&lt;p&gt;Incidence Rates of Four Major Non-Communicable Chronic Diseases in the Chinese Adult Population from 2007 to 2016: A Study Based on a National Commercial Claims Database&lt;/p&gt;

Yang, Yu; Sun, Xiaoyu; Wang, Jinwei; Yang, Chao; Zhang, Luxia

doi:10.2147/clep.s238804

Cited by 8 publications

(9 citation statements)

References 32 publications

(31 reference statements)

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“…So far, the global burden of non-communicable chronic diseases represented by hypertension, coronary heart disease, stroke and diabetes, etc. has been a significant public health concern as a result from accelerated ageing of the population around the world [1][2][3]. Uncontrolled chronic diseases are closely associated with diverse severe co-morbidities and adverse outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…caused heavy financial burdens for patients and nations, which posed a formidable challenge especially for resource-limited developing countries [5][6][7]. In China, it was estimated that nearly 75% of the elderly population aged 60 and over had at least one kind of chronic disease [1,6], and chronic diseases contributed to about 70% of the total national health expenditures [5]. So far, a multi-tiered healthcare system including tertiary hospitals, secondary hospitals, and primary care facilities with an emphasis on the role of primary care facilities (e.g.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of attitudes toward the medical student-led community health education service to support chronic disease self-management among students, faculty and patients

Wang

Yan

et al. 2023

BMC Med Educ

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Background Shortage of health professionals is one of the most important barriers for community health centers to provide quality primary care for chronic disease patients especially after the outbreak of COVID-19. Under such condition, medical students have been well-accepted as a force multiplier for community-based health service. Community service learning (CSL) based on medical student-led community health education service to support chronic disease self-management might be a valuable interactive learning tool in medical education. This study compared the attitudes toward medical student-led community health education service to support chronic disease self-management among three stakeholder roles in CSL, including medical students, faculty and patients. Methods This cross-sectional comparative survey was conducted using a self-developed questionnaire among the convenience samples of undergraduate students and faculty members from the Medical College, Wuhan University of Science and Technology, as well as patient volunteers with chronic diseases recruited from a free on-site clinic offered by a community health center. Attitudes toward medical student-led community health education service to support chronic disease self-management were compared among students, faculty and patients. Results A total of 515 valid questionnaires were obtained (342 were collected from medical students, 54 from faculty respondents, and 119 from patients). Overall positive attitudes toward medical student-led community health education service to support chronic disease self-management were positive. Among the three stakeholder roles, faculty and patients were more supportive of the current inadequate level of primary care provision within the community. However, patient respondents showed more negative attitudes towards using resources in higher medical education system to provide support for primary care practice, and participating in the medical student-led community health education service to support chronic disease self-management, and were most skeptical about the medical students’ competency in supporting chronic disease self-management with their professional knowledge and skills. The educational value of CSL for medical undergraduates and the role of faculty instructors were most appreciated by faculty respondents. Additionally, > 62 years old and > 2 kinds of chronic diseases per patient exhibited significant correlations with positive patients’ attitudes. Conclusions Medical students, faculty and patients had overall positive attitudes towards CSL based on medical student-led community health education service to support chronic disease self-management. However, more should be done to create higher expectations and enthusiasm of patients about CSL.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of attitudes toward the medical student-led community health education service to support chronic disease self-management among students, faculty and patients

Wang

Yan

et al. 2023

BMC Med Educ

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“…The prevalence of non-communicable chronic diseases (NCDs) has become a public health challenge (Yang et al, 2020). As one major NCD, coronary heart disease (CHD) has been a leading cause of death worldwide since 2016 (WHO, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence of non-communicable chronic diseases (NCDs) has become a public health challenge ( Yang et al. , 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Change in coronary heart disease hospitalization after chronic disease management: a programme policy in China

Zhu

Wang

et al. 2022

Health Policy and Planning

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This study aims at examining changes in coronary heart disease (CHD) hospitalisation associated with a novel county-scale chronic disease management (CDM) program policy implemented in March 2019 in China during the Thirteenth Five-Year period (Years 2016-2020). The CDM program was designed to improve the health of populations with chronic diseases by means of an integrated way involving both county-level public hospitals and primary care institutes. Data originated from the medical files of CHD inpatients discharged from a secondary hospital from January 2017 to December 2020. A total of 6,111 CHD patient records was collected. Univariate and multivariate regression analyses were performed to assess changes in hospitalisation direct medical costs and length of stay of CHD patients. The mean direct medical cost of CHD hospitalisation was 8,419.73 Yuan and mean length of stay was 7.57 days. Results suggested that the implementation of CDM reduced hospitalisation direct medical cost and bed days by about 23% (1,956.12 Yuan at means) and 11.5% (almost 1 day at means) respectively. In addition, a further decreasing trend in medical cost over time was associated with chronic disease management. It is implied that chronic disease management is an effective way of relieving medical and financial burden of hospitalisation.

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“…The most common are diabetes mellitus, obesity, metabolic syndrome, chronic kidney disease (CKD), cardiovascular (CV) diseases, cancer, and chronic respiratory diseases. Furthermore, their prevalence is likely to increase over time due to the aging population, urbanization, and lifestyle changes [ 1 ]. In industrialized and high-income countries, several studies have highlighted a direct correlation between socio-economic factors and health status; in particular, NCDs affect mainly the population with the lowest socio-economic level [ 2 , 3 , 4 , 5 ].…”

mentioning

confidence: 99%

Dietary Intake and Chronic Disease Prevention

2021

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<p>Incidence Rates of Four Major Non-Communicable Chronic Diseases in the Chinese Adult Population from 2007 to 2016: A Study Based on a National Commercial Claims Database</p>

Cited by 8 publications

References 32 publications

Comparison of attitudes toward the medical student-led community health education service to support chronic disease self-management among students, faculty and patients

Comparison of attitudes toward the medical student-led community health education service to support chronic disease self-management among students, faculty and patients

Change in coronary heart disease hospitalization after chronic disease management: a programme policy in China

Dietary Intake and Chronic Disease Prevention

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