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2017年简报 NEWSLETTER 2017
第一部分 人事动态

中心管理行政人员更换


现任中心管理行政职务的苏悦女士在过去的三年中为中心的建设发展做出了重要的贡献,现在她即将离开中心去新加坡南洋理工大学攻读教育管理学硕士课程。在祝贺她良好的前途进展的同时,中心欢迎接替她职位的滕心蕊女士。滕心蕊女士从16个应聘者中胜出。她是毕业于格拉斯哥大学的国际金融管理专业硕士,具有外企行政管理工作经验和较强的英语交流能力。她将主要负责中心的日常行政事务、学术科研活动协调以及中心研究成果的对外推广事务, 并作为中心主任的事务助理,和全体中心成员一起共同建设和发展中心。

Ms. SU Yue, the incumbent administrator has made a significant contribution for the management and development of West China Research Centre for Rural Health Development (WCRC•RHD) during the last three years. At present, Ms. SU is leaving for her postgraduate program of MA Educational Management in Nanyang Technological University, Singapore. All our best wish for Ms. SU! Meanwhile, Ms. TENG Xinrui selected from 16 potential candidates is welcomed to join WCRC•RHD, and she will take over the work as the next administrator. Ms. TENG, graduated from University of Glasgow with Master degree of Management with International Finance, has administrative working experience in foreign companies and competent English communicating skills. She will in charge of the routine administrative affair of WCRC•RHD, academic research activities coordination, research achievements promotion, etc. Ms. TENG will be the Personal Assistant to Director Yang as well, and work with other faculty to contribute to the development of WCRC•RHD.
 
中心成员赴美国参加进修

邱培媛副教授于2017年6至7月在美国罗切斯特大学精神医学系参加Eric Caine教授组织的eCapacity Development & Growth in the ASPIRE Network(eC.ASPIRE)培训,学习了ehealth相关内容。

In June – July 2017, Associate Professor QIU Peiyuan went to Department of Psychologic Medicine, University of Rochester, to participate in eCapacity Development & Growth in the ASPIRE Network (eC.ASPIRE) learning relevant techniques in United States. The training course was organized by Professor Eric Caine.
 

第二部分 科研动态

“农村乡镇卫生院在卫生体系中的定位研究和培训” 项目进展
The project progress of “Training for Research on the Role of Township Hospitals in the Healthcare System (RoTHiS)”

 
乡镇卫生院是中国卫生保健三级体系网在农村的网底,是实施落实农村人口基本公共卫生服务和基础医疗服务的基层卫生机构。快速发展的城镇化和人口老年化使乡镇卫生院对农村人口提供医疗服务成为挑战。乡镇卫生院尤其是经济欠发达的西部地区的卫生院所面临的财力和人力资源的不足,使他们中的许多并没有很好地发挥自己的功能作用,严重影响了一些新医改政策的落实,如双向转诊、加强预防保健、全民享受基本公共卫生服务、降低医疗费用等。因此,在当下复杂多变的农村环境中确定乡镇卫生院的功能定位是迫切需要的。

四川大学西部农村卫生发展研究中心在美国中华医学基金会(ChinaMedicalBoard, CMB)的支持下,已开始了为期三年(2017 – 2019)的“农村乡镇卫生院在卫生体系中的定位研究和培训,Training for Research on the Role of Township Hospitals in the Healthcare System (RoTHiS)” 的项目(CMB Grant 16-252)。

为了支持政府更好地发挥农村乡镇卫生院作用从而改善农村卫生服务质量的需求,该项目旨在从卫生体系研究的角度,多方法结合全面梳理乡镇卫生院的现状和问题所在,为解决问题提供科学依据。同时项目将在实施过程中培训青年研究人员和预防医学专业学生,使其在参与该项目过程中明确专业认知和提升研究能力。
项目有三个相互关联的工作包。
工作包1旨在四川按平坝、丘陵和山区各选一个县中的三个样本乡镇卫生院进行追踪开展深度案例研究;工作包2将开展乡镇卫生院的现状概貌及案例研究,着重梳理卫生政策和系统的投入与产出的关系。应用多种方法加专家培训活动和研究结合在一起。工作包3是落实项目指导委员会对工作包1和2提建议,并实施评估和参与项目合作产出。到2017年截止,项目已开展以下几方面工作:


 
1. 按地型、地貌、社会文化、经济和交通情况选定了三个县的9个样本乡镇卫生院,它们分别是成都平原上龙泉驿区的西河镇中心卫生院、柏合镇中心卫生院和黄土镇卫生院;地处丘陵地区富顺县的古佛乡卫生院、赵化镇中心卫生院和互助乡卫生院;地处彝族山区甘洛县的新市坝镇中心卫生院、斯觉乡中心卫生院和前进乡卫生院;样本点的地理分布如下。九个样本乡镇卫生院2016年底共有341个卫生业务人员,管理156个村医,服务人口约580,000. 2017年简报 NEWSLETTER 2017
 
2. 开展了乡村医生基本情况调查。该调查在2017年5-6月进行,由课题组杨珉教授负责。重点了解基层的卫生人力资源特征以及乡医和村医目前的工作现状。调查工具用国家第五次卫生服务调查医务人员调查表,采用问卷星网络电子版形式,通过手机端在线填写,收回了365份有效问卷,是9个样本点全部在职人员的70%,其中村医占36%。没有调查的30%的人含不在此次调查之列的后勤人员、轮休、外出进修等缺勤人员。目前该研究正在进行数据分析和文章拟写工作。

3. 基层卫生服务机构的空间可及性研究由潘杰副教授负责。该研究用最近比邻距离(the nearest-neighbor method)和Gini系数法分析四川省全部乡镇卫生院和社区服务中心的服务资源的可及性和地区差异。该研究已完成一篇英文论文提交杂志发表。

4.农村卫生发展政策梳理,是华西公共卫生学院卫生政策和管理系刘毅教授和健康与社会行为学系的任晓晖副教授与RoTHiS课题组的合作。研究对中国乡镇卫生院政策变迁和影响从1950年自今做了系统梳理。梳理内容包含了六大块:(1)乡镇卫生院的所有制,(2)补偿政策,(3)服务功能政策,(4)卫生人力政策,(5)药物管理政策和(6)卫生信息发展。目前此研究正在拟写论文阶段。

5. 由华西公共卫生学院流行病和卫生统计系张菊英教授及其团队开展的乡镇卫生院公共卫生服务质量研究(需方角度)拟采用卫生服务利用入户调查方法,了解样本乡镇卫生院提供初级医疗卫生服务的质量。调查工具将在美国霍普金斯大学公共卫生学院开发的用于初级医疗保健机构服务质量的专用调查表基层上设计适合于本研究点的调查工具。目前研究组处于调查工具的试用和修改阶段。

6. 乡村医师服务质量调查(供方角度)研究子课题的目的是了解乡村医生提供基本医疗临床服务的能力。其方法为基本疾病诊断和治疗相关的开发性临床问卷调查与后期的标准病人案例结合收集基层医生的临床知识和能力,由华西公共卫生学院健康与社会行为学系的周欢教授带动实施此研究,目前已在前期问卷数据收集阶段。

7. 华西公共卫生学院卫生政策和管理系朱梦蓉副教授和岳琳讲师将开展乡村医生的工作量的研究,目前正在进行课题设计和文献查阅。

8. 根据住院病人病案首页数据分析的乡镇卫生院临床医疗范围和能力的研究由华西公共卫生学院博士后候选人邹锟博士负责。

9. 华西公共卫生学院卫生政策和管理系周晓媛副教授负责的乡镇卫生院的财务报表数据分析将了解它们的功能如何在临床医疗服务和公共卫生服务中体现的。

10. 如何用eHealth技术提升乡村医生的服务效率和能力的子项目研究由华西公共卫生学院流行病和卫生统计系李佳圆教授和西部中心杨珉教授负责、与四川省卫技委卫技信息中心技术部和四川省移动电讯公司合作,拟对现有的协助乡村医生服务的APP进行效果和可推广性开展评价。

11. 学生专业培训和行动研究。这是RoTHiS工作包1的重要内容之一,旨在让预防医学学生深入样本乡镇卫生院,结合卫生院当前工作的主要问题和需要开展服务-学习,从中了解预防医学专业在基层是怎样为民众服务的,并培养利用课本知识解决实际问题的能力。该行动将与香港理工大学护理学院有经验的教师合作,由项目组的杨珉教授、张菊英教授和邱培媛副教授负责三个学生团队实施。
 
The township hospital is the basis of Chinese healthcare system, which is also the grass root to practice the basic public health and medical service in rural population. The rapid development of urbanization and the growth of aging population have made the supply of medical service to rural population a challenge for township hospitals. Township hospitals, especially those in underdeveloped western areas, are encountering the serious shortage of financial and human resources. And these difficulties have hindered township hospitals from playing a role perfectly in the implement of new health care reform policies, such as two-way referral, the reinforce of the preventive health care, the whole coverage of basic public health service, the decline of medical expenses and so on. As a consequence, the training and research on the role of township hospitals in the complex and changeable rural environment is an urgent task.

With the support of China Medical Board (CMB Grant 16-252), WCRC•RHD in Sichuan University has begun a three-year project (2017-2019), “Training for Research on the Role of Township Hospitals in the Healthcare System (RoTHiS)”.

In order to support and encourage the township hospitals to play a better role and further improve the health care service, the project aims to start from health system research, combine various methods to figure out the situation and problems of township hospitals in western China, thus to offer scientific evidence for solutions. At the meanwhile, the project would train young research staffs and students who major in preventive medicine, and prompt them to understand their professional role and improve their research abilities.

The project has three related working packages (WP).

The WP1 focuses on the field work to engage township hospitals for case interview, data collection, action research, student practice and long-term cooperation.

The WP2 covers research and training. Several sub-projects in the areas of health system domain will be proposed and undertaken by young researchers who will receive training for health system study. This package aims to study the current situation and conduct case study of township hospitals, and pay attention to clarify the relationship of input and output of health care policy and system, then combine the experts’ training and research work by using various methods.

The WP3 is an overarching component: experts’ supervision research methods and training research staff, as well as conducting program evaluation and cooperation on producing outcomes.

Up to date, RoTHiS has made following progress:

1. Selection of the sample township hospitals. According to the terrain, geomorphology, social economic, demographic, culture and traffic conditions, we have selected 9 township hospitals in 3 counties, which are Xihe township hospital, Baihe township hospital and Huangtu township hospital in Longquanyi district of Chengdu plain; Gufo township hospital, Zhaohua township hospital and Huzhu township hospital in Fushun Town of hill areas; Xinshiba township hospital, Sijue township hospital and Qianjin township hospital in Yi mountain area respectively.

The geographical distribution of sample points is showed as follows. There are 341 medical workers in the sample township hospitals, who manage 156 village doctors. In total, 580,000 villagers have taken the medical service by the end of 2016.

Figure 1 The geographical locations of three sample counties

Figure 2 The geographical locations of three sample townships in Longquanyi district

Figure 3 The geographical locations of three samplet ownshipsin Fushun county

Figure 4 The geographical locations of three samplet ownships in Ganluo county

2. The baseline survey of doctors in villages and township hospitals has been conducted. From May to June 2017, leading by Professor YANG, the project team of RoTHiS conducted survey in 9 sampling township hospitals and village hospitals, in order to understand the human resources in the grass-root healthcare system and work situation of rural doctors. We used medical staff questionnaires of the 5thnational healthcare service survey, adopted electronic edition on Wenjuanixing, and collected data through internet connection on mobile phone. The survey received 365 valid questionnaires, accounting for 70% of all the working staffs in 9 sampling points. Village doctors make up to 36% of them. The remaining 30% not included in the survey were support staffs, or those who were on vacation and out of town for further study. Now the project team is conducting data analysis and writing papers.

3. A project on spatial access to maternal and child health care is led by Dr PAN Jie of the Centre. The research analyzes the accessibility and difference of service resources in the entire area of Sichuan’s township hospitals and community health service centres based on the nearest-neighbor method and Gini coefficient analysis. At present, the English paper of this research has been submitted to publish.

4. A study on the clarification of policies in rural health care is led by Professor LIU Yi (Department of health policy and management, West China School of Public Health) and associate professor REN Xiaohui (Department of health and social behaviour) cooperated with RoTHiS project team. They have summarized the change and associated effects of township hospital’s related policies from 1950 to now so far. The summary includes six parts: (1) the ownership of township hospital; (2) The policy of compensation; (3) The policy of service and function; (4) The policy of human resources; (5) The policy of drug management; (6) The development of health information. Related research staffs are preparing for academic papers of the results.

5. A study on the quality of public health service in township hospitals (from the demanding perspective) is to be conducted by Professor ZHANG Juying (Department of epidemiology and medical statistics, West China School of Public Health) and her group. Professor ZHANG Juying’s team intends to undertake door-to-door interview to understand the quality of health care service in sampling township hospitals. The tool to be adapted is a professional questionnaire focused on primary healthcare service, which has been developed by the group based on the original professional questionnaire created in John Hopkins School of Public Health. The research is on the stage of modifying and piloting the tool.

6. A study on medical care quality of township and village doctors (from the supplying perspective)aims to understand village doctors’ ability on providing basic medical/health care service. The method is the questionnaire on the diagnosis and treatment of basic diseases, connected with the standardized patient cases, to collect the professional knowledge and ability of township or village doctors. Professor ZHOU Huan (Department of health and social behaviour, West China School of Public Health) is leading this study which is on the stage of data collection currently.

7. A study on workload of village and township hospital doctors will be conducted by associate professor ZHU Mengrong and lecturer Yue Lin (both in Department of health policy and management, West China School of Public Health). At the moment, the study is at the stage of project design and literature review.

8. A study on the clinical medical service coverage and ability of township hospitals is led by Dr ZOU Kun, who is the candidate of post-doctor in West China School of Public Health. As a secondary analysis, the study is based on hospital medical recorded in the first page of inpatients’ cases.

9. Associate professor ZHOU Xiaoyuan (Department of health policy and management, West China School of Public Health) is responsible for data analysis of financial reportsof township hospitals. The aim of the study is to understand the balance between clinical service and public health service in township hospitals, and to show benefits on township hospitals from both type of services.

10. A sub-project on how to improve rural doctors’ service efficiency and capability via eHealth technology is proposed by Professor LI Guiyuan (Department of Epidemiology and Health Statistics, West China School of Public Health) and Professor YANG Min. The study will cooperate with Technology Department, Health and Family Plaining Information Centre of Sichuan Province and Sichuan Mobile Telecom Company, and aims to evaluate the result and generalizability of the present APP which assists rural doctors providing in healthcare service.

11. The professional training and action study of students. As an essential content of WP1, the study aims to encourage preventive medicine students to go to the sample township hospitals, to study with connecting on the main problems and demand on current work, and understand how the preventive medicine serves are provided to rural population, also strengthen the ability to solve practical problems by applying textbook knowledge. The activity is led by Professor Yang Min, Professor ZHANG Juying and Associate Professor QIU Peiyuan. Each of them will supervise three undergraduates in West China School of Public Health of Sichuan University. Training will be provided by experienced faculty Dr LI Sijian from School of Nursing of Hong Kong Polytehnic University by the end of 2017 and early of 2018.

降低孕产妇和新生儿死亡率:伦敦、北京、四川和坦桑尼亚联合行动会
Reducing Maternal and Newborn Mortality: A JointAction from London, Beijing, Sichuan and Tanzania

 
2017年11月27至12月1日,降低孕产妇和新生儿死亡率研究项目研讨会在四川大学华西校区西区召开。参会者来自英国卫生与热带病医学院(LSHTM)、坦桑尼亚总统办公室、坦桑尼亚卫生部和坦桑尼亚Ifakara卫生研究所、北京大学医学部公共卫生学院及四川大学西部农村卫生发展研究中心和华西公共卫生学院在妇幼卫生、卫生经济、卫生体系、卫生管理和流行病学领域的专家、教授及项目研究成员。四川省卫计委妇幼健康服务处杨莉处长、四川省妇幼保健院吴方银部长、四川大学华西公共卫生学院李晓松院长出席了开幕式。会议目的旨在报告项目获得的中国尤其是四川近年如何降低孕产妇及新生儿死亡率及妇幼卫生相关经验, 开展深入讨论以确定哪些经验可以直接转换到坦桑尼亚,哪些不能转换,哪些可能转换但需要根据坦桑尼亚的卫生体系资源情况调整,其最终目的是找到能帮助坦桑尼亚提高母婴存活率的相应措施。这是中国西部妇幼卫生走向国际的一个尝试。
 
2017年简报 NEWSLETTER 2017
 
开幕式上, 省卫计委妇幼健康服务处杨莉处长热烈欢迎参会代表,并简要介绍了中国西部基本经济社会及妇幼卫生情况,强调了国家政策支持在改善四川省妇幼卫生状况和提高母婴存活率的重要作用。她赞赏了省妇幼保健院参与该项目合作的行动并表达了省卫计委妇幼健康服务处对项目一如既往的支持和对未来合作机会的期待。华西公共卫生学院李晓松院长对参会代表表示热烈欢迎,他介绍了公共卫生学院在此领域的相关工作,并肯定了该项目对实现全球健康和一路一带国策的重要意义。

项目总负责人、英国伦敦卫生及热带病医学院的Carine Ronsmans教授复习了项目的主要目标;坦桑尼亚总统办公室卫生、社会福利和营养服务的负责官员Kapologwe博士代表坦桑尼亚参会

人员表达了他们此行的期望;坦桑尼亚卫生部负责母婴健康的官员Kidanto博士介绍了他们国家的卫生体系和妇幼健康工作的基本情况。英国伦敦卫生及热带病医学院研究员则从卫生体系结构、管理机制、服务提供、人力资源等各个方面同与会代表分享了课题的研究发现,同时利用国家数据对比了两国在卫生体系指标和妇女儿童健康结局上的差别际,为梳理中国经验对于坦桑利亚的可借鉴性及适用性提供了基础素材。
 
2017年简报 NEWSLETTER 2017
 
11月28日-29日, 参会人员前往盐亭县进行实地调研,分别与县人民医院、县妇幼保健院、柏梓中心乡镇卫生院、安家乡镇卫生院和广协村卫生室的医务人员进行了妇幼卫生工作交流和讨论,并参观了机构的设备和服务情况。坦桑尼亚团队成员表示现场交流受益颇丰。
 
2017年简报 NEWSLETTER 2017
 
11月30日-12月1日,英国伦敦卫生及热带病医学院的KaraHanson教授主持了与会代表间更深层次的交流讨论。 交流讨论针对项目经验的可转换性、如何转换和具体行动开展。首先坦桑尼亚及中国团队互相提问并解答,进一步了解双方的卫生体系。然后分组进行了头脑风暴讨论,每个小组都包含英国、坦桑尼亚及中国的课题成员。讨论就中国经验在服务结构、责任管理、卫生筹资、人力资源四个方面可以借鉴到非洲的经验及其借鉴原因和方式一一展开和深入。
 
2017年简报 NEWSLETTER 2017
 
次日小组代表分别对讨论结果进行了汇报,再次展开对汇总结果的修正讨论,从而进一步完善了结论。最后,各个团队交流了本次与会感想,纷纷表示达到了预期目标,增进了多方的友谊,互表谢意,更期待项目后期的合作产出。
 
2017年简报 NEWSLETTER 2017
 
A workshop of the project, “learning from health systems strengthening in maternal and newborn health in China to inform accelerated progress for saving lives in Africa, has been held in West China School of Public Health of Sichuan University from November 27th to December 1st, 2017. The participants were experts, researchers and research students from London School of Hygiene and Tropical Medicine (LSHTM), Tanzania President’s Office, Ministry of Public Health of Tanzania, Tanzanian Ifakara Health Institution, School of Public Health in Peking University and Sichuan University – WCRC•RHD and West China School of Public Health. The participants were majored in various fields of public health such as maternal and child health, health economy, health system, health management and epidemiology. Dr. YANG Li, the Director of Maternal and Child Health Service Division in Sichuan Health and Family Planning Commission, Dr. WU Fangyin, from Sichuan Maternal and Child Health Hospital, and Prof. LI Xiaosong, the Dean of West China School of Public Health of Sichuan University attended the opening ceremony.

This workshop is aimed at presenting and discussing research findings on experiences in successfully reducing maternal and neonatal mortality rate and relevant maternity and in promoting child health development in China, especially in Sichuan Province. The ultimate purpose is to find concrete experiences for increasing maternal and neonatal survival rate in Tanzania after in-depth discussion upon which solutions could be transferred to them according to Tanzanian national health system. All in all, it is a significant attempt for Western China maternal and neonatal health towards international public health.

At the opening ceremony, Director YANG Li gave all participants an warm welcome. She briefly introduced the basic situation of socio-economic, maternal and child health in Sichuan province, and emphasized the importance of Chine national policies in improving Sichuan maternal and child health status, hence in enhancing survival rate of mothers and babies. Director Yang appreciated Sichuan Maternal and Child Health Hospital for their taking part in the project, she also expressed the supports as always from Health and Family Planning Commission of Sichuan Province – Maternal Health Service Division and their expectation for more cooperation in the future. At last, Dean LI Xiaosong introduced West China School of Public Health’s related work in public health field after giving all representatives a warm welcome. He confirmed the significance of this project towards to global health and China national policy – “The Belt and Road Initiative”.

The overall PI of the project, Professor Carine Ronsmans from LSHTM reviewed the main goals of the project.  Dr. Kapologwe from Tanzania President’s Office spoke on behalf of Tanzanian representatives specified their expectations from the project visit. Dr. Kidanto from Ministry of Public Health of Tanzania introduced the basic situations of health system and maternal and child health in Tanzania. Researchers from LSHTM shared project findings on China health system structure, management mechanism, service delivery, human resources and other aspects in relation to maternal and child health. They also provided empirical evidence for transferability of implementation experience from China to Tanzania by comparing two countries’ differences in health system indicators and maternal and neonatal health results.

From November 28th to 29th, participants conducted field visit in Yanting County. They communicated and discussed with health personnel in the county people’s hospital, county maternal and child health hospital, Baizi centre township hospital, Anjia township hospital and Guangxie village clinic, upon maternal and neonatal health care services, observed conditions and services of those facilities.

From November 30th to December 1st, Professor Kara Hanson from LSHTM facilitated a deeper level discussion among all participants. The main topic was about feasibility and transferability of Chinese experience to be introduced to Tanzania. Firstly, Chinese and Tanzanian researchers reciprocated questions and solutions to understand each other’s national health systems. Secondly, all members from United Kingdom, Tanzania and China were involved in brainstorm in order to clarify the specific reason and approach of the available experience applied in Africa from the aspects of service structure, responsibility management (accountability), health financing and human resources. On December 1st, the representative of each group presented their discussion results which were further discussed and finalize to reach a final conclusion.  At the end, every group member talked about his/her feelings of taking part in this workshop. They all expressed that their expectations have been satisfied, the friendship has been promoted, and they looked forward to the cooperation outcomes during the later stage of the project.

“针对多学科博士生培养的前沿研究方法”合作项目行动
The Cooperating Action of “The Advanced Research Method for Educating Multi-Subject Doctor”

 
该项目是受芬兰CIMO基金会支持、四川大学与香港理工大学、芬兰图尔库大学、芬兰东部大学和芬兰坦佩雷大学的合作教育项目。2017年3月8-14日,四川大学的项目负责人、中心主任杨珉教授与两名华西公共卫生学院的博士研究生到香港理工大学参加课程培训,大约20位来自上述大学的博士研究生参加了此次课程。本次课程的主要内容是:如何正确理解及使用GRADE评价系统应用于卫生政策、临床实践的活动中,并共同探讨了不同国家文化背景下的博士教育现状、可能的问题和应对措施。杨珉教授讲授了“证据总结和如何评价证据质量”,博士研究生唐卫卫和任燕分别做了题为“中国社区重性精神病社区管理体系研究”和“评价中国基本药物制度的剂量反应效应:两种方法学在处理像阶梯楔形层次结构数据的比较”的汇报。
 
2017年简报 NEWSLETTER 2017
 
This is an education project cooperating among Sichuan University, Hong Kong Polytechnic University, University of Turku, Finland, Eastern Finland University and University of Tampere, Finland. The project is funded by Finland CIMO board. During 8th -14thMarch 2017, two doctoral candidates from West China School of Public Health Sichuan University and Prof YANG Min, the Co-PI of the project in Sichuan University, attended the training seminar organized in HK Polytechnic University. About 20 doctors from the universities stated above took part in the class, too. The main topic of the seminar is the evaluation system GRADE and applies it to health policy and clinical practice activities. The participants discussed the current circumstance of doctor education, potential problems and solutions under different national cultural background. Professor YANG Min gave lectures on summarize evidence and how to evaluate the quality of evidence. Mr TANG Weiwei and Ms REN Yan individually gave speech on “The system in managing severe mental disordered patient in community of China” and “Assessing dose-response effects of national essential medicine policy in China: comparison of two methods in handling data with a stepped-wedge like design and hierarchical structure”.

参加“卫生服务中的大数据”课程
The Big Data in Medical Service

 
2017年8月31日-9月5日,合作项目的第二期课程“卫生服务中的大数据”在芬兰图尔库举行。来自四川、香港和芬兰6所大学的共约30名博士研究生参加了此次课程。本次课程围绕大数据的定义与管理、大数据的应用与分析方法、大数据研究在医疗系统中的挑战等方面开展了系统讲解和深入讨论。应邀授课的老师主要有哈佛大学公共卫生学院的Sharon-Lise Normand教授、四川大学西部农村卫生发展研究中心主任杨珉教授和华西公共卫生学院张韬讲师、坦佩雷大学Turkka Näppilä教授。
 
2017年简报 NEWSLETTER 2017
 

杨珉教授和张韬讲师分别做了“利用病案首页进行医院质量评价”和“传染病数据的时间序列分析”的讲解与报告。博士研究生郭冰、谯治蛟和任燕分别做了题为“大气细颗粒物与心血管疾病发病的关联研究”“新农合增强西部农村居民医疗保障”“孕产妇死亡率的民族地区差异及影响其差异的卫生体系因素”的课题汇报。

学习课程之余,两国师生参观了图尔库大学附属医院ICU病房及心脏研究中心。9月5日晚,受CIMO项目主要负责人、芬兰科学院院士Maritta Välimäki之邀,中芬两国师生共聚一堂载歌载舞,在欢乐的氛围中增进了双方友谊。

本次博士课程不仅提供了中芬两国师生学术交流及合作的机会,更使两国师生对彼此的博士生培养体系、医院管理制度及社会文化等有了深刻的认识。
 
2017年简报 NEWSLETTER 2017

During 31st August to 5th September 2017, the second course, “The Big Data in Medical Service” of this project was hold in Turku, Finland. There were 30 doctor candidates from six universities in Sichuan, HK and Finland attended the course. The participants systematically explained and in-depth discussed topics on big data in health services including definition of big data, implementation and analysis method of big data, the research challenges of big data applied to medical systems, etc. Professor Sharon-Lise Normand from School of Public Health, Harvard University, Professor YANG Min from WCRC•RHD, Lecturer ZHANG Tao from West China School of Public Health, Sichuan University and Professor Turkka Näppilä from University of Tampere, gave lectures to the course.

Prof YANG and Dr ZHANG respectively gave talk on “Evaluation of Hospitals' quality based on the First Page of Inpatients’ Cases routine data” and “Time series analysis of Infectious Disease Data". In the course doctoral candidates Ms GUO Bing presented her study on“The Association Study of atmosphere fine particles and Cardiovascular”, Mr QIAO Zhijiao gave the speech of “New Rural Cooperative Medical System (NCMS) Strengthen the Villagers’ Medical Security in Western Rural Areas”, and Ms REN Yan reported her study on “The ethnic related disparities in maternal mortality and association with health systems”.

The faculty from both China and Finland visited the ICU ward in affiliated hospital of Turku University and heart research centre besides taking classes. In the evening of 5th September, all teachers and students were invited by Academician Maritta Välimäki, the project PI, to come together singing and dancing festively. The friendship was promoted during the cheerful atmosphere.

This PhD education program not only offered an opportunity of academic communication and cooperation for Chinese and Finish faculty, but also let them know more about the doctoral education system, hospital management policy and social culture in each other's country.
 

第三部分 学术与培训

举办第一届农村卫生发展研究论坛
 The First Rural Health Development Research Forum

12月27日-8日,西部中心和华西公共卫生学院主办的“第一届农村卫生发展研究论坛”,暨西部农村卫生发展研究中心新项目启动会在成都望江宾馆召开。此次论坛旨在促进中国农村卫生发展,加强西部地区乃至全国相关研究机构、学者及基层卫生机构工作人员的交流与合作。五十多位来自全国各地的卫生行政人员、相关领域的研究学者及基层医疗工作者齐聚蓉城,参加本次学术论坛,进行交流。
 
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论坛开展了丰富的主题演讲和对话讨论,包括四个分议题:(1)卫生政策与农村卫生发展;(2)乡镇卫生院与农村卫生发展;(3)乡村医生与农村卫生发展;(4)健康信息与农村卫生发展。各卫生行政官员、高校研究学者及基层卫生机构工作人员就相应主题进行了专题报告及对话圆桌讨论。围绕着当前农村卫生发展的热点领域如基本药物制度、基层人员工作绩效及补偿制度等议题,圆桌人员开展了深度讨论,参会人员也积极向专家及基层卫生人员提问,反映热烈。
 
2017年简报 NEWSLETTER 2017
 
2017年简报 NEWSLETTER 2017
 
West China school of Public Health held the first rural health development research forum was held in Chengdu Wang Jiang Hotel in 27th -28thDecember 2016. This is also the new project launch meeting of the Centre.

The aim of this forum is to promote the development of rural health in China , enhance communication and collaboration with relative researchers, scholars and staffs of primary health service institution in west china and throughout the country. More than 50 participants come from health administrative staff, health relative fields researchers, and primary health institution staffs took part in this forum to talk about Rural Health Development in different angles. The oral presentations were focused on 4 research sessions: (1)Health policy and rural health development; (2) Township hospital and rural health development; (3) Village doctors and rural health development and (4) Health information and rural health development. Administrative officials from health institution and researchers from universities, primary health institution working staff gave the theme report and presented at joint round-table discussion by sharing their research results and experiences with relevant session including essential medicine institution, basic staff job performance and compensation system and other hot issue of current rural health development.

参加2017年台湾学生学术研讨会
2017 student academic conference in Taiwan

 
2017年3月23至26日,中心副主任、华西公共卫生学院潘杰副教授及陈楚同学应台湾元培医事科技大学邀请,赴台参加2017年学生学术研讨会。大会以“健康福祉”为主轴,探讨与医事科技、健康、福祉、管理等创新研发相关的科学与技术。

在Healthcare Information分论场上陈楚同学就研究论文Socio-economic Status and Breastfeeding in China:Evidence from a National Study进行分享交流。大会期间,两岸教师学生共同分享教学科研成果,风土人情,加深了两岸师生情感,为进一步交流提供了基础。
 
2017年简报 NEWSLETTER 2017

From March 23rd to 26th, Dr PAN Jie (Associate Professor from West China School of Public Health) and PhD student Ms CHEN Chu attended to the 2017 student academic conference in Yuanpei Medical Science and Technology University, Taiwan. The topic of the conference was “HEALTH WELL-BEING” which focused on medical science, health, wellbeing, management and other science and technology related to innovation and research.

Ms CHEN Chu shared her research paper Socio-economic Status and Breastfeeding in China: Evidence from a National Study on Healthcare information field. During the conference, faculties and students from Taiwan and Mainland shared teaching and research achievement, local culture and customs, which enhance the bond between Taiwan and Mainland of China and provide the foundation for the next step of collaboration.

交流访问伦敦大学卫生与热带医学院
Overseas Visit in LSHTM

 
2017年9月18-22日,中心杨珉教授、潘杰副教授和华西公共卫生学院院长李晓松教授、副院长裴晓芳教授、流行病和卫生统计系张菊英教授、肖熊博士一行6人应伦敦卫生和热带病学院(LSHTM)院长的邀请到该校访问一周。访问期间正值该校的国际研究周,访问者参加了相关研究的学术讲座活动。中心副主任、国家千人外籍专家Ronsman教授安排了该校与中国有合作项目的研究人员的交流会,并与学院两个研究中心、人口和流行病学系及实验室研究人员开展了专题讨论会。李晓松院长也重点介绍了华西公共卫生学院牵头的国家重大项目:西南地区多队列追踪研究。该研究引起LSHTM研究者的极大兴趣。访问团队与LSHTM正、副院长的会谈涉及了华西卫生公共学院及西部中心与LSHTM的长期合作方向和近期行动。访问加强并深化了两校的合作关系。
 
2017年简报 NEWSLETTER 2017
 
In 18th - 22nd September 2017, Professor YANG Min and Associate Professor Pan Jie from WCRC•RHD, the Dean and Vice Dean of West China School of Public Health, Professor LI Xiaosong and Professor PEI Xiaofang, Professor ZHANG Juying (Department of Epidemiology and Medical Statistics, West China School of Public Health) and Dr XIAO Xiong were invited by the Dean of London School of Hygiene and Tropical Medicine (LSHTM) to have a visit in LSHTM for a week. The International Research Week was held by LSHTM during the visit, so the visitors took part in a series of academic activities. The Vice Director of WCRC•RHD, Professor Ronsmans, who’s one of the foreign experts recruited by national Thousand Talents Program, arranged an academic meeting for the visitors and researchers who have collaboration with Chinese researchers from LSHTM. Moreover, the Sichuan visitors communicated with researchers from two research centres, Department of Population and Epidemiology, and Laboratories of LSHTM in following rap sessions. Professor LI emphatically introduced the China national significant project which led by West China School of Public Health: The Study of Multi-cohorts in Southwestern China. This project attracted LSHTM researchers’ great interests. The meeting between the Sichuan team and the Dean & Vice Dean of LSHTM covered possible long-term cooperation in research and teaching with West China School of Public Health and WCRC•RHD. All in all, the visit has strengthened the cooperative relationship between LSHTM and University of Sichuan in depth.

陕西省公立医院综合改革复评
Re-evaluating Public Hospital Comprehensive Reform in Shanxi Province

 
2017年5月3-7日,根据国务院体改司的安排 ,中心成员周晓媛副教授赴陕西参加陕西省公立医院综合改革复评工作。
 
2017年简报 NEWSLETTER 2017
 
From 3rd to 7th May, according to the State Council, Department of Policies Laws Regulations and System Reform’s requirement, Associate Professor Zhou Xiaoyuan participated in the meeting of Re-evaluating Public Hospital Comprehensive Reform in Shanxi Province.
 
开展Nvivo对访谈资料进行框架分析(frame analysis)培训班
Using Nvivo software application on the framework analysis of qualitative research

 
2017年5月2-5日,西部农村卫生发展研究中心举办了“应用软件Nvivo对访谈资料进行框架分析(framework analysis)”的培训班。此培训是英国医学研究理事会(MRC)支持项目和救助儿童基金会支持项目的一部分。项目由英国伦敦卫生和热带医学院(LSHTM)牵头,合作单位有北京大学中国卫生发展研究中心和公共卫生学院、四川大学西部农村卫生发展研究中心和华西公共卫生学院。项目在四川省凉山自治州的喜德县、乐山市的马边县和巴中市的平昌县进行了定性个人访谈和焦点小组访谈,共访谈了123名近期生育过的妇女,5名村长,48名乡镇卫生院和村卫生室医务人员,42名市/县卫生行政人员。调研在卫生体系框架下系统了解了孕产妇和新生儿保健及卫生服务的若干问题。

针对访谈资料分析的培训班由来自LSHTM有丰富定性研究经验的Dr. Melisa Martinez-Alvarez,Mr. David Shallcross和黄源博士组成的三人团队主讲。北京大学高燕秋博士带队的三人团队,四川大学西部中心杨珉教授带队的4人团队和四川大学华西公共卫生学院张菊英教授带队的6人团队参加了此培训。培训采用参与式互动、围绕主题讨论和实例分析操作的方法。
培训结束后的五个月里,在老师的核查指导下,学员已使用Nvivo软件完成了对访谈资料的编码(Coding)及作表(Charting)工作。
 
2017年简报 NEWSLETTER 2017
 
From 2nd – 5th May 2017, a training course for using Nvivo software application on the framework analysis of qualitative research was held in WCRC•RHD. This training is a part of projects supported by the UK Medical Research Council (MRC) and Saving the Children organization. The projects are jointly conducted by London School of Hygiene and Tropical Medicine (LSHTM), China Centre for Health Development Studies and School of Public health of Peking University, our Centre and West China School of Public Health of Sichuan University. The personal interview and focus group discussion were conducted in three counties in Sichuan Province, including Xide county in Liangshan Yi Autonomy Prefecture, Mabian county in Leshan Prefecture and Pingchang county in Bazhong Prefecture. It involved 123 women with recent delivery experience, 5 village leaders, 48 township hospital health workers/village doctors, and 42 prefecture/county health administration workers, aiming at learning about the maternal and children health services of the health system in depth.

The training course on framework analysis of the interview material was run by experienced Dr Melisa Martinez-Alvarez, Mr David Shallcross and Dr HUANG Yuan from LSHTM. The group of three members led by Dr. GAO Yanqiu from Peking University, the group of four led by Professor YANG Min from WCRC•RHD and the group of six led by Professor ZHANG Juying from West China School of Public Health Sichuan University participated in the training. The interactive teaching, focus group discussion and case study practice methods were used in the training.
Following 5 months after the training, the team finished coding and charting for all the interview materials using methods learnt from the course.
 
参加“2017年中国全球健康大学联盟英文论文写作培训班”
Participate in “2017 Chinese Consortium of Universities for Global Health English Thesis Writing Skills Training Seminar”

2017年5月30日至6月2日,中心博士生陈楚赴昆山杜克大学参加“2017年中国全球健康大学联盟英文论文写作培训班”。

此次培训班分为两部分,公开讲座(5月30日)与实践培训(5月31日-6月2日)。公开讲座由专家分别从编辑和写作者的角度讲解论文写作和发表的技巧。实践培训以小班制的教学和实践模式,就英文论文构成的几大模块一一进行讲解;同时,通过小组讨论、一对一指导等方式对与会者提交的论文进行指导和修改。

此次培训班内容丰富,安排合理,很好地提升了与会者的英文写作能力,促进了校际间研究者的交流。
 
2017年简报 NEWSLETTER 2017
 
From 30th May to 2nd June 2017, PhD candidate Ms CHEN Chu took part in 2017 Chinese Consortium of Universities for Global Health English Thesis Writing Skills Training Seminar in Duke Kunshan University.

The seminar consisted of two sections, public lecture (30th May) and practical training (31stMay – 2nd June). In the public lecture, lecturers taught paper writing and publishing skills from both aspects of editor and author. Practical training took microteaching. Teachers analyzed the modules of English thesis firstly, then participants discussed with partners and wrote down their English essay immediately. Finally, teachers gave modifying suggestions to them one by one.

This training seminar was well arranged to enhance participants’ English writing ability because of rich contents, and it was a chance for researchers to communicate with their peers.

参加波士顿国际卫生经济学会
Attended International Health Economics Association in Boston

 
2017年7月7日到11日,中心研究员周晓媛副教授以及中心博士研究生任燕、中心硕士研究生甄丽丽、刘孟昀前往美国波士顿参加第十二届国际卫生经济学会(iHEA),本次会议由国际卫生经济协会(International Health Economics Association)主办,波士顿大学(Boston University)承办,本次会议主题为:卫生系统的经济学变革,会议分为多个主题专场:卫生保健利用,费用效益,健康保险,医院花费不平等等,中心四名成员进行了口头报告,口头报告的内容分别为:

周晓媛(副教授):The effect of population aging on health insurance.
 
2017年简报 NEWSLETTER 2017

任燕(博士研究生):The ethnic disparity in maternal mortality rate and its health system determinants in Sichuan province of western China。
 
2017年简报 NEWSLETTER 2017
 
刘孟昀(硕士研究生):Preliminary Study on Patients' Behavior Of 'Bypassing' Low-Level Hospitals

甄丽丽(硕士研究生):Does a hospital's health care cost depend on the cost of the nearby hospitals: neighborhood influence and hospital competition?
 
2017年简报 NEWSLETTER 2017
 
In 7th – 11th July 2017, the 12th annual conference of the International Health Economics Association (IHEA) was held in Boston, US. Associate professor ZHUO xiaoyuan, doctor and post graduate students REN Yan, LIU Mengyun and ZHEN Lili also made an oral presentation under the theme “Revolutions in The Economics of Health Systems”. This conference included varies of  session, such as Health Care Access,Cost Effectiveness,Health Insurance,Inequalities and Hospital Cost. Centre members’ oral presentation title are as below:

ZHOU Xiaoyuan:The effect of population aging on health insurance

REN Yan: The ethnic disparity in maternal mortality rate and its health system determinants in Sichuan province of western China.

LIU Mengyun: Preliminary Study on Patients' Behavior of 'Bypassing' Low-Level Hospitals

ZHEN Lili: Does a hospital's health care cost depend on the cost of the nearby hospitals: neighborhood influence and hospital competition?

第二届华西卫生政策与经济博士生论坛
Second West China Health Policy and Economics Doctoral Consortium

2017年11月2日至3日,第二届“华西卫生政策与经济”博士生论坛在四川大学华西校区志德堂召开。
本次论坛由四川大学华西公共卫生学院和四川大学西部农村卫生发展研究中心共同主办,论坛旨在促进卫生政策与经济领域博士生学术交流、分享各院校博士生学术成果、开拓相关专业博士生视野。

来自华中科技大学、西安交通大学、墨尔本大学、香港中文大学、澳门大学、中山大学、清华大学、北京协和医学院、武汉大学、吉林大学、上海财经大学、西南财经大学、中南大学等国内外20多所兄弟院校的40余名博士生出席了本次论坛。
 
2017年简报 NEWSLETTER 2017
 
华西公共卫生学院方云书记在开幕辞中号召国内外博士积极参与各项学术交流并促进合作,同时对与会代表表示热烈欢迎,对论坛顺利召开表示衷心的祝贺。

北京大学国家发展研究院刘国恩教授从经济和卫生的角度出发,结合改革开放以来的发展变化与社会矛盾改变以及自身就医体验,对我国的经济发展和医疗卫生现状做了相关汇报。哈佛大学公共卫生学院叶志敏教授对卫生经济的概况、发展及挑战进行了主题汇报,引用我国的医改方案,提出相关问题的解决思路。
 
2017年简报 NEWSLETTER 2017
 
期间,6名获奖博士分别报告了自己的论文,就论文内容与场下专家和学者们进行了深入讨论,为今后的研究提供了新颖的思路和多样的方法,促进了学科之间的交叉合作。

论坛参会人员于次日到建川地震博物馆等地进行了现场考察,针对西部农村卫生发展问题进行了深入的探讨,为以后的研究与合作奠定了可靠的基础。此次论坛的成功举办,促进了卫生政策与经济领域相关学者之间的相互交流,为未来的多学科交叉合作提供了研究思路、方法。

In 2nd - 3rd November 2017, the Second West China Health Policy and Economics Doctoral Consortium was held in Zhide Tang, Sichuan University Huaxi Campus. West China School of Public Health, Sichuan University and WCRC•RHD hosted the consortium together. The goal of the forum was to facilitate PhD’s academical communication in the field of health policy and economy, to share research achievements from differents colleges and instituions, to broaden related doctors’ vision.

More than 40 doctor candidates from over 20 domestic and overseasuniversity/colleges, including Huazhong University of Science and Technology, Xi’an Jiaotong University, University of Melbourne, Chinese University of Hong Kong, University of Macau, Zhongshan University, Tsinghua University,Peking Union Medical College, Wuhan University, Jilin University, Shanghai University of Finance and Economics, Southwestern University of Finance and Economics, Central South University, etc., attended the consortium.

Party Secretary FANG Yun from West China School of Public Health made an opening speech. He called on doctor students home and abroad to take an active part in various academical actrivities and cooperations,after giving a warm welcome to every represnetative and he congraulated the success of the forum as well.

Professor LIU Guoen (National School of Development, Peking Univeisity) addressed a speech of Chinese economic development and health care circumstance from economics and health aspects, combined with changes since reform and opening-up policy, changes of social contradictions and himself’s medical experience. Professor YE Zhimin (Harvard T.H. Chan School of Public Health) presneted about the general situation of health and economics and its development and challenges. She cited Chinahealth care reform scheme and challenges, and proposed possible solutions and further research areas.

At the meeting, six award-winning participants presented their theses, and communicated with experts and researchers. The cross cooperation between different subjects provided them new ideas and multiple methods.

The next day, participants visited museums including Jianchuan Earthquake Museum, and they had an in-depth discussion upon health care development in western rural, which provided reliable basis for their potential research and cooperation. The success of this forum promoted researchers’ intimate communications in the field of health care policy and economics, at the same time, the achievements of this consortium offered various research ideas and methods for interdiscipline cooperations in the future.

 
第四部分 建设与发展

《中国西部卫生体系十年发展和现状》简要书评
The brief book review《DEVELOPING TREND IN TEN YEARS AND CURRENT SITUATION OF HEALTH SYSTEM IN WESTERN CHINA》

 
刘巧兰博士(四川大学华西公共卫生学院社会医学和健康行为系副教授)对《中国西部卫生体系十年发展和现状》做简要书评:《中国西部卫生体系十年发展和现状》首次梳理了中国西部12个省区市近十年卫生体系的发展变化,是新中国建国以来首次聚焦西部卫生体系而精心编著的专著,数据详实且有权威性,证据充足且有可信度,观点明确且有深度,涉及西部卫生体系各个方面而又重点突出,学术性与应用性兼得,是一部不可多得的专著。

该专著的背景基于中国西部大开发战略和中国医疗卫生体制改革的探索,凝练出中国西部的卫生体系与中东部地区有着类似的发展变化但也有独特的地域特色。一方面从宏观角度详述西部卫生政策、卫生筹资、卫生机构和人力、卫生服务发展、卫生信息的现况和发展,并与中东部地区进行详细的比较,以甘肃省、陕西省、宁夏回族自治区和广西壮族自治区卫生体系现状与发展作为具体案例,能够让读者更加清晰地获得西部地区卫生体系现况和发展态势的整体情况。另一方面从微观角度运用多水平统计学方法深入挖掘重要的卫生体系指标的变化与居民健康结局指标变化的关系,以此来探寻影响这些关系的现状和发展的各类因素如社会经济发展、卫生政策、民族文化、卫生人力资源、卫生服务质量、卫生经费等。
 
Dr Liu Qiaolan (Associate Professor from Department of health and social behavior, West China School of Public Health, Sichuan University) wrote a book review for《DEVELOPING TREND IN TEN YEARS AND CURRENT SITUATION OF HEALTH SYSTEM IN WESTERN CHINA》.She said that it is the first time to collate the ten-year’s development and changes of health system in Western China’s 12 provinces, cities and districts. This book exclusively concentrates on health system in Western China and is elaborately edited based on abundant and accurate data, enough and reliable evidence, clear and profound viewpoints. The content of this book involves in every aspect related to health system in Western China, and gives prominence to the key points as well. It is an exceptional treatise with both technicality and applicability.

The background of the treatise based on Chinese develop-the-west strategy and the discovery of Chinese health system reform, the authors find the similar changes and distinct features between Western China and Central & Eastern China after comparing and contrasting. On the one hand, from the macroscopic perspective, researchers illustrate the actuality and development of health care policy, health financing, medical institution and workforce, heath services and health information in Western China, and compare them with those in Central & Eastern China. Authors pick out examples, such as the health situation in Gansu Province, Shanxi Province, Ningxia Hui Autonomous Region and Guangxi Zhuang Autonomous Region, to clarify a comprehensive circumstance and development in Western China. One the other hand, from the microscopic view, researchers explore the reasons, such as socioeconomic development, health policy, ethnic culture, medical human resource, medical service quality, health fund, etc., which may influence the actuality and development via statistical methods to identify the relationship between important health system’s index and residents’ health outcomes.


学术活动 Seminars
 
2017年简报 NEWSLETTER 2017
 

发表文章(2017年1月 – 12月)

1. 甄丽丽, 胡锦梁, 杨珉, 潘杰(通讯作者):我国卫生机构发展及公平性趋势研究——以调整人口和地理面积为研究视角. 中国卫生政策研究 2017; (01): 27-33.

2. 侯利莎, 闫沛静, 张雪莉, 杜旭东, 甄丽丽, 程迪尔, 段占祺, 潘杰(通讯作者):四川省少数民族地区县乡村一体化实施效果评价研究. 现代预防医学 2017; (02): 264-267.

3. 王阳、田帆、范宁玥、潘杰(通讯作者):《老年人对医养结合型医疗机构的认知、入住意愿及支付意愿——基于成都市的实证分析》,《中国卫生政策研究》2017年第10卷第8期。

4. 向丽佳、郑兰、乔甫、潘杰(通讯作者):《成都市某三级甲等医院不同切口类型、不同危险指数手术切口术后感染率研究》,《重庆医学》2017年第46卷第19期。

5. 田帆、王阳、翟辛谊、范宁玥、潘杰(通讯作者):《医养结合型医疗机构的价格收费研究——基于成都市的分析》,《中国卫生经济》2017年第9期。

6. 张娟, 陈楠, 唐卫卫, 杨珉(通讯作者), 邱培媛. 老年痴呆干预护理效果的系统文献定性评价. 中国老年学杂志 2017; (14): 3577-3580.

7. 刘霖芯, 段占祺, 潘惊萍, 陈楠, 杨珉(通讯作者):利用病案首页数据构建县级综合医院医疗质量指标体系的适用性探讨. 2017; 33(1): 30-34.

8. 李亚茜, 程亮亮, 段占祺, 潘惊萍, 张娟, 杨珉(通讯作者):呼吸系统疾病住院费用与住院时间关联因素的影响程度分析. 现代预防医学 2017; (06): 1063-1069.

9. 程亮亮, 李亚茜, 段占祺, 张娟, 潘惊萍, 杨珉(通讯作者):不同粗分组方法建立DRGs模型的差异对比研究. 中国卫生统计 2017; (03): 404-407.

10. 程亮亮, 段占祺, 张娟, 潘惊萍, 杨珉(通讯作者):呼吸系统疾病患者住院费用的DRGs研究. 中华医院管理杂志 2017; 33(8): 591-595.

11. 唐雯, 张坚, 朱惠莲, 景小凡, 孙建勤, 吴晓娜, 张键, 蒋宝泉, 杨珉(通讯作者), 黄承钰:个体间(II)和个体-均数间差异(IM)指数在老年患病人群健康公平性评价中的应用研究. 中国卫生事业管理 2017, 34(4):302 -305.

12. 王婷婷, 曹诚, 刘亚兰, 练婧曦, 严可, 杨珉, 蒋祎(通讯作者). 重庆市养老机构老年人轻度认知障碍的患病现状及影响因素. 中国康复理论与实践 2017; (03): 253-256.

13. 柏鸽, 万洋, 曾苗, 邱培媛(通讯作者), 熊海. 四川省富顺县农村老年人营养不良及其影响因素调查. 现代预防医学 2017; (10): 1798-1802.

14. 唐雨欣, 郭小牧, 谯治蛟, 邱培媛(通讯作者). 北京、上海社区老年人跌倒现况及影响因素研究. 中华疾病控制杂志 2017; (01): 72-76.

15. 刘晗, 曾苗, 杨练, 张金花, 邱培媛(通讯作者). 集中指数视角下新农合住院补偿受益分布研究——以湖北省孝昌县为例. 卫生经济研究 2017; (01): 35-38.

16. 曾苗, 万洋, 刘晗, 邱培媛(通讯作者), 张强. 四川省富顺县农村老年人睡眠质量及其影响因素研究. 现代预防医学 2017; (04): 688-691.

17. 曾苗,刘晗,柏鸽, 邱培媛(通讯作者). 新型农村合作医疗住院受益公平性分析——以四川省富顺县为例.现代预防医学,2017,(21):3936-3940.

18. 王橙,马爱军,辛军平,樊延军, 赵莉(通讯作者).美国出生医学证明的内容形式与发展.中国妇幼保健.2017 第32卷第32期5493-5496

19. 赵莉,刘毅, 马骁, 汪瑞鸥,辛军国,李春燕,朱嘉琳.预防医学本科人才培养与课程分析.中国大学教学

20. Ren Y, Yang M*, Li Q, Pan J, Chen F, Li X, Meng Q. Assessing dose-response effects of national essential medicine policy in China: comparison of two methods in handling data with a stepped-wedge like design and hierarchical structure. BMJ Open 2017:7; e013247. doi: 10.1136.

21. Ren Y, Qian P, Zhao Z, Pan J, ZhanqiDuan, Pan J, Shallcross D, Yang M*. Disparities in health system input between minority and non-minority counties and their effects on maternal mortality in Sichuan province of western China. BMC Public Health 2017. 17:750 DOI 10.1186/s12889-017-4765-y.

22. Mingyue Gao, Weihong Kuang, Peiyuan Qiu, Huali Wang , Xiaozhen Lv, Min Yang*, The time trends of cognitive impairment among elderly Chinese in the community: An epidemiology study based on the CLHLS cohorts from 1998 to 2014,  Age & Aging. 2017; 0: 1–7, doi: 10.1093/ageing/afx038.

23. MarittaVälimäki, Yang M, Normand S, Lorig KR, MinnaAnttila, TellaLantta, VirvePekurinen, Adams CE. Study protocol for a cluster randomized controlled trial to assess the effectiveness of user-driven intervention to prevent aggressive events in psychiatric services. BMC Psychiatry 2017.DOI 10.1186/s12888-017-1266-6.

24. Yang M, Xue H, Pan J, Linbuda L, Muchkelbauer R, Yang M, Quan L, Cheng G.. High protein intake along with paternal part‑time employmentis associated with higher body fat mass among girls from SouthChina. European Journal of Nutrition 2017.DOI 10.1007/s00394-017-1468-1.

25. Gao Y, Zhou H, Singh N, Powell-Jackson T, Nash S, Yang M, Guo S, Fang H, Alvarez MM, Liu X, Pan J, Wang Y, Ronsmans C. China’s Countdown to 2015: Progress and challenges in maternal health in Western China. The Lancet Global Health 2017.http://dx.doi.org/10.1016/S2214-109X(17)30100-6.

26. Pan J, Han W. Exploring the intergenerational persistence of health behaviour:An empirical study of smoking from China. BMC Public Health 2017.

27. Huang Y, Shallcross D, Pi L, Tian F, Pan J, Ronsmans C. Ethnicity and maternal and child health outcomes and service coverage in western China: a systematic review and meta-analysis. 2017,The Lancet Global Health, (forthcoming).

28. Yang Q, Pan J*. Control under times of uncertainty: the relationship between hospital competition and physician-patient disputes. International Journal for Equity in Health, 2017, 16: 205.

29. Liu M, Qin X, Pan J*. Does Medical Equipment Expansion Lead to More Diagnostic Services? Evidence from China’s Sichuan Province. Emerging Markets Finance and Trade, 2017, 53: 1289-1300.

30. BoliangGuo, Kaylor-Hughes C, Garland A, Nixon N, Sweeney T, Simpson S, Dalgleish T, RajiniRamana, Yang M, Morriss R. Factor structure and longitudinal measurement invariance of PHQ-9 for specialist mental health care patients with persistent major depressive disorder: Exploratory Structural Equation Modelling. Journal of Affective Disorder 2017.http://dx.doi.org/10.1016/j.jad.2017.05.020.

31. Hou. F, Cerulli, C., Wittink, M. N., Caine,E. D.,Qiu, P*. Using Confirmatory Factor Analysis to Explore Associated Factors of Intimate Partner Violence in a Sample of Chinese Rural Women: A Cross-sectional Study. BMJ Open. 2017.

32. Hou, F., Cerulli, C., Crean, H. F., Wittink, M. N., Caine, E. D., Chan, K. L., Qiu, P*. Implementing a New Tool to Predict the Risk of Intimate Partner Violence in Rural China. Journal of Interpersonal Violence. 2017, 1: doi 0886260517742152.

33. Peiyuan Qiu, Eric D. Caine, Fengsu Hou, Catherine Cerulli, Marsha Wittink. Depression as seen through the eyes of rural Chinese women: Implications for help-seeking and the future of mental health care in China. Journal of Affective Disorders. 2017, 227:38-47.

34. Li Zhao, Ruiou Wang, Junguo Xin, Quan Chen, Chunyan Li, James W. Holsinger Jr. and Xiao Ma. Analysis of the Preventive Medicine Undergraduate Curriculum in China: The West China School of Public Heath Experience: A Case Study. Frontiers in Education. Front. Educ., 10 July 2017 https://doi.org/10.3389/feduc.2017.00028.

35. Peter Tyrer, Helen Tyrer, Richard Morriss, Michael Crawford, Sylvia Cooper, Min Yang, Boliang Guo,Roger T Mulder, Samuel Kemp, Barbara Barrett. Clinical and cost-effectiveness of adapted cognitive behaviour therapy for non-cardiac chest pain: a multicentre, randomised controlled trial. Open Heart, 2017. 4:e000582. doi:10.1136/ openhrt-2016-000582.

36. Jeremy W. Coid, Rafael Gonzalez, Artemis Igoumenou, Tian Zhang, Min Yang & Paul Bebbington. Personality disorder and violence in the national household population of Britain. The Journal of Forensic Psychiatry & Psychology. 2017, 28(5): 620–638.

37. Xiacan Chen , Xueli Zhang, Stephen c.p. Wong, Min Yang, Di Kong,Junmei Hu,Characteristics of alleged homicide offenders with and without schizophrenia in Sichuan, China. Criminal Behaviour and Mental Health. 2017,DOI: 10.1002/cbm.2054.


2017年在研及已完成项目

1. Study on allocation equity of medicare resources: spatial analysis on accessibility to medical care in Sichuan. Commissioned research for Sichuan Health and Family Planning Committee(45,000 RMB), Grant number: 150112; PI:Jie Pan, 2015-2017.

2. Impact of competition between public hospitals on medical care services. Funded by Sichuan University to outstanding young researchers (200,000 RMB). Grant number: 2015SCU04A19; PI: Jie Pan, 2015-2017.

3. Competition mechanism and public hospital reform. Funded by Centre Government Fund for Basic research to Sichuan University (100,000 RMB). Grant number: skqx201401; PI: Jie Pan, 2014-2017.

4. A cohort study on cost-effectiveness evaluation of community-home care services for Alzheimer’s Disease. CMB OC ($150,000). Grant number: CMB14-198; PI: Peiyuan Qiu, Jan 2015 – Dec 2019.

5. Learning from health systems strengthening in maternal and newborn health (MNH) in China to inform accelerated progress for saving lives in Africa. Funded by MRC in the UK (£77,360). Grant number: MR/M01438X/1 (EP1DZF14); PI: Min Yang, Jan 2015 – Mar 2018.

6. Advanced research methods for multidisciplinary education in Finland and China. CIMO Finland, (Euro 89,000), Grant No: Kiina – 1 – 2016 -03. China site PI: Min Yang, August 2016 – August 2018.

7. Training for Research on the Role of Township Hospitals in the Healthcare System (RoTHiS). CMB ($200,000). Grant number: 16-252. PI: Min Yang, Jan 2017 – Dec 2019.

8. Using multilevel system science to study adolescents’obesity. Commissioned study for China Center for Disease Prevention and Control(126,750 RMB). Grant number: H160926; PI: Li Zhao, Sept 2016 – Dec 2017.

9. 成都高新区基层卫生体系发展研究.四川省卫生计生委 (150,000 RMB). 赵莉(PI). 2017CDGX-ZL. 20170308-20171231.

10. 四川省地方性法规《四川省医疗机构管理条例》修订研究.四川省卫生计生委 (150,000 RMB). 赵莉(PI). 2016WJW-赵莉. 20171218-20171231.

11. 健康石棉2030规划.石棉县卫生和计划生育委员会 (95,000 RMB). 赵莉(PI).H170911. 20170912-20171231.

12. 以卫生政策课程教学为例构建“专业课程+思想政治”教学模式.四川大学 (10,000 RMB). 赵莉(PI).2082404131055. 20170401-20180401.

13. 专业学位研究生优秀案例课程建设.四川大学 (5,000 RMB). 赵莉(PI).1040404117003. 20170101-20180401.

14. 四川省石渠县包虫病综合防治社会经济效益评估项目.四川省卫生计生委 (200,000 RMB). 周晓媛(PI). 0040405301130. 20170101-20171231.

15. 成都市按病种分组付费研究.成都市医研会 (200,000 RMB). 周晓媛(PI). 0040405502213. 20171001-2017043
 




 
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