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Are tuberculosis patients adherent to prescribed treatments in China? Results of a prospective cohort study

Infectious Diseases of Poverty 2016年第1期5卷 319-327页

作者： Xun Lei Ke Huang Qin Liu Yong-Feng Jie sheng-lan tang China Effective Health Care Network Research Center for Medicine and Social DevelopmentInnovation Center for Social Risk Governance in HealthSchool of Public Health and ManagementChongqing Medical UniversityChongqingChina Public Health Clinical Center of Chengdu ChengduChina Changhang Hospital of Chongqing ChongqingChina Duke University DurhamNCUSA

Background:Tuberculosis(TB)patients face numerous difficulties adhering to the long-term,rigorous TB treatment *** on TB patients’treatment adherence vary across existing literature and official *** present study attempted to determine the actual treatment adherence of new TB patients and to identify factors leading to ***:A prospective cohort of 481 newly confirmed TB patients from three counties in western China were enrolled during June to December 2012 and was followed until June *** who missed at least one dose of drugs or one follow-up re-examination during the treatment course were deemed as *** factors were identified using a logistic regression ***:A total of 173(36.0%)patients experienced non-adherence and the loss to follow-up cases reached 136(28.2%).Only 13.9%of patients took drugs under direct observation,and 60.5%of patients were supervised by phone *** analyses suggested that patients who were observed by family members(OR:5.54,95%CI:2.87–10.69)and paying monthly service expenses above 450 RMB(OR:2.08,95%CI:1.35–3.19)were more likely to be non-adherent,while supervision by home visit(OR:0.06,95%CI:0.01–0.28)and phone calls(OR:0.27,95%CI:0.17–0.44)were protective ***:Despite recent efforts,a large proportion of newly confirmed TB patients could not adhere to standard TB treatment,and patients’lost to follow-up was still a serious *** treatment supervision and heavy financial burden might be the main causes for *** needs to be done to enhance treatment supervision policies and financial supports to both health providers and TB patients.

关键词： Tuberculosis Adherence Prospective cohort study China

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Experiences and challenges in the health protection of medical teams in the Chinese Ebola treatment center,Liberia:a qualitative study

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Infectious Diseases of Poverty 2018年第1期7卷 951-962页

作者： Ying Li Huan Wang Xu-Rui Jin Xiang Li Michelle Pender Cai-Ping Song sheng-lan tang Jia Cao Hao Wu Yun-Gui Wang Department of Social Medicine and Health Service Management Army Medical University(Third Military Medical University)ChongqingChina Bureau of Medical Affairs Administration First affiliated HospitalArmy Medical University(Third Military Medical University)ChongqingChina The Cadet Brigade of Clinic Medicine Army Medical University(Third Military Medical University)Chongqing 400038China Duke Global Health Institute Duke UniversityDurhamNCUSA Bureau of nurse Administration Second affiliated hospitalArmy Medical University(Third Military Medical University)ChongqingChina Department of Hygienic Toxicology Army Medical University(Third Military Medical University)ChongqingChina Army Medical University(Third Military Medical University) No.30 Gaotanyan RoadShapingba districtChongqing 400038China

Background:Health care workers are at the frontline in the fight against infectious disease,and as a result are at a high risk of *** the 2014-2015 Ebola outbreak in West Africa,many health care workers contracted Ebola,some ***,no members of the Chinese Anti-Ebola medical team,deployed to provide vital medical care in Liberia were *** study aims to understand how this zero infection rate was ***:Data was collected through 15 in-depth interviews with participants from the People’s Liberation Army of China medical team which operated the Chinese Ebola Treatment Center from October 2014 to January 2015 in *** were analysed using systematic framework ***:This study found numerous bio-psycho-socio-behavioural risk factors that directly or indirectly threatened the health of the medical team working in the Chinese Ebola Treatment *** factors included social and emotional stress caused by:(1)the disruption of family and social networks;(2)adapting to a different culture;(3)and anxiety over social and political unrest in *** to Ebola from patients and local co-workers,and the incorrect use of personal protective equipment due to fatigue was another major risk *** risk factors identified were:(1)shortage of supplies;(2)lack of trained health personnel;(3)exposure to contaminated food and water;(4)and long working *** efforts were taken throughout the mission to mitigate these *** measure was taken to prevent the medical team’s exposure to the Ebola virus,and to provide the medical team with safe,comfortable working and living *** were many challenges in maintaining the health safety of the team,such as the limited capability of the emergency command system(the standardized approach to the command,control,and coordination of an emergency response),and the lack of comprehensive international protocols for dealing with emerging infectiou

关键词： Infectious diseases Ebola China Ebola treatment center Medical team Liberia

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Impacts of a comprehensive tuberculosis control model on the quality of clinical services and the financial burden of treatment for patients with drug-resistant tuberculosis in China:a mixed-methods evaluation

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Infectious Diseases of Poverty 2021年第2期10卷 92-93页

作者： Wei-Xi Jiang Zhi-Peng Li Qi Zhao Meng-Qiu Gao Qian Long Wei-Bing Wang Fei Huang Ni Wang sheng-lan tang 不详 National Center for Tuberculosis Control and Prevention China CDCNo.27 Nanwei RoadXicheng DistrictBeijing 100050China Duke Global Health Institute Duke University310Trent DriveDurhamNC 27710USA

Background:The China National Health Commission-GatesTB Project Phase III implemented a comprehensive TB control model including multiple interventions to address the burden of drug-resistant TB(DRTB).This study aims to evaluate the quality of DRTB clinical services and assess the financial burden of DRTB patients during the intervention period.

关键词： Drug-resistant tuberculosis Quality of health services Financial burden

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The impact of increased reimbursement rates under the new cooperative medical scheme on the financial burden of tuberculosis patients

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Infectious Diseases of Poverty 2019年第4期8卷 101-101页

作者： Yan-Jiao Xin Li Xiang Jun-Nan Jiang Henry Lucas sheng-lan tang Fei Huang 不详 National Center for Tuberculosis Control and Prevention China CDCBeijingChina

Background:Tuberculosis(TB)is still a major public health problem in *** scale up TB control,an innovative programme entitled the'China-Gates Foundation Collaboration on TB Control in China was initiated in *** the second phase of the project,a policy of increased reimbursement rates under the New Cooperative Medical Scheme(NCMS)was *** this paper,we aim to explore how this reform affects the financial burden on TB patients through comparison with baseline ***:In two cross-sectional surveys,quantitative data were collected before(January 2010 to December 2012)and after(April 2014 to June 2015)the intervention in the existing NCMS routine data *** on all 313 TB inpatients,among which 117 inpatients in the project was *** data collection included 11 focus group *** main indicators,non-reimbursable expenses rate(NER),effective reimbursement rate(ERR),and out-of-pocket payment(OOP)as a percentage of per capita household income,were used to measure the impact of intervention by comprising post-intervention data with baseline *** quantitative data were analysed by descriptive analysis and non-parametric tests(Mann-Whitney U test)using SPSS 22.0,and qualitative data were subjected to thematic framework analysis using ***:The nominal reimbursement rates for inpatient care were no less than 80%for services within the *** inpatient expenses greatly increased,with an average growth rate of 11.3%.For all TB inpatients,the ERR for inpatient care increased from 52 to 66%.Compared with inpatients outside the project,for inpatients covered by the new policy,the ERR was higher(78%),and OOP showed a sharper *** addition,their financial burden decreased ***:Although the nominal reimbursement rates for inpatient care of TB patients greatly increased under the new reimbursement policy,inpatient OOP expenditure was still a major financial problem for pat

关键词： Tuberculosis New cooperative medical scheme Financial burden China

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Vector meson's spin alignments in high energy reactions

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Science China(Physics,Mechanics & Astronomy) 2025年第1期Mechanics & Astronomy) .卷 5-20页

作者： Jin-Hui Chen Zuo-tang Liang Yu-Gang Ma Xin-Li sheng Qun Wang Key Laboratory of Nuclear Physics and Ion-beam Application (MoE) Institute of Modern PhysicsFudan University Institute of Frontier and Interdisciplinary Science Key Laboratory of Particle Physics and Particle Irradiation (MOE)Shandong University INFN-Firenze Department of Modern Physics University of Science and Technology of China School of Mechanics and Physics Anhui University of Science and Technology

The global spin alignment of vector mesons has been observed by the STAR collaboration at the Relativistic Heavy Ion Collider （RHIC） at Brookhaven National Laboratory （BNL）.It provides a unique opportunity to probe the correlation between the polarized quark and antiquark in the strongly coupled quark-gluon plasma （sQGP） produced in relativistic heavy ion collisions,opening a new window to explore the properties of s *** addition,spin alignments of vector mesons have also been observed in other high-energy particle collisions such as e+e-annihilations at high energies where hadron production is dominated by quark fragmentation *** results obtained are quite different from those obtained in heavy ion collisions where quark coalescence/combination mechanism dominates suggesting strong dependence on hadronization *** comprehensive studies in different hadronization processes are *** this article,we present a brief review of theoretical and experimental advances in the study of vector meson’s spin alignments in a variety of high-energy particle collisions,with emphasis on hadronization mechanisms.

关键词： vector meson spin alignment global polarization relativistic heavy ion collisions fragmentation

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Process evaluation of E-learning in continuing medical education:evidence from the China-Gates Foundation Tuberculosis Control Program

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Infectious Diseases of Poverty 2021年第2期10卷 103-103页

作者： Zi-Yue Wang Li-Jie Zhang Yu-Hong Liu Wei-Xi Jiang sheng-lan tang Xiao-Yun Liu China Centre for Health Development Studies Peking UniversityBeijing 100191China 不详

Background:E-learning is a growing phenomenon which provides a unique opportunity to address the challenges in continuing medical education(CME).The China-Gates Foundation Tuberculosis(TB)Control Program implemented online training forTB health workers in three provinces of *** aim to evaluate the implementation of E-learning CME programs,analyse the barriers and facilitators during the implementation process,and to provide policy recommendations.

关键词： Continuing medical education Training Tuberculosis E-learning Process evaluation

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A decade of innovation to deepen the understanding of infectious diseases of poverty and foster their control and elimination

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Infectious Diseases of Poverty 2022年第6期11卷 1-4页

作者： Dirk Engels sheng‑lan tang Colin DButler Ayoade MJOduola Tania Cde Araujo‑Jorge George FGao Jürg Utzinger Xiao‑Nong Zhou World Health Organization(Retired) GenevaSwitzerland Duke University DurhamUSA Australia National University CanberraAustralia University of Ibadan Research Foundation University of IbadanIbadanNigeria Institute Oswaldo Cruz Oswaldo Cruz FoundationRio de JaneiroBrazil Chinese Acad‑emy of Sciences BeijingPeople’s Republic of China Swiss Tropical and Public Health Institute AllschwilSwitzerland University of Basel BaselSwitzerland National Institute of Parasitic Diseases at Chinese Center for Disease Control and Prevention Chinese Center for Tropical Diseases ResearchShanghaiPeo‑ple’s Republic of China One Health Center Shanghai Jiao Tong University The University of EdinburghShanghaiPeople’s Republic of China

Exactly 10 years ago,on 25 October 2012,a group of scientists,policy-makers,and practitioners undertook an ambitious project to launch a new open-access journal,named Infectious Diseases of Poverty[1].The idea had originated from a think-tank put forth by the Special Programme for Research and Training in Tropical Diseases(TDR),an organisation co-sponsored by the United Nations Children’s Fund(UNICEF),the United Nations Development Programme(UNDP),the World Bank,and the World Health Organization(WHO).Indeed,this think-tank published a comprehensive Global Report for Research on Infectious Diseases of Poverty[2]that guided the scope and remit of Infectious Diseases of Poverty.

关键词： UNICEF elimination originated

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Implementing a new tuberculosis surveillance system in Zhejiang,Jilin and Ningxia:improvements,challenges and implications for China’s National Health Information System

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Infectious Diseases of Poverty 2021年第2期10卷 104-104页

作者： Wei-Xi Jiang Fei Huang sheng-lan tang Ni Wang Xin Du Hui Zhang Yan-Lin Zhao 不详 National Center for Tuberculosis Control and Prevention China CDCNo.155 Changbai RoadChangping DistrictBeijing 102206China

Background:China is still faced with the public health challenge of tuberculosis(TB),and a robust surveillance system is critical for developing evidence-based TB control *** Tuberculosis Information Management System(TBIMS),an independent system launched in 2005,has encountered several challenges in meeting the current needs ofTB *** Chinese government also planned to establish the National Health Information System(NHIS)aggregating data in different *** China National Health Commission-Gates TB Project Phase III launched a new TB surveillance system to address these challenges and also as a pilot for the countrywide implementation of the *** commentary highlights the improvements and challenges in implementing the newTB system and also discusses the implications for the roll-out of the NHIS.

关键词： Disease surveillance system Tuberculosis Implementation science

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The effectiveness of E-learning in continuing medical education for tuberculosis health workers: a quasi-experiment from China

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Infectious Diseases of Poverty 2021年第3期10卷 102-102页

作者： Zi-Yue Wang Li-Jie Zhang Yu-Hong Liu Wei-Xi Jiang Jing-Yun Jia sheng-lan tang Xiao-Yun Liu China Centre for Health Development Studies Peking UniversityBeijing 100191China 不详

Background:Given the context of rapid technological cha nge and COIVD-19 pan demies,E-lear ning may provide a unique opportunity for addressing the challenges in traditional face-to-face continuing medical education(CME).However,the effectiveness of E-learning in CME interventions remains *** study aims to evaluate whether E-learning training program can improve TB health personnel's knowledge and behaviour in China.

关键词： Continuing medical education Training Tuberculosis E-learning Program evaluation

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Impact of an innovative financing and payment model on tuberculosis patients'financial burden:is tuberculosis care more affordable for the poor?

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Infectious Diseases of Poverty 2019年第2期8卷 43-52页

作者： Wei-Xi Jiang Qian Long Henry Lucas Di Dong Jia-Ying Chen Li Xiang Qiang Li Fei Huang Hong Wang Chris Elbers Frank Cobelens sheng-lan tang Global Health Research Center Duke Kunshan UniversityKunshan 215316JiangsuChina Institute of Development Studies University of SussexBrighton BN19REUK School of Policy&Management Nanjing Medical UniversityNanjing 211166JiangsuChina Tongji Medical College of Huazhong University of Science and Technology Wuhan 430030HubeiChina School of Public Health Xi'an Jiaotong UniversityXi'an 710061ShaanxiChina National Center for Tuberculosis Control and Prevention China CDCBeijing 102206China Bill&Melinda Gates Foundation SeattleWAUSA Faculty of Economics and Business Administration Vrije Universiteit AmsterdamAmsterdam 1081HVthe Netherlands The Amsterdam Institute for Global Health and Development Amsterdam 1105BPthe Netherlands Duke Global Health Institute Duke UniversityDurhamNC 27710USA

Background:In response to the high financial burden of health services facing tuberculosis(TB)patients in China,the China-Gates TB project,PhaseⅡ,has implemented a new financing and payment model as an important component of the overall project in three cities in eastern,central and western *** model focuses on increasing the reimbursement rate for TB patients and reforming provider payment methods by replacing fee-for-service with a case-based payment *** study investigated changes in out-of-pocket(OOP)health expenditure and the financial burden on TB patients before and after the interventions,with a focus on potential differential impacts on patients from different income ***:Three sample counties in each of the three prefectures:Zhenjiang,Yichang and Hanzhong were chosen as study *** patients who started and completed treatment before,and during the intervention period,were randomly sampled and surveyed at the baseline in 2013 and final evaluation in 2015 *** health expenditure and percentage of patients incurring catastrophic health expenditure(CHE)were calculated for different income *** regression and Iogit regression were conducted to explore the intervention's impacts on patient OOP health expenditure and financial burden after adjusting for other ***-informant interviews and focus group discussions were conducted to understand the reasons for any observed ***:Data from 738(baseline)and 735(evaluation)patients were available for *** mean OOP health expenditure increased from RMB 3576 to RMB 5791,and the percentage of patients incurring CHE also increased after *** percentage increase in OOP health expenditure and the likelihood of incurring CHE were significantly lower for patients from the highest income group as compared to the *** findings indicated that increased use of health services not covered by the standard package of the model was l

关键词： Health insurance Tuberculosis Financing and payment model Case-based payment

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