Lancet
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Communication can be seen as the important component in medical care. The improvement of doctor-outpatient communication can improve not only the doctor-patient relationship, but also the quality of health care. In this study, we aimed to estimate whether the doctor-outpatient communication experience is satisfactory in Chinese public hospitals and how various factors affect this experience. ⋯ This study was supported by the Fundamental Research Funds for the Central Universities (2015AC023). The funders did not participate in study design, data collection, and analysis.
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Over the past decade, China's systems of medical education and health care have undergone unprecedented reform. Despite these reforms, a trend of declining interest among medical graduates in pursuing careers in clinical practice has persisted. The aim of this analysis is to examine physician workforce production and attrition rates and use current trends to predict whether an adequate and equitable supply of physicians will exist in the future. ⋯ This study was supported by the ROC Ministry of Science and Technology GrantMOST104-2511-S-010-003. The funding source had no involvement in study design, data collection and analysis, interpretation of the results, writing of the report, and the decision to submit the paper for publication.
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Shared decision-making is known to facilitate quality care, but little research has been done to explore this issue in mainland China. This study aimed to assess the preferred and perceived involvement in decision-making among patients considering cataract surgery, which is the most commonly performed procedure worldwide. ⋯ National Natural Science Foundation of China (81200685); National Natural Science Foundation of China (81100686); Science and Technology Program of Guangzhou, China (15570001); and Fundamental Research Funds of the State Key Laboratory of Ophthalmology.
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Most men who have sex with men (MSM) in China do not publicly disclose their sexual orientation. This low rate of disclosure may affect sexual behaviours, testing for HIV or other sexually transmitted infections (STIs), and disease transmission. This study examined factors associated with overall sexual orientation disclosure and disclosure to a healthcare professional. ⋯ US National Institute of Allergy and Infectious Diseases (NIAID; 1R01AI114310); University of North Carolina (UNC)-South China STD Research Training Centre (Fogarty International Centre 1D43TW009532); UNC Center for AIDS Research (NIAID; 5P30AI050410); University of California San Francisco Centre for AIDS Research (NIAID; P30 AI027763]; US National Institute of Mental Health (R00MH093201); UNC Chapel Hill, Johns Hopkins University, Morehead School of Medicine and Tulane University (UJMT) Fogarty Fellowship (FIC R25TW0093); Doris Duke International Clinical Research Fellowship; US National Center for Advancing Translational Sciences (UL1TR001111).
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Grassroots health-care institutions in China are facing a shortage of professionals, especially general practitioners. To encourage health-care providers to come to and stay at rural grassroots institutions, Pudong New Area of Shanghai undertook a series of incentive reforms for rural health-care providers in July, 2014. We evaluated the effectiveness of incentive reform. ⋯ National Nature Science Foundation of China (#71503170) for data interpretation. Shanghai Municipal Commission of Health and Family Planning (#201540400, #201540134) for data collection and analysis.