How the humanities can ameliorate China's health-care crisis

Abstract

research on collaborative care might further contribute to clinicians addressing mental disorders as noncommunicable disorders. 8 Finally, neurogenetics research has focused on user perspectives, and is often funded by family advocates. Global mental health is increasingly encouraging user participation in research and advocacy, and can usefully lobby for both discovery and delivery research priorities. 9 Engagement of global mental health and neurogenetics researchers could face impediments. Scale-up of efficacious interventions might have immediate benefits, but the time from genetic discovery to clinical utility is long. Genetic testing is used in neuropsychiatry in resourcerich clinical settings; extension of genetic testing to African populations might be facilitated by combining discovery, clinical genetic testing, return of results, and genetic counselling. 10 Comorbidity of mental disorders is challenging for both global mental health researchers and neurogeneticists. Research in under-resourced countries on interventions for comorbid conditions is at an early stage, and although neurogenetics studies have shown genetic overlap across mental disorders, pleiotropic effects are not well understood. The fields of global mental health and neurogenetics are both cognisant of translation challenges. In global mental health, to go from efficacy trials to scale-up, multiple issues need to be addressed, including buy-in, training and supervision, quality maintenance, monitoring, and finance. There are analogous challenges for the field of neurogenetics in moving from laboratory findings to clinical application. Both fields must emphasise that mental health research is underfunded and that greater investment will substantially pay-off over time.Discovery research has shown that the story of humans begins in Africa and, with population growth, genetic research on the continent will become increasingly crucial. There has, however, been an imbalance in health research with 90% of all research emerging from highincome countries, in which only 10% of the world live. Greater engagement between global mental health and neurogenetics in Africa (figure) might be valuable in redressing this research imbalance.DJS has received research grants, consultancy honoraria, or both from Lundbeck and Sun. All other authors declare no competing interests.

Medical disputes and patient satisfaction in China: How does hospital management matter?

“…Moreover, trust between physicians and patients is undermined by conflicts of interest and physicians' lack of negotiation skills and humanistic principles 50 . Only about half of tier‐one medical schools in China provide courses on physician‐patient communication and more humanistic medical training is needed to deepen trust between physicians and patients 51 . Studies on physicians and nurses in China show that medical disputes, especially those involving physical violence, contribute to depressive symptoms of medical staff, which negatively affect job satisfaction and can affect human resource building in the long run 52 .…”

“…50 Only about half of tier-one medical schools in China provide courses on physician-patient communication and more humanistic medical training is needed to deepen trust between physicians and patients. 51 Studies on physicians and nurses in China show that medical disputes, especially those involving physical violence, contribute to depressive symptoms of medical staff, which negatively affect job satisfaction and can affect human resource building in the long run. 52 Future hospital management interventions in China may consider providing more conflict management and communication training to healthcare personnel and tackle medical disputes from a systematic perspective.…”

Perceived a community with shared future for doctor-patient and benefit finding: a moderated mediation model

“…In addition to outbreaks of infective diseases, the response to chronic diseases is not optimistic. It is impossible to deal with these diseases completely by relying on medical science and technology alone [ 43 ]. Therefore, another item of the PCSFS is “experiencing the epidemic has made me more aware of the limitations of modern medical technology”.…”