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village doctor

Xin Wang, Stephen Birch, Weiming Zhu, Huifen Ma, Mark Embrett, Qingyue Meng
BACKGROUND: Increases in health care utilization and costs, resulting from the rising prevalence of chronic conditions related to the aging population, is exacerbated by a high level of fragmentation that characterizes health care systems in China. There have been several pilot studies in China, aimed at system-level care coordination and its impact on the full integration of health care system, but little is known about their practical effects. Huangzhong County is one of the pilot study sites that introduced organizational integration (a dimension of integrated care) among health care institutions as a means to improve system-level care coordination...
October 12, 2016: BMC Health Services Research
Marlene Z Bloom
It was four months in Alaska, in the middle of winter, that changed Joseph Marek's view of what it means to be a pharmacist. Marek was on his last rotation in pharmacy school when he experienced the kind of practice that he wanted for himself. He found that kind of practice as a consultant pharmacist, and next month, Marek, 49, will become the 2016-2017 president of the American Society of Consulting Pharmacists. Working at the Public Health Service (PHS) in the Arctic Circle in 1990, he dispensed and carried out clinical duties with the chief pharmacist and provided care to the native Inuit population through the Indian Health Service...
2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
Guangyu Lu, Yaobao Liu, Claudia Beiersmann, Yu Feng, Jun Cao, Olaf Müller
BACKGROUND: China has made great progress in malaria control over the last century and now aims to eliminate malaria by 2020. In 2012, the country launched its 1-3-7 surveillance and response strategy for malaria elimination. The strategy involves to case reporting within 1 day, case investigation within 3 days, and focus investigation and public health actions within 7 days. The aim of this study was to evaluate the challenges in and lessons learned during the implementation of the 1-3-7 strategy in China so far...
October 5, 2016: Infectious Diseases of Poverty
T Ye, J-U Niehoff, Y Zhang, L Zhang
Background: China's healthcare system is developing very fast but needs a regulatory practice, which helps to improve effectiveness and efficiency. This is a problem in rural China, in particular. The government is promoting a providing system with gatekeeping and mandatory referral procedures in order to limit resulting problems. However, there exists little evidence, which of the primary healthcare facilities in rural China should be given these functions. Objective: It is this study's objective to determine the impact of the specific medical institution of an initial visit on the patients' following move through the healthcare system...
September 7, 2016: Das Gesundheitswesen
Li Chen, Xiaozhen Du, Lin Zhang, Michelle Helena van Velthoven, Qiong Wu, Ruikan Yang, Ying Cao, Wei Wang, Lihui Xie, Xiuqin Rao, Yanfeng Zhang, Jeanne Catherine Koepsell
BACKGROUND: The aim of this study was to assess the effectiveness of an EPI smartphone application (EPI app) on improving vaccination coverage in rural Sichuan Province, China. METHODS: This matched-pair cluster randomized controlled study included 32 village doctors, matched in 16 pairs, and took place from 2013 to 2015. Village doctors in the intervention group used the EPI app and reminder text messages while village doctors in the control group used their usual procedures and text messages...
2016: BMC Public Health
Jing Zhang, Rohina Joshi, Jixin Sun, Samantha R Rosenthal, Miao Tong, Cong Li, Rasika Rampatige, Meghan Mooney, Alan Lopez, Lijing L Yan
BACKGROUND: Currently there are two main sources of mortality data with cause of death assignments in China. Both sources-the Ministry of Health-Vital Registration system and the Chinese Disease Surveillance Point system-present their own challenges. A new approach to cause of death assignment is a smartphone-based shortened version of a verbal autopsy survey. This study evaluates the feasibility and acceptability of this new method conducted by township health care providers (THP) and village doctors (VD) in rural China, where a large proportion of deaths occur in homes and cause of death data are inaccurate or lacking...
2016: Population Health Metrics
Eduardo Fe, Timothy Powell-Jackson, Winnie Yip
The agency problem between patients and doctors has long been emphasised in the health economics literature, but the empirical evidence on whether patients can evaluate and respond to better quality care remains mixed and inconclusive. Using household data linked to an assessment of village doctors' clinical competence in rural China, we show that there is no correlation between doctor competence and patients' healthcare utilisation, with confidence intervals reasonably tight around zero. Household perceptions of quality are an important determinant of care-seeking behaviour, yet patients appear unable to recognise more competent doctors - there is no relationship between doctor competence and perceptions of quality...
August 15, 2016: Health Economics
Ginger Sullivan, Beverley O'Brien, Prudence Mwini-Nyaledzigbor
OBJECTIVE: we explored how women in northern Ghana who have or have had obstetric fistula and those close to them perceive support. DESIGN: focused ethnography, that includes in-depth interviews, participant observation, and scrutiny of relevant records. SETTING: a fistula treatment centre in a regional urban centre and three remote villages located in northern Ghana. PARTICIPANTS: the sources of data included in-depth interview (n=14), non-participant observation and interaction, as well as scrutiny of relevant health records and documents...
September 2016: Midwifery
Zhixia Zhang, Xingxin Zhan, Hongjun Zhou, Fang Sun, Heng Zhang, Merrick Zwarenstein, Qian Liu, Yingxue Li, Weirong Yan
The aim of this study was to explore the knowledge, attitudes, and practices of village doctors regarding the prescribing of antibiotics for children under 15 years with upper respiratory tract infections (URTIs) in rural China. Twelve focus group discussions (FGDs) were conducted in Xianning, a prefecture-level city in rural China, during December 2014. We conducted 6 FGDs with 35 village doctors, 3 with 13 primary caregivers (11 parents), and 3 with 17 directors of township hospitals, county-level health bureaus, county-level Centers for Disease Control and Prevention, or county-level Chinese Food and Drug Administration offices...
June 2016: Medicine (Baltimore)
Lalitha Vadrevu, Barun Kanjilal
INTRODUCTION: Inaccessibility due to terrain and lack of transport leaves mothers travelling for long hours before reaching a facility to deliver a child. In the present article we analyzed the issue of spatial inaccessibility and inequity of maternal health services in the Indian Sundarbans where complex topography and repeated climatic adversities make access to health services very difficult. METHODS: We based the article on the health-GIS study conducted in the Patharpratima Block of the Sundarbans in the year 2012...
2016: International Journal for Equity in Health
Linqiu Ke, Yuwei Zhang, Xiaoqian Wang, Shengyong Li, Wei Yang, Nanwei Tong
BACKGROUND: To assess the quality of diabetes care and characteristics of the healthcare system in the underdeveloped rural mountain areas of western China. METHODS: We used questionnaires to collect data from 288 diabetic patients by multi stage cluster sampling method in Zhongjiang County, Sichuan Province, China between October 2009 and April 2010. Sixty-two village clinics, 23 town health centers, and a county central hospital were included to assess the availability of diabetes-related medical resources...
June 1, 2016: Journal of Diabetes
Lan Angela Li
‘Barefoot doctors’ were designed as an innovative task force during the Cultural Revolution (1966-1976) to provide health care to rural villages in China. Without formal training that would identify the group professionally, barefoot doctors were at once amateur medical practitioners and expert revolutionary actors in Communist Party propaganda. At stake in legitimating revolutionary medicine was allowing revolutionary spirit to supplement for minimal medical training. As a result, the symbolic power of representing barefoot doctors rested in showcasing their devotion to enhancing access to health care in rural China...
September 2015: Endeavour
Jean-Marie Milleliri
He would have celebrated his 100th birthday in 2015, but finally, it doesn't matter, since by leaving his name to African meningitis belt, that isohyetal band in sub-Saharan Africa where epidemics of cerebrospinal meningitis are rife, Lapeyssonnie, the trailblazer at the end of his trail, has gone straight into the textbooks of tropical medicine. There was probably nothing he enjoyed more than wandering the lateritic paths and Sudano-Sahelian bush in that zone. His first job, in the Mossi country in Upper Volta that had not yet become Burkina Faso, was of course an initiation...
January 2016: Médecine et Santé Tropicales
Jian Wu, Xiaofang Li, Yao Song, Hui Shao, Qian Shi, Doudou Qin, Shuangbao Xie, Lizheng Shi
BACKGROUND: The strategy of health policy has been changed for improving the performances to meeting the increasing healthcare demands. However, limited evidences were found to prove that the bundled payment was valid for service delivering in public sector. This study was designed to evaluate the effectiveness of a bundled policy on strengthening the county-village communication and improving the quality of chronic disease management. METHODS: This is a retrospective cohort study using the data collected in 2011, 2012 and 2014 from the Rural Health Development Project in China...
2016: International Journal for Equity in Health
Xiaoyan Zhang, Pengqian Fang
Objective China launched new healthcare reforms in 2009 and several policies targeted village clinics, which affected village doctors' income, training and duties. The aim of the present study was to assess village doctors' job satisfaction during the reforms and to explore factors affecting job satisfaction. Methods Using a stratified multistage cluster sampling process, 935 village doctors in Jiangxi Province were surveyed with a self-administered questionnaire that collected demographic information and contained a job satisfaction scale and questions regarding their work situation and individual perceptions of the new healthcare reforms...
April 2016: Australian Health Review: a Publication of the Australian Hospital Association
Ferenc Horváth
The present study summarizes the most important events of life and professional career of Daniel Józsa born 220 years ago. Józsa, the Medical Chief of former Crasna county was born in Uzon of Székely region on 1, October, 1795. From the age of 10 he studied at the Bethlen College in Nagyenyed. In 1822 he attended the University of Medical Sciences in Vienna, where he got his doctor's degree in 1828. He wrote his dissertation on the diseases of the female breast. In the same year he settled with his first wife in Szilágysomlyó, Crasna county, where he was appointed Medical Chief of the county by the Transylvanian Governor...
2015: Orvostörténeti Közlemények
Tongtong Li, Trudy Lei, Zheng Xie, Tuohong Zhang
BACKGROUND: To ensure equity and accessibility of public health care in rural areas, the Chinese central government has launched a series of policies to motivate village doctors to provide basic public health services. Using chronic disease management and prevention as an example, this study aims to identify factors associated with village doctors' basic public health services provision and to formulate targeted interventions in rural China. METHODS: Data was obtained from a survey of village doctors in three provinces in China in 2014...
2016: BMC Health Services Research
Shiva Bhandari, Jamuna Tamrakar Sayami, Pukar Thapa, Matina Sayami, Bishnu Prasad Kandel, Megha Raj Banjara
BACKGROUND: Improper dietary intake pattern in women of reproductive age in Nepal has resulted in the deficiency of essential nutrients. Adequate nutritional status and proper dietary intake pattern of women improves maternal and child health. The objective of this study was to assess the nutritional status and dietary intake pattern among the women and associated factors. METHODS: Data collection at households and health check-up camps were conducted in selected Village Development Committees of nine districts in three ecological regions (Mountain, Hill and Terai) of Nepal from September 2011 to August 2012...
2016: Archives of Public Health, Archives Belges de Santé Publique
Kim Engler, Kathleen Rollet, David Lessard, Réjean Thomas, Bertrand Lebouché
BACKGROUND: Increasing access and uptake of HIV testing among at-risk women is needed. Examining women's motives for visiting a community-based rapid HIV testing site (Actuel sur Rue-AsR) oriented to men who have sex with men (MSM) could offer suggestions. OBJECTIVE: To compare the "heterosexual" female and male clients of AsR, located in Montreal's (Canada) gay village, to better understand the women's particular HIV prevention and sexual health service needs. METHODS: This cross-sectional pilot study analyzed questionnaire data provided by AsR clients and staff (nurse and community agent teams) between July 2012 and November 2013...
April 2016: Journal of Primary Care & Community Health
Dong Roman Xu, Wenjie Gong, Eric D Caine, Shuiyuan Xiao, James P Hughes, Marie Ng, Jane Simoni, Hua He, Kirk L Smith, Henry Shelton Brown, Stephen Gloyd
INTRODUCTION: Schizophrenia is a severe, chronic and disabling mental illness. Non-adherence to medication and relapse may lead to poorer patient function. This randomised controlled study, under the acronym LEAN (Lay health supporter, e-platform, award, and iNtegration), is designed to improve medication adherence and high relapse among people with schizophrenia in resource poor settings. METHODS/ANALYSIS: The community-based LEAN has four parts: (1) Lay health supporters (LHSs), mostly family members who will help supervise patient medication, monitor relapse and side effects, and facilitate access to care, (2) an E-platform to support two-way mobile text and voice messaging to remind patients to take medication; and alert LHSs when patients are non-adherent, (3) an Award system to motivate patients and strengthen LHS support, and (4) iNtegration of the efforts of patients and LHSs with those of village doctors, township mental health administrators and psychiatrists via the e-platform...
2016: BMJ Open
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