Yingchun Chen
Datos Biográficos
| ID | 6778458 |
|---|---|
| NOMBRE | Yingchun Chen |
| NOMBRES | Yingchun |
| APELLIDO | Chen |
| FIRMA | CHEN Y |
| AFILIACIONES | Huazhong University of Science and Technology |
| ORCID | 0000-0001-9400-0308 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 25 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 25 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2011 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 0 |
Urban–rural disparities in education’s mediating role between digital engagement and depression among Chinese older adults
Background Chinese older adults face dual challenges of digital exclusion and mental health burdens. This study examines whether educational attainment mediates the relationship between digital engagement and depression, and whether there is urban–rural heterogeneity in this mediating effect. Methods Using nationally representative data from 3,206 adults aged ≥60, we conducted chi-square tests and used Hayes’ PROCESS macro (Model 4 for mediation,…
Associations of air pollution and depression risk in older adults
Depression risk in older adults is a complex mental health issue influenced by multiple factors, including individual vulnerability and environmental exposure. Although many methods have been used to predict depression risk in this population, the causal relationships between these factors remain underexplored. This study utilized data from the China Health and Retirement Longitudinal Study (CHARLS) and an environmental pollution dataset, compris…
Effects of rural-to-urban migration on healthcare utilization of middle-aged and older adults
Background An increasing number of middle-aged and older adults are migrating from rural to urban areas for employment, to care for their younger generation and due to old age. As these age groups move into urban areas, their healthcare service utilization are directly related to their health status and basic rights to survival. It also places higher demands on China’s healthcare service provision. Objectives This study aims to examine effects of…
How do Chinese people perceive their healthcare system? Inequality in public satisfaction with healthcare security
Background: Satisfaction with healthcare security is a critical indicator of the effectiveness of health systems. Social equity and trust and the financial burden of healthcare are key socioeconomic factors that can significantly influence residents' perceptions of healthcare security. This study aims to investigate the impact of social equity and trust and medical burden on satisfaction with healthcare security and to analyze their potential int…
How significant is cost-shifting behavior under the diagnosis intervention packet payment reform? Evidence from the coronary heart disease market
Background Controlling the growth of inpatient costs presents a major challenge in China’s healthcare system. China introduced a new case-based payment method, the “Diagnosis Intervention Packet” (DIP), to address the surge in hospitalization expenses. However, the influence of DIP payment reform on cost shifting among coronary heart disease (CHD) inpatients remains unclear. Methods This study focused on Zunyi, a national pilot city for DIP, util…
Cultural variation in the smiles we trust
When playing single-shot behavioral economic games like the Trust and Dictator Games, European Americans and East Asians invested in and gave more to targets whose smiles matched their culture's ideal affect (the affective states they value; Blevins et al., 2024; Park et al., 2017), suggesting that smiles signal something about targets' traits. But what happens when participants are given direct information about targets' traits; do targets' smil…
Is there a change in the appropriateness of admission after patients were admitted? Evidence from four county hospitals in rural China
Objective This study aims to investigate the changes in admission appropriateness after patients were admitted and provide a reference for physicians to make admission decisions and for the supervision of medical service behavior by the medical insurance regulatory department. Methods Medical records of 4,343 inpatients were obtained based on the largest and most capable public comprehensive hospital in four counties in central and western China …
The effect of long-term care insurance on healthcare utilization of middle-aged and older adults
Long-term care insurance has played a role in controlling hospitalization costs but has not yet achieved the expected effect in controlling outpatient costs. The policy effects in terms of regional distribution and education level and care situation have been variable. The treatment plan of long-term care insurance needs to be improved, the supply of resources for long-term care services should be increased, and the promotion of long-term care in…
Individualized prediction of chronic kidney disease for the elderly in longevity areas in China
Background: Chronic kidney disease (CKD) has become a major public health problem worldwide and has caused a huge social and economic burden, especially in developing countries. No previous study has used machine learning (ML) methods combined with longitudinal data to predict the risk of CKD development in 2 years amongst the elderly in China. Methods: This study was based on the panel data of 925 elderly individuals in the 2012 baseline survey …
Can supplementary private health insurance further supplement health
Background China advocates a health insurance system with social health insurance (SHI) as the main body and private health insurance (PHI) as the supplement. The study of PHI's complementary role in health is conducive to providing evidence for PHI's policy expansion and encouraging the public to participate in PHI, which is insufficient in China. Methods We used the three-wave balanced panel data of the China Health and Retirement Longitudinal …
Effect of socioeconomic status on the physical and mental health of the elderly
The SES of the elderly including relatively large income gap, different education levels and occupational categories could indeed have a significant effect on health status of the elderly, and the reason why this effect existed could be partly explained by the mediation effect of social participation. Policymakers should pay more attention to the social participation of the elderly
What intensity of exercise is most suitable for the elderly in China? A propensity score matching analysis
Moderate-intensity physical activity was most beneficial to the successful ageing of the elderly and should be promoted in the elderly population
Effect of Social Participation on the Physical Functioning and Depression of Empty-Nest Elderly in China
This study aimed to explore the impact of social participation (SP) on physical functioning and depression among empty-nest elderly taking part in the fourth wave of the China Health and Retirement Longitudinal Survey (CHARLS, 2018). The instrumental variable (IV) method and propensity score matching (PSM) method were used to analyse the impact of SP. The two-stage regression results of the IV method showed that SP has a significant negative impa…
Performance and Sociodemographic Determinants of Excess Outpatient Demand of Rural Residents in China
Excess healthcare utilization is rapidly rising in rural China. This study focused on excess outpatient demand (EOD) and aimed to measure its performance and sociodemographic determinants among China's rural residents. A total of 1290 residents from four counties in central China were enrolled via multistage cluster random sampling. EOD is the condition in which the level of hospital a patient chooses is higher than the indicated level in the gov…
Comparison of inpatient distribution amongst different medical alliances in a county
The MAs reform in Y County significantly improved the capability of medical institutions within MAs. After the reform, township hospitals within MAs had greater development advantages than those outside MAs. However, it also caused further imbalance in the county region, which contained the new health inequality risk
Does County-Level Medical Centre Policy Influence the Health Outcomes of Patients with Trauma Transported by the Emergency Medical Service System? An Integrated Emergency Model in Rural China
This study aimed to assess the effect of the county-level medical centre policy on the health outcomes of trauma patients transported by emergency medical service (EMS) system in rural China. The methodology involved the use of electronic health records (EHRs, after 2016) of patients with trauma conditions such as head injury ( n = 1931), chest (back) injury ( n = 466), abdominal (waist) injury ( n = 536), and limb injury ( n = 857) who were tran…
Has the Efficiency of China’s Healthcare System Improved after Healthcare Reform? A Network Data Envelopment Analysis and Tobit Regression Approach
Some provincial overall efficiency has fluctuating increased, while other provincial has fluctuating decreased, and the average overall efficiency scores were fluctuations increase
Effect of an Integrated Payment System on the Direct Economic Burden and Readmission of Rural Cerebral Infarction Inpatients
Rural China is piloting an integrated payment system, which prepays a budget to a medical alliance rather than a single hospital. This study aims to evaluate the effect of this reform on the direct economic burden and readmission rates of cerebral infarction inpatients. The settlement records of 78,494 cerebral infarction inpatients were obtained from the New Rural Cooperative Medical Scheme (NRCMS) database in Dingyuan and Funan Counties in the …
Is There a Difference in the Utilisation of Inpatient Services Between Two Typical Payment Methods of Health Insurance? Evidence from the New Rural Cooperative Medical Scheme in China
This study aimed to evaluate the effects of the differences between two typical payment methods for the new rural cooperative medical scheme (NRCMS) in China on the utilisation of inpatient services. Interrupted time-series analysis (ITSA) and propensity score matching (PSM) were used to measure the difference between two typical payment methods for the NRCMS with regard to the utilisation of inpatient services. After the reform was formally impl…
Distribution of the Indicator of the Appropriate Admission of Patients with Circulatory System Diseases to County Hospitals in Rural China
Background: The inappropriate admission of patients with circulatory system diseases (CSDs) have contributed to the rapid increase in hospitalisation rates in China. The purpose of this study is to identify the key indicators of appropriate admission and their distribution by analysing CSD cases. Methods: A total of 794 records of inpatient CSD cases were collected from county hospitals in five counties in midwestern rural China through stratifie…
Does capitation prepayment based Integrated County Healthcare Consortium affect inpatient distribution and benefits in Anhui Province, China? An interrupted time series analysis
This study suggests that the ICHC policy provides effective strategies in promoting the integration of the healthcare delivery system in China. These strategies include strengthening family doctor signing service system and health management, developing telemedicine technology, reducing the weak points of the healthcare services, and introducing private hospitals to form new ICHCs
Determinants of Inappropriate Admissions in County Hospitals in Rural China
Inappropriate admissions have contributed to the rapid increase in hospitalisations in rural China. This study characterised the degree and determinants of inappropriate admissions in county hospitals. We used expert consultation to develop an appropriateness evaluation protocol that included nine requirements for services and 21 indicators of disease severity. A total of 2230 medical records from 2014 were collected from five county hospitals by…
Never form the same interests and goals of all parties? How to make the integrated medical reform really promote people's health
Since 2009, China is carrying out a new round of medical and health system reform, the ultimate goal is to reduce the economic burden of patients, promote the health of residents. However, there are still serious conflicts of interest between medical institutions, medical insurance and patients in the past eight years. Most local governments rely on administrative measure to reform, medical institutions are in a passive position, do not pay atten…
The impact of parameters of store illumination on food shopper response
Chronic disease knowledge and its determinants among chronically ill adults in rural areas of Shanxi Province in China
Having regular check-ups at a fixed healthcare institution and receiving health information from physicians are important measures for increasing CD knowledge among rural adults with CDs. Township hospitals are the most effective settings for health education. It is important to develop an effective community-based prevention and control mechanism for CDs. This requires township hospitals to take a leading role in improving CD knowledge among chr…
Sin obras prominentes en esta página.
Chronic disease knowledge and its determinants among chronically ill adults in rural areas of Shanxi Province in China
Having regular check-ups at a fixed healthcare institution and receiving health information from physicians are important measures for increasing CD knowledge among rural adults with CDs. Township hospitals are the most effective settings for health education. It is important to develop an effective community-based prevention and control mechanism for CDs. This requires township hospitals to take a leading role in improving CD knowledge among chr…
The impact of parameters of store illumination on food shopper response
Determinants of Inappropriate Admissions in County Hospitals in Rural China
Inappropriate admissions have contributed to the rapid increase in hospitalisations in rural China. This study characterised the degree and determinants of inappropriate admissions in county hospitals. We used expert consultation to develop an appropriateness evaluation protocol that included nine requirements for services and 21 indicators of disease severity. A total of 2230 medical records from 2014 were collected from five county hospitals by…
Never form the same interests and goals of all parties? How to make the integrated medical reform really promote people's health
Since 2009, China is carrying out a new round of medical and health system reform, the ultimate goal is to reduce the economic burden of patients, promote the health of residents. However, there are still serious conflicts of interest between medical institutions, medical insurance and patients in the past eight years. Most local governments rely on administrative measure to reform, medical institutions are in a passive position, do not pay atten…
Does County-Level Medical Centre Policy Influence the Health Outcomes of Patients with Trauma Transported by the Emergency Medical Service System? An Integrated Emergency Model in Rural China
This study aimed to assess the effect of the county-level medical centre policy on the health outcomes of trauma patients transported by emergency medical service (EMS) system in rural China. The methodology involved the use of electronic health records (EHRs, after 2016) of patients with trauma conditions such as head injury ( n = 1931), chest (back) injury ( n = 466), abdominal (waist) injury ( n = 536), and limb injury ( n = 857) who were tran…
Has the Efficiency of China’s Healthcare System Improved after Healthcare Reform? A Network Data Envelopment Analysis and Tobit Regression Approach
Some provincial overall efficiency has fluctuating increased, while other provincial has fluctuating decreased, and the average overall efficiency scores were fluctuations increase
Effect of an Integrated Payment System on the Direct Economic Burden and Readmission of Rural Cerebral Infarction Inpatients
Rural China is piloting an integrated payment system, which prepays a budget to a medical alliance rather than a single hospital. This study aims to evaluate the effect of this reform on the direct economic burden and readmission rates of cerebral infarction inpatients. The settlement records of 78,494 cerebral infarction inpatients were obtained from the New Rural Cooperative Medical Scheme (NRCMS) database in Dingyuan and Funan Counties in the …
Is There a Difference in the Utilisation of Inpatient Services Between Two Typical Payment Methods of Health Insurance? Evidence from the New Rural Cooperative Medical Scheme in China
This study aimed to evaluate the effects of the differences between two typical payment methods for the new rural cooperative medical scheme (NRCMS) in China on the utilisation of inpatient services. Interrupted time-series analysis (ITSA) and propensity score matching (PSM) were used to measure the difference between two typical payment methods for the NRCMS with regard to the utilisation of inpatient services. After the reform was formally impl…
Distribution of the Indicator of the Appropriate Admission of Patients with Circulatory System Diseases to County Hospitals in Rural China
Background: The inappropriate admission of patients with circulatory system diseases (CSDs) have contributed to the rapid increase in hospitalisation rates in China. The purpose of this study is to identify the key indicators of appropriate admission and their distribution by analysing CSD cases. Methods: A total of 794 records of inpatient CSD cases were collected from county hospitals in five counties in midwestern rural China through stratifie…
Does capitation prepayment based Integrated County Healthcare Consortium affect inpatient distribution and benefits in Anhui Province, China? An interrupted time series analysis
This study suggests that the ICHC policy provides effective strategies in promoting the integration of the healthcare delivery system in China. These strategies include strengthening family doctor signing service system and health management, developing telemedicine technology, reducing the weak points of the healthcare services, and introducing private hospitals to form new ICHCs
Effect of Social Participation on the Physical Functioning and Depression of Empty-Nest Elderly in China
This study aimed to explore the impact of social participation (SP) on physical functioning and depression among empty-nest elderly taking part in the fourth wave of the China Health and Retirement Longitudinal Survey (CHARLS, 2018). The instrumental variable (IV) method and propensity score matching (PSM) method were used to analyse the impact of SP. The two-stage regression results of the IV method showed that SP has a significant negative impa…
Performance and Sociodemographic Determinants of Excess Outpatient Demand of Rural Residents in China
Excess healthcare utilization is rapidly rising in rural China. This study focused on excess outpatient demand (EOD) and aimed to measure its performance and sociodemographic determinants among China's rural residents. A total of 1290 residents from four counties in central China were enrolled via multistage cluster random sampling. EOD is the condition in which the level of hospital a patient chooses is higher than the indicated level in the gov…
Comparison of inpatient distribution amongst different medical alliances in a county
The MAs reform in Y County significantly improved the capability of medical institutions within MAs. After the reform, township hospitals within MAs had greater development advantages than those outside MAs. However, it also caused further imbalance in the county region, which contained the new health inequality risk
What intensity of exercise is most suitable for the elderly in China? A propensity score matching analysis
Moderate-intensity physical activity was most beneficial to the successful ageing of the elderly and should be promoted in the elderly population
Individualized prediction of chronic kidney disease for the elderly in longevity areas in China
Background: Chronic kidney disease (CKD) has become a major public health problem worldwide and has caused a huge social and economic burden, especially in developing countries. No previous study has used machine learning (ML) methods combined with longitudinal data to predict the risk of CKD development in 2 years amongst the elderly in China. Methods: This study was based on the panel data of 925 elderly individuals in the 2012 baseline survey …
Can supplementary private health insurance further supplement health
Background China advocates a health insurance system with social health insurance (SHI) as the main body and private health insurance (PHI) as the supplement. The study of PHI's complementary role in health is conducive to providing evidence for PHI's policy expansion and encouraging the public to participate in PHI, which is insufficient in China. Methods We used the three-wave balanced panel data of the China Health and Retirement Longitudinal …
Effect of socioeconomic status on the physical and mental health of the elderly
The SES of the elderly including relatively large income gap, different education levels and occupational categories could indeed have a significant effect on health status of the elderly, and the reason why this effect existed could be partly explained by the mediation effect of social participation. Policymakers should pay more attention to the social participation of the elderly
Is there a change in the appropriateness of admission after patients were admitted? Evidence from four county hospitals in rural China
Objective This study aims to investigate the changes in admission appropriateness after patients were admitted and provide a reference for physicians to make admission decisions and for the supervision of medical service behavior by the medical insurance regulatory department. Methods Medical records of 4,343 inpatients were obtained based on the largest and most capable public comprehensive hospital in four counties in central and western China …
The effect of long-term care insurance on healthcare utilization of middle-aged and older adults
Long-term care insurance has played a role in controlling hospitalization costs but has not yet achieved the expected effect in controlling outpatient costs. The policy effects in terms of regional distribution and education level and care situation have been variable. The treatment plan of long-term care insurance needs to be improved, the supply of resources for long-term care services should be increased, and the promotion of long-term care in…
How significant is cost-shifting behavior under the diagnosis intervention packet payment reform? Evidence from the coronary heart disease market
Background Controlling the growth of inpatient costs presents a major challenge in China’s healthcare system. China introduced a new case-based payment method, the “Diagnosis Intervention Packet” (DIP), to address the surge in hospitalization expenses. However, the influence of DIP payment reform on cost shifting among coronary heart disease (CHD) inpatients remains unclear. Methods This study focused on Zunyi, a national pilot city for DIP, util…
Cultural variation in the smiles we trust
When playing single-shot behavioral economic games like the Trust and Dictator Games, European Americans and East Asians invested in and gave more to targets whose smiles matched their culture's ideal affect (the affective states they value; Blevins et al., 2024; Park et al., 2017), suggesting that smiles signal something about targets' traits. But what happens when participants are given direct information about targets' traits; do targets' smil…
Effects of rural-to-urban migration on healthcare utilization of middle-aged and older adults
Background An increasing number of middle-aged and older adults are migrating from rural to urban areas for employment, to care for their younger generation and due to old age. As these age groups move into urban areas, their healthcare service utilization are directly related to their health status and basic rights to survival. It also places higher demands on China’s healthcare service provision. Objectives This study aims to examine effects of…
How do Chinese people perceive their healthcare system? Inequality in public satisfaction with healthcare security
Background: Satisfaction with healthcare security is a critical indicator of the effectiveness of health systems. Social equity and trust and the financial burden of healthcare are key socioeconomic factors that can significantly influence residents' perceptions of healthcare security. This study aims to investigate the impact of social equity and trust and medical burden on satisfaction with healthcare security and to analyze their potential int…
Urban–rural disparities in education’s mediating role between digital engagement and depression among Chinese older adults
Background Chinese older adults face dual challenges of digital exclusion and mental health burdens. This study examines whether educational attainment mediates the relationship between digital engagement and depression, and whether there is urban–rural heterogeneity in this mediating effect. Methods Using nationally representative data from 3,206 adults aged ≥60, we conducted chi-square tests and used Hayes’ PROCESS macro (Model 4 for mediation,…
Associations of air pollution and depression risk in older adults
Depression risk in older adults is a complex mental health issue influenced by multiple factors, including individual vulnerability and environmental exposure. Although many methods have been used to predict depression risk in this population, the causal relationships between these factors remain underexplored. This study utilized data from the China Health and Retirement Longitudinal Study (CHARLS) and an environmental pollution dataset, compris…
Medicine (20 obras) · Healthcare Systems and Reforms (14 obras) · China (12 obras) · Geography (11 obras) · Environmental health (10 obras) · Healthcare Policy and Management (10 obras) · Internal Medicine (10 obras) · Business (8 obras) · Gerontology (8 obras) · Public health (8 obras)