Lancet
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The New Rural Cooperative Medical Scheme (NRCMS) covers 900 million farmers (about 95%) in China, but its fund is at serious risk of deficit. Shanghai, one of the developed cities in China, has developed its Rural Cooperative Medical Scheme and NRCMS as an advanced and exemplary representative of Chinese rural health insurance. The participating rate of NRCMS was 99·90% in Pudong New Area in 2015, which meant 277 310 farmers were involved, accounting for 29% of Shanghai's participants. Pudong New Area of Shanghai implemented NRCMS capitation reform in August, 2012, aimed at controlling the increasing medical costs for farmers and avoid risk to the NRCMS's fund. We aimed to assess long-term effect of the reform. ⋯ National Nature Science Foundation of China (#71503170; for data interpretation), Shanghai Municipal Commission of Health and Family Planning (#201440036, #2016HP009; for data collection and analysis).
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Ambient temperature is an important risk factor for human health. However, little evidence is available on the attributable burden, such as absolute or relative excess of mortality, due to temperature. We investigated the burden ofdeath attributable toambient temperature in China. ⋯ National Basic Research Program of China (973 Program) (Grant No 2012CB955504). No funding bodies had any role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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Cataract is the leading cause of blindness and impaired vision worldwide; however, cataract surgery rate in China (1300 cases per million people per year) is lower than in Europe, America, and India (greater than 5000 cases per million people per year). In the past 10 years, a public health screening system has been established for early diagnosis and intervention of chronic diseases such as diabetes and hypertension by the Disease Control and Prevention Centers (CDC) of China. The aim of this study was to investigate the effect of screening for cataract on surgery rates in Guangdong, China. ⋯ National Nature Science Foundation of China (No: 81570843).
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China introduced a national policy to develop primary care in 2009, with 8669 community health centres (CHCs) established by 2014, employing more than 300 000 staff. However, against a background of the "barefoot doctor" legacy in rural China, mistrust of doctors, and over-reliance on specialist care, these facilities have been underused. This study aimed to evaluate the current quality of CHCs in China, including the organisation and infrastructure, as well as the use and training of the health-care professionals within primary care. ⋯ This project was supported by three funding sources: RGC seed fund for basic research, University Grant Council, HK SAR Government, entitled "Survey of the attitudes and needs of integrated HIV and STI services in community health centres in China (2015-16)" (project number 201411159004); Shanghai Key Discipline Construction Program in Public Health (Shanghai Municipal Commission of Health and Family Planning, project number 12GWZX1001); and Shanghai Excellent Academic Leaders Training Program in Public Health (Shanghai Municipal Commission of Health and Family Planning, project number GWDTR201210).
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The worldwide trend in population ageing has been met by a concomitant research interest in the effect of environmental factors on the health of elderly people. Green space is an important constituent of the living environment, with regard to modifying local air quality and microclimate, and has been qualitatively shown to benefit both physical and psychological aspects of health through several pathways. We aimed to quantitatively and comprehensively evaluate the effect of green space on all-cause mortality in elderly people in Hong Kong. ⋯ None.