the TCC ...


The Patient-Centered Medical Home And The Value Of Heightened Care Coordination: A Systematic Literature Review, Garrett L. Vetter 2022 University of Nebraska Medical Center

The Patient-Centered Medical Home And The Value Of Heightened Care Coordination: A Systematic Literature Review, Garrett L. Vetter

Capstone Experience

Health care spending in the United States continues to increase at a pace that far exceeds inflation. Representing a greater proportion of the nation’s gross domestic product (GDP) than any other country, costs associated with health care services in the U.S. lend support to growing concern regarding the sustainability of current systems. Furthermore, the fragmented nature of the current landscape often presents challenges to the provision of high-quality and efficient care. Satisfaction among both patients and health care providers, alike, suffers under the weight of increasing regulatory burden, the lack of integrated medical records systems, and growing complexity ...


Analysis Of The Utilization Of Nebraska Medicine's Price Transparency Tool, Ingrid A. Olson 2022 University of Nebraska Medical Center

Analysis Of The Utilization Of Nebraska Medicine's Price Transparency Tool, Ingrid A. Olson

Capstone Experience

Healthcare costs have become a significant concern for patients, healthcare facilities, economists, and politicians within the United States. In an effort to understand and reduce health-related costs, price transparency laws were enacted at the beginning of 2021. Because of these new laws, hospitals must provide a price transparency tool for their patients. “Price transparency in healthcare makes pricing information more readily available, defines the value of services, and enables patients and other care purchasers to identify, compare, and choose providers that offer the desired level of value” (AAMC, 2022). However, research results on price transparency tools use and efficacy is ...


Supporting Post-Secondary Implementation Of Recovery-Oriented Practice In A Stepped Care Model, Janis Campbell 2022 Western University

Supporting Post-Secondary Implementation Of Recovery-Oriented Practice In A Stepped Care Model, Janis Campbell

The Organizational Improvement Plan at Western University

Student mental health has been a growing concern for higher education communities for many years. Campuses have been struggling to keep up with the increasing demand for services which has been complicated further by the COVID-19 pandemic. A Stepped Care model (SCM) developed at a Canadian university has been offering new ways of organizing mental health resources based on open access, student choice, and recovery principles. There are diverse definitions of recovery in the literature and are usually based on values such as empowerment, respect, and self-determination. SCMs have been shown to increase access to resources and reduce or eliminate ...


Sepsis: Do The Clinical Criteria Support The Medical Coding?, April M. Insco 2022 University of Tennessee Health Science Center

Sepsis: Do The Clinical Criteria Support The Medical Coding?, April M. Insco

Theses and Dissertations (ETD)

Background: Sepsis is a condition that can be very costly and very deadly. Diagnosing sepsis can be challenging as there is not one specific test that will identify whether a patient has sepsis and there are varying opinions as to the true definition of sepsis. The definition of sepsis used for this research is a combination of System Inflammatory Response Syndrome (SIRS) with an identified infection. Medical Coders must review the documentation provided in a medical record to accurately assign an ICD-10-CM code. Administrative data is then used to provide statistical information for research purposes. When coded data is not ...


Increased Rates Of Death From Unintentional Injury Among Non-Hispanic White, American Indian/Alaska Native, And Non-Metropolitan Communities, Lindsey R. Hammerslag, Jeffery Talbert, Tyrone F. Borders 2022 University of Kentucky

Increased Rates Of Death From Unintentional Injury Among Non-Hispanic White, American Indian/Alaska Native, And Non-Metropolitan Communities, Lindsey R. Hammerslag, Jeffery Talbert, Tyrone F. Borders

Rural & Underserved Health Research Center Publications

Overview of Key Findings

  • Living in a nonmetropolitan area is associated with an increase in the age-adjusted death rate from unintentional injuries, from 46.2 in metropolitan areas to 59.2 in nonmetropolitan areas in 2018, with all races/ethnicity groups affected except for non-Hispanic Black.
  • The ratio of unintentional injury deaths in nonmetropolitan areas, compared to metropolitan areas, was 1.28 overall, ranging from 1.05 to 1.56 depending on race and ethnicity.
  • American Indians and Alaska Natives have the highest rate of living in nonmetropolitan areas (39.5%), and this group has the greatest increase in death ...


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