Elizabeth Maitland
Biographic Data
| ID | 3802131 |
|---|---|
| NAME | Elizabeth Maitland |
| GIVEN NAMES | Elizabeth |
| FAMILY NAME | Maitland |
| SIGNATURE | MAITLAND E |
| AFFILIATIONS | University of Liverpool |
| ORCID | 0000-0003-1551-4787 |
| VERIFIED | Yes |
| TOTAL WORKS | 20 |
| TOTAL CITATIONS | 3 |
| AUTHOR COUNT | 20 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2015 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
The turnover challenge in centers for disease control and prevention
Introduction As a core pillar in China's public health system, Centers for Disease Control and Prevention (CDCs) face significant workforce turnover. Using data from a certain province in China, our study addresses two gaps: the structural relationships and the combined effect on CDC turnover of salary, job satisfaction, and burnout, and, second, the inter-relationship of marital status and these factors. Methods From March to April 2024, a cross…
Psychological safety and primary care physicians’ well-being, work conditions and guideline adherence behavior
BACKGROUND: Health system reform initiatives have generated high-demand and created uncertain, complex practice environments, impacting the well-being, work conditions, and behavior of primary care professionals. Psychological safety is increasingly important to organizational success, particularly in highly complex work environments. Yet, few studies have examined its application among primary care professionals. OBJECTIVES: To examine the impac…
Excessive smartphone use in Tibet Autonomous Region
With nearly one-third of the Tibetan sample excessively engaged in smartphone use, targeted and multifaceted public health interventions are essential. Interventions should holistically address both mental and physical health by integrating depression support and vigorously promoting physical activity. Furthermore, strategies must be tailored for key demographics, recognizing the risks facing young and middle-aged adults, men, and high-socioecono…
Environmental inequality in eastern China
Regional catastrophic health expenditure and health inequality in China
Background: Catastrophic health expenditures (CHE) can trigger illness-caused poverty and compound poverty-caused illness. Our study is the first regional comparative study to analyze CHE trends and health inequality in eastern, central and western China, exploring the differences and disparities across regions to make targeted health policy recommendations. Methods: Using data from China's Household Panel Study (CFPS), we selected Shanghai, Hena…
Coping with Covid
Objective: The COVID-19 pandemic has challenged the health system worldwide. This study aimed to assess how China's hierarchical medical system (HMS) coped with COVID-19 in the short-and medium-term. We mainly measured the number and distribution of hospital visits and healthcare expenditure between primary and high-level hospitals during Beijing's 2020-2021 pandemic relative to the 2017-2019 pre-COVID-19 benchmark period. Methods: Hospital opera…
Structuring healthcare advance directives
BACKGROUND: Patients' treatment decisions may be influenced by the ways in which treatment options are presented. There is little evidence on how patients with advanced cancer choose preferences for advance directives (ADs) in China. Informed by behavioural economics, we assess whether end-of-life (EOL) cancer patients held deep-seated preferences for their health care and whether default options and order effects influenced their decision-making…
Impact of pension income on healthcare utilization of older adults in rural China
NRPS was an exogenous income shock that significantly increased the probability of discretionary over-the-counter drug purchases among over 60-year-old rural residents, but not the utilization of inpatient or outpatient healthcare services. Income remains an important constraint for rural residents to improve their health. We recommend policymakers consider including commonly used over-the-counter drugs in basic health insurance reimbursements fo…
Student Covid-19 vaccination preferences in China
Objective: This study uses a discrete choice experiment (DCE) questionnaire to investigate student vaccination preferences for both intrinsic and extrinsic attributes. Methods: A two-part DCE questionnaire was distributed to 1,138 students through face-to-face interviews at vaccination centers in Qingdao, China. Conditional logit models were used to understand student preference trade-offs. Mixed logit models (MLM) and sub-group analysis were con…
Preferences for private health insurance in China
Introduction: There is limited evidence on the sustainability and optimal design of China's private health insurance market, especially from the demand-side. With the increasing medical cost burden on both patients and the social security system, policy makers need data on potential clients' demand for private health insurance. Methods: A discrete choice experiment was conducted to explore potential clients' preferences for a type of government-i…
The Economic Burden of Hospital Costs on Families With Type 1 Diabetes Mellitus Children
Objective This study estimates the economic burden imposed on families by comparing the hospitalization costs of T1DM children with and without medical insurance in Shandong province. Methods Our data comprised 1,348 T1DM inpatient records of patients aged 18 years or younger from the hospitalization information system of 297 general hospitals in 6 urban districts of Shandong Province. Descriptive statistics are presented and regression analyses …
Empathy and burnout in medical staff
Our results pointed out the important role that empathy plays in addressing burnout and revealed that managing job satisfaction and increasing the job commitment attenuated burnout. We recommend that the government should accelerate the reform of the resourcing of different hospital levels; facilitate hospital managers to implement additional training; and support hospitals to strengthen psychological testing and counseling to reduce medical staf…
The long arm of childhood
Utilizing data from the nationally representative China Health and Retirement Longitudinal Study, this study analyzed the effect of intensity and duration of adverse childhood experiences on depression in middle aged and older aged adults in China. The mediating effect of cumulative health risk and personal factors were validated through the Karlson-Holm-Breen method. The results showed a significant dose-response relationship between adverse chi…
Covid-19 and the Epigenetics of Learning
Covid-19 is a natural phenomenon that has rapidly upended much of the cultural infrastructure of societies across the globe. Education, which in recent years increasingly tied itself to notions of global culture and markets, is deeply threatened by these changes to the natural environment. This paper makes the case that the relationship between nature and culture in education requires a deep level analysis of the biological and physical substrate…
Multimorbidity and Mental Health
(1) Background: The association between multimorbidity and mental health is well established. However, the role of gender in different populations remains unclear. Currently, China is facing an increased prevalence of multimorbidity, especially in its disease-causing poverty population. The present study explores the gender-based differences in the relationship between multimorbidity and mental health using data from the rural, disease-causing po…
Health-Related Quality of Life and Health Service Use among Multimorbid Middle-Aged and Older-Aged Adults in China
(1) Background: The management of multiple chronic diseases challenges China's health system, but current research has neglected how multimorbidity is associated with poor health-related quality of life (HRQOL) and high health service demands by middle-aged and older adults. (2) Methods: A cross-sectional study was conducted in Shandong province, China in 2018 across three age groups: Middle-aged (45 to 59 years), young-old (60 to 74 years), and …
Determinants of Overall Satisfaction with Public Clinics in Rural China
The primary health care quality factors determining patient satisfaction will shape patient-centered health reform in China. While rural public clinics performed better than hospitals and private clinics in terms of patient perceived quality of primary care in China, there is little information about which quality care aspects drove patients' satisfaction. Using a World Health Organization database on 1014 rural public clinic users from eight pro…
Comparison of patient perceived primary care quality in public clinics, public hospitals and private clinics in rural China
Rural public clinics, which share many characteristics with the optimal primary care delivery model, should be strongly strengthened to respond to patients' needs. Better doctor-patient interaction training would improve respect, confidentiality, autonomy and, most importantly, health care quality for rural patients
Contribution of primary care to health
In Tibet, higher quality primary care was associated with better self-rated health status. Primary care should be much strengthened in future health system reform in Tibet
Primary care quality between Traditional Tibetan Medicine and Western Medicine Hospitals
TTM patients reported better primary care experiences than patients using WM hospitals, which validated the government's investment in traditional Tibetan medicine
The long arm of childhood
Utilizing data from the nationally representative China Health and Retirement Longitudinal Study, this study analyzed the effect of intensity and duration of adverse childhood experiences on depression in middle aged and older aged adults in China. The mediating effect of cumulative health risk and personal factors were validated through the Karlson-Holm-Breen method. The results showed a significant dose-response relationship between adverse chi…
Contribution of primary care to health
In Tibet, higher quality primary care was associated with better self-rated health status. Primary care should be much strengthened in future health system reform in Tibet
Primary care quality between Traditional Tibetan Medicine and Western Medicine Hospitals
TTM patients reported better primary care experiences than patients using WM hospitals, which validated the government's investment in traditional Tibetan medicine
Comparison of patient perceived primary care quality in public clinics, public hospitals and private clinics in rural China
Rural public clinics, which share many characteristics with the optimal primary care delivery model, should be strongly strengthened to respond to patients' needs. Better doctor-patient interaction training would improve respect, confidentiality, autonomy and, most importantly, health care quality for rural patients
Determinants of Overall Satisfaction with Public Clinics in Rural China
The primary health care quality factors determining patient satisfaction will shape patient-centered health reform in China. While rural public clinics performed better than hospitals and private clinics in terms of patient perceived quality of primary care in China, there is little information about which quality care aspects drove patients' satisfaction. Using a World Health Organization database on 1014 rural public clinic users from eight pro…
Multimorbidity and Mental Health
(1) Background: The association between multimorbidity and mental health is well established. However, the role of gender in different populations remains unclear. Currently, China is facing an increased prevalence of multimorbidity, especially in its disease-causing poverty population. The present study explores the gender-based differences in the relationship between multimorbidity and mental health using data from the rural, disease-causing po…
Health-Related Quality of Life and Health Service Use among Multimorbid Middle-Aged and Older-Aged Adults in China
(1) Background: The management of multiple chronic diseases challenges China's health system, but current research has neglected how multimorbidity is associated with poor health-related quality of life (HRQOL) and high health service demands by middle-aged and older adults. (2) Methods: A cross-sectional study was conducted in Shandong province, China in 2018 across three age groups: Middle-aged (45 to 59 years), young-old (60 to 74 years), and …
Covid-19 and the Epigenetics of Learning
Covid-19 is a natural phenomenon that has rapidly upended much of the cultural infrastructure of societies across the globe. Education, which in recent years increasingly tied itself to notions of global culture and markets, is deeply threatened by these changes to the natural environment. This paper makes the case that the relationship between nature and culture in education requires a deep level analysis of the biological and physical substrate…
Student Covid-19 vaccination preferences in China
Objective: This study uses a discrete choice experiment (DCE) questionnaire to investigate student vaccination preferences for both intrinsic and extrinsic attributes. Methods: A two-part DCE questionnaire was distributed to 1,138 students through face-to-face interviews at vaccination centers in Qingdao, China. Conditional logit models were used to understand student preference trade-offs. Mixed logit models (MLM) and sub-group analysis were con…
Preferences for private health insurance in China
Introduction: There is limited evidence on the sustainability and optimal design of China's private health insurance market, especially from the demand-side. With the increasing medical cost burden on both patients and the social security system, policy makers need data on potential clients' demand for private health insurance. Methods: A discrete choice experiment was conducted to explore potential clients' preferences for a type of government-i…
The Economic Burden of Hospital Costs on Families With Type 1 Diabetes Mellitus Children
Objective This study estimates the economic burden imposed on families by comparing the hospitalization costs of T1DM children with and without medical insurance in Shandong province. Methods Our data comprised 1,348 T1DM inpatient records of patients aged 18 years or younger from the hospitalization information system of 297 general hospitals in 6 urban districts of Shandong Province. Descriptive statistics are presented and regression analyses …
Empathy and burnout in medical staff
Our results pointed out the important role that empathy plays in addressing burnout and revealed that managing job satisfaction and increasing the job commitment attenuated burnout. We recommend that the government should accelerate the reform of the resourcing of different hospital levels; facilitate hospital managers to implement additional training; and support hospitals to strengthen psychological testing and counseling to reduce medical staf…
The long arm of childhood
Utilizing data from the nationally representative China Health and Retirement Longitudinal Study, this study analyzed the effect of intensity and duration of adverse childhood experiences on depression in middle aged and older aged adults in China. The mediating effect of cumulative health risk and personal factors were validated through the Karlson-Holm-Breen method. The results showed a significant dose-response relationship between adverse chi…
Regional catastrophic health expenditure and health inequality in China
Background: Catastrophic health expenditures (CHE) can trigger illness-caused poverty and compound poverty-caused illness. Our study is the first regional comparative study to analyze CHE trends and health inequality in eastern, central and western China, exploring the differences and disparities across regions to make targeted health policy recommendations. Methods: Using data from China's Household Panel Study (CFPS), we selected Shanghai, Hena…
Coping with Covid
Objective: The COVID-19 pandemic has challenged the health system worldwide. This study aimed to assess how China's hierarchical medical system (HMS) coped with COVID-19 in the short-and medium-term. We mainly measured the number and distribution of hospital visits and healthcare expenditure between primary and high-level hospitals during Beijing's 2020-2021 pandemic relative to the 2017-2019 pre-COVID-19 benchmark period. Methods: Hospital opera…
Structuring healthcare advance directives
BACKGROUND: Patients' treatment decisions may be influenced by the ways in which treatment options are presented. There is little evidence on how patients with advanced cancer choose preferences for advance directives (ADs) in China. Informed by behavioural economics, we assess whether end-of-life (EOL) cancer patients held deep-seated preferences for their health care and whether default options and order effects influenced their decision-making…
Impact of pension income on healthcare utilization of older adults in rural China
NRPS was an exogenous income shock that significantly increased the probability of discretionary over-the-counter drug purchases among over 60-year-old rural residents, but not the utilization of inpatient or outpatient healthcare services. Income remains an important constraint for rural residents to improve their health. We recommend policymakers consider including commonly used over-the-counter drugs in basic health insurance reimbursements fo…
Environmental inequality in eastern China
Psychological safety and primary care physicians’ well-being, work conditions and guideline adherence behavior
BACKGROUND: Health system reform initiatives have generated high-demand and created uncertain, complex practice environments, impacting the well-being, work conditions, and behavior of primary care professionals. Psychological safety is increasingly important to organizational success, particularly in highly complex work environments. Yet, few studies have examined its application among primary care professionals. OBJECTIVES: To examine the impac…
Excessive smartphone use in Tibet Autonomous Region
With nearly one-third of the Tibetan sample excessively engaged in smartphone use, targeted and multifaceted public health interventions are essential. Interventions should holistically address both mental and physical health by integrating depression support and vigorously promoting physical activity. Furthermore, strategies must be tailored for key demographics, recognizing the risks facing young and middle-aged adults, men, and high-socioecono…
The turnover challenge in centers for disease control and prevention
Introduction As a core pillar in China's public health system, Centers for Disease Control and Prevention (CDCs) face significant workforce turnover. Using data from a certain province in China, our study addresses two gaps: the structural relationships and the combined effect on CDC turnover of salary, job satisfaction, and burnout, and, second, the inter-relationship of marital status and these factors. Methods From March to April 2024, a cross…
Medicine (17 works) · China (13 works) · Geography (11 works) · Environmental health (9 works) · Demography (8 works) · Health care (8 works) · Healthcare Systems and Reforms (8 works) · Nursing (8 works) · Public health (8 works) · Economics (6 works)