Article
Geosciences, Multidisciplinary
Ozius Dewa, Donald Makoka, Olalekan A. Ayo-Yusuf
Summary: Malawi has recently strengthened its institutional frameworks for disaster risk management, highlighting the key role of the health sector in designing and implementing disaster management activities. Key challenges include funding shortages, limited availability of vulnerability and risk assessment data, inadequate human resource capacity, and imperfect planning processes at the district level.
INTERNATIONAL JOURNAL OF DISASTER RISK SCIENCE
(2021)
Article
Medicine, General & Internal
Guojie Liu, Quan Fang, Xinyu Ji, Jing OuYang, Yalan Zhu, Leying Wang, Xin Wang
Summary: This study aimed to investigate the medical expenditure and influencing factors of patients with hypertension in Shanxi Province, China. The results showed that the medical expenditure of hypertension is still heavy for individuals and society, and the diagnosis and treatment capacities of primary healthcare system have improved. To ease the economic burden of patients and improve the efficiency of social resources utilization, policymakers should pay more attention to key groups, enhance support for primary healthcare system, and standardize the treatment and reimbursement of hypertension.
Article
Environmental Sciences
Svetina Lucija, Kosec Andro, Curkovic Marko, Nola Iskra Alexandra
Summary: This paper analyzes the importance of resilience in complex crisis management using the example of co-occurring disasters. It presents a resilience framework model and highlights the need for a single, multilayered protocol to address complex disasters. The study emphasizes the balance between vulnerability and resilience in populations affected by prolonged multiple disasters.
ENVIRONMENTAL RESEARCH
(2022)
Article
Environmental Sciences
Abdul Waheed, Thomas Bernward Fischer, Sajida Kousar, Muhammad Irfan Khan
Summary: Economic and social development, environmental conditions, and disaster propensity are closely related. Therefore, integrating environmental policies into development and disaster management policies is important. Pakistan is highly vulnerable to climate-induced environmental changes and associated disasters. This study reviewed government documents and expert opinions to determine the alignment of national environment and climate change policies, disaster risk reduction policies, and disaster management plans in Pakistan. The study found that there is a need for a regulatory framework to guide the integration of environmental policies in disaster management for China's Belt and Road Initiative and the China-Pakistan Economic Corridor Plan.
ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH
(2023)
Article
Geosciences, Multidisciplinary
I. Dewa Made Frendika Septanaya, Shellyn Fortuna
Summary: Women's vulnerability in disasters is reduced through gender mainstreaming strategies. This study examines the inclusion of gender mainstreaming strategies in disaster management plans in seven regions of West Nusa Tenggara Province, Indonesia. Although there is a commitment to mainstream gender, strategies supporting women's participation in disaster risk management were lacking in all regions except for West Lombok and East Lombok Regency.
INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION
(2023)
Article
Medicine, General & Internal
Yong Chen, Yan Liu, Yubo Ma, Yong Qi, Qiu Zhang, Ji-Hong Zhou
Summary: This study analyzes the clinical features and direct medical cost of splenic injury in China from 2000 to 2013, finding that the management of splenic injury is the most important factor impacting the total cost.
Article
Geosciences, Multidisciplinary
Xiangnan Hu, Kapucu Naim, Shi Jia, Zhu Zhengwei
Summary: This article discusses policy changes and reforms in China's emergency management system by comparing two major earthquakes, highlighting the importance of policy learning and administrative reforms after the Wenchuan earthquake and the better coordinated interorganizational collaboration network in 2017. The findings suggest improvements for disaster policies and practices of local governments in China.
INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION
(2021)
Review
Medicine, General & Internal
L. S. Kengne Kamga, A. C. G. Voordouw, M. C. de Vries, E. Belfroid, M. Koopmans, A. Timen
Summary: This systematic review aimed to identify the sectors mentioned in the literature on public health emergency preparedness and response (PHEPR) and map their involvement in the seven domains of the PHEPR cycle. The results revealed that collaboration and involvement of sectors in PHEPR are primarily limited to a few sectors, indicating a need for broader collaboration with more partners during preparedness and response.
Article
Medicine, General & Internal
Xiaolan Yu, Haini Bao, Jianwei Shi, Xiaoyu Yuan, Liangliang Qian, Zhe Feng, Jinsong Geng
Summary: The study found that hypertension patients highly valued healthcare services that produced good treatment effects, followed by travel time to healthcare facilities within 1 hour and effective physician-patient communication. Continuity of care and minimal waiting time were also positive predictors, while out-of-pocket costs were a negative predictor of patient choice.
Article
Geosciences, Multidisciplinary
John G. Richmond, Jeffrey Tochkin, Attila J. Hertelendy
Summary: The study conducted a nationwide survey of healthcare organizations in Canada to examine the prevalence and effectiveness of disaster preparedness activities enacted in preparation for COVID-19. The findings revealed variations in training and resources among organizations, with the presence of a single 'incident commander' and increased overall prevalence of activities positively impacting effectiveness. Recommendations were made for the establishment of a national health emergency preparedness system to bolster Canadian healthcare against future disasters.
INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION
(2021)
Article
Medicine, General & Internal
Meiling Bao, Cunrui Huang, Lei Wang, Gang Yan, Gang Chen
Summary: The outflow and scarcity of physicians in rural areas can negatively impact universal health coverage and population health outcomes. This study used a discrete choice experiment to explore primary healthcare physicians' job preferences and identify appropriate incentives for retention.
Review
Medicine, General & Internal
Yvonne Zurynski, Jessica Herkes-Deane, Joanna Holt, Elise McPherson, Gina Lamprell, Genevieve Dammery, Isabelle Meulenbroeks, Nicole Halim, Jeffrey Braithwaite
Summary: The research found that the definition of SPHS is primarily based on financial sustainability, but it is also more broadly conceptualized to include acceptability to patients and workforce, resilience through adaptation, and rapid absorption of evidence and innovations. Measures of SPHS are predominantly financial, but recent articles have proposed composite measures that account for financial, social, and health outcomes. Challenges to achieving SPHS include increasingly complex patient populations, limited integration due to entrenched fragmented systems and siloed professional groups, and ongoing translational gaps in evidence-to-practice and policy-to-practice. Improvement strategies for SPHS include developing appropriate workplace cultures, direct community and consumer involvement, and adoption of evidence-based practice and technologies. There is also a strong identified need for long-term monitoring and evaluations to support adaptation of healthcare systems.
Article
Geosciences, Multidisciplinary
Gorata Samuel, Mulalu Mulalu, Ditiro B. Moalafhi, Mark Stephens
Summary: Floods and droughts are common natural disasters in southern Africa, causing significant economic losses and loss of life. Botswana's disaster management strategy is ineffective due to poor mitigation and adaptive measures, and it fails to recognize the unique challenges of different types of disasters. The evaluation of Botswana's national disaster management strategy shows low performance, indicating an urgent need for replacement.
INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION
(2022)
Article
Medicine, General & Internal
Haiqin Wang, Di Liang, Donglan Zhang, Zhiyuan Hou
Summary: The benefit distribution of social health insurance among domestic migrants in China is unequal. The fragmented health insurance design and later reimbursement approach contribute to this inequality. To improve equity, China is promoting the portability of social health insurance, immediate reimbursement for inpatient care across regions, and a more integrated health insurance system.
Article
Medicine, General & Internal
Yong Wang, Yang Liu, Renyu Liu, Jing Zhao
Summary: Stroke is the leading cause of death and disability in China, with long pre-hospital delays in seeking treatment due to lack of awareness. The study aims to evaluate the impact of a public education programme on reducing prehospital delays in stroke patients across China. The multicentre study will focus on recruiting communities in rural areas, with primary outcomes including time from symptom onset to hospital arrival and 3-hour hospital arrival rate.
Article
Nursing
Hing Cheung Yiu, Yuli Zang, Jocelyn Han Shi Chew, Janita Pak Chun Chau
Summary: This study explored the influence of Confucianism on Chinese family caregivers of persons with dementia, revealing that family holds a top priority in their value system, with profound significance in their growth and development, and Confucian beliefs contribute to enhancing family relationships.
JOURNAL OF TRANSCULTURAL NURSING
(2021)
Article
Environmental Sciences
Yanan Su, Liangliang Cheng, Wenjia Cai, Jason Kai Wei Lee, Shuang Zhong, Siyu Chen, Teng Li, Xinfei Huang, Cunrui Huang
ENVIRONMENTAL RESEARCH
(2020)
Article
Management
Hongxia Du, Yuanyuan Yang, Xiaohong Wang, Yuli Zang
JOURNAL OF NURSING MANAGEMENT
(2020)
Article
Environmental Sciences
Shuang Zhong, Minghui Pang, Hung Chak Ho, Edward Jegasothy, Susan Clayton, Zhe Wang, Cunrui Huang
ENVIRONMENTAL RESEARCH LETTERS
(2020)
Article
Environmental Sciences
Shuang Zhong, Qiu Cheng, Shuwei Zhang, Cunrui Huang, Zhe Wang
Summary: The study in Sichuan Province, China, found that classroom education, propaganda posters, and professional guidance have significantly positive effects on children's flood risk perceptions. Parent-child interaction acts as a moderating factor for improving risk perception, with higher levels of interaction leading to higher risk perception scores.
SCIENCE OF THE TOTAL ENVIRONMENT
(2021)
Article
Education, Scientific Disciplines
Chen Wang, Jane Shakespeare-Finch, Michael P. Dunne, Xiang-Yu Hou, Nigar G. Khawaja
Summary: Cultural learning, especially overseas study experiences, plays a significant role in the development of health care students' cultural intelligence. Overseas study experiences are more related to cultural intelligence compared to in-class cultural learning.
NURSE EDUCATION TODAY
(2021)
Article
Environmental Sciences
Chen Wang, Xiang-Yu Hou, Nigar G. Khawaja, Michael P. Dunne, Jane Shakespeare-Finch
Summary: Short-term overseas study programs for healthcare students can increase cultural knowledge but may not necessarily enhance other aspects of cultural competence, such as awareness, attitude, and skills. Further research is needed to improve overall cultural competence among healthcare students.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Public, Environmental & Occupational Health
Lijun Fan, Xiang-Yu Hou, Yingyan Liu, Sunan Chen, Qian Wang, Wei Du
Summary: Frailty is a significant predictor for catastrophic health expenditure (CHE) in China, with prefrail or frail older adults associated with higher odds of CHE compared to non-frail individuals. Three components of frailty - weakness, exhaustion, and shrinking - significantly contribute to increased likelihood of CHE, while the other two components - slowness and inactivity - show non-significant effects. The impact of frailty on CHE remains consistent across various socioeconomic-related subgroups. Developing and implementing cost-effective strategies for preventing and managing frailty is crucial to safeguard households from financial catastrophe.
FRONTIERS IN PUBLIC HEALTH
(2021)
Article
Environmental Sciences
Zhong Shuang, Cheng Qiu, Huang Cun-Rui, Wang Zhe
Summary: This study established health V&A indices through literature review and factor analyses, mapping the spatial distribution of health vulnerability before and after a flood event in Anhui province. Results showed significant impacts of key components on post-flood waterborne-disease risks, with differences in the impacts of flood exposure, sensitivity, and adaptive capacity. The study validated three-layered health V&A indices with 30 indicators and highlighted the importance of local public health sensitivity and adaptive capacity in reducing post-flood waterborne-disease risks.
ADVANCES IN CLIMATE CHANGE RESEARCH
(2021)
Article
Management
Feifei Chen, Yuli Zang, Hong Dong, Xiaoyun Wang, Junping Bian, Xingfeng Lin
Summary: The hospital-based leisure activities programme significantly decreased nurses' job stress, perceived personal stress, self-perceived anxiety, and depression, improving nurses' well-being. Qualitative findings revealed five mechanisms linking leisure activities to subjective well-being: detachment recovery, autonomy, mastery, meaning, and affiliation.
JOURNAL OF NURSING MANAGEMENT
(2022)
Article
Medicine, General & Internal
Jingwen Wang, Qian Wang, Xiang-Yu Hou, Sunan Chen, Zhen Guo, Wei Du, Lijun Fan
Summary: This study conducted in China suggests significant concordance in the development of functional limitation among middle-aged and older couples, with similar patterns of spousal health concordance in terms of all studied outcomes, indicating no sex specificity.
Article
Nursing
Youjuan Zhang, Ho Yu Cheng, Yuli Zang, Kai Chow Choi, Sek Ying Chair
Summary: This study aimed to develop and test a food frequency questionnaire (Cardio-FFQ) for adults at risk of coronary heart disease. Through a mixed-methods study, the researchers identified candidate food items, assessed the validity and reliability of the questionnaire, and concluded that the 133-item Cardio-FFQ is a valid and reliable tool for comprehensive dietary assessment in adults at risk of coronary heart disease.
JOURNAL OF CLINICAL NURSING
(2023)
Review
Environmental Sciences
Saira Sanjida, Gail Garvey, James Ward, Roxanne Bainbridge, Anthony Shakeshaft, Stephanie Hadikusumo, Carmel Nelson, Prabasha Thilakaratne, Xiang-Yu Hou
Summary: This study critically reviewed the cancer care experiences of Indigenous peoples in the Australian healthcare system from the patient's perspective, providing the latest evidence for future research and practice. The study identified three main themes in healthcare services: communication, cultural safety, and access to services. The findings highlight the importance of cultural training for healthcare providers and increasing the Indigenous workforce to address the inequities faced by Indigenous people with cancer in Australia.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Review
Nursing
Sek Ying Chair, Bernard M. H. Law, Yuli Zang, Mary M. Y. Waye, Ho Yu Cheng, Ka Ming Chow
Summary: This systematic review aimed to assess the effectiveness of decision aids for genetic counsellees considering genetic tests for inherited genetic diseases. Eight included studies showed that decision aids can enhance the knowledge and confidence of genetic counsellees in decision-making, but have limited effect on decisional conflict and psychological outcomes.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Geriatrics & Gerontology
Hing Cheung Yiu, Amy Yuli Zang, Janita P. C. Chau
Summary: This study evaluates the impact of a culturally tailored intervention called 'Cultivate Yourself: Support for Caregivers of Persons with Dementia' on target caregivers in Hong Kong. The findings show significant improvements in family caregivers' psychosocial well-being, caring process, and supporting values after participating in the six-session programme.