OBJECTIVES Chinese county hospitals have been excessively enlarging their scale during the healthcare reform since 2009. The purpose of this paper is to examine the technical efficiency and productivity of county hospitals during the reform process, and to determine whether, and how, efficiency is affected by various factors. SETTING AND PARTICIPANTS 114 sample county hospitals were selected ...

BACKGROUND In China, public hospital reform has been underway for almost 5 years, and 311 pilot county hospitals are the current focus. This study aimed to assess the job satisfaction and active participation of medical staff in the reform. A total of 2268 medical staff members in pilot and non-pilot county hospitals in Hubei, China, were surveyed. METHODS Questionnaires were used to collect ...

BACKGROUND China has since the beginning of this millennium engaged in substantial Universal Health Coverage (UHC) reforms. This paper adds evidence on how equity in level of health service utilization changed after UHC reforms. METHODS Our study was based on household survey data from 30 counties in Sichuan province in 2004 and 2011. We introduce an unusual outcome variable, namely level of ...

OBJECTIVE To reduce tobacco consumption and exposure to passive smoking in China. METHODS Discussion consisting of 80 focus groups and 35 interviews were held in three rural intervention counties of Jiangxi, Henan, and Sichuan Provinces. Participants came from hospitals, schools, rural areas, and urban areas. RESULTS Tobacco use and exposure to passive smoking were widely prevalent in the i...

Violence in both community and county hospitals in the USA is increasing. It caused significant physical, emotional and economic hardship to many emergency department employees. We describe an incident that caused significant injury to an innocent bystander in a quiet upper-class community emergency department and outline procedures that hospitals and emergency department employees can take to ...

1970-71 Brownsville Haywood County 1970-71 Sparta White County 1980-81 Watertown Wilson County 1981-82 Atwood 1981-82 Trezevant 1981-82 Gibson County Gibson County ceased to function as a regular school system. A new Gibson County Special School District was opened and students were assigned to the municipal or special school districts within the county. 1983-84 Crockett Mills 1983-84 Friendshi...

BACKGROUND Features of the built environment that influence physical activity behavior characterize Active Community Environments. CONTEXT Whether Active Community Environments policies exist in the state of Hawaii's four counties is unknown. The purpose of this study was to provide a baseline assessment of these policies in Hawaii. METHODS A survey assessing policies in six domains (i.e., ...

HIV in Dallas The Dallas Metropolitan Division (MD) consists of Collin County, Dallas County, Delta County, Denton County, Ellis County, Hunt County, Kaufman County, and Rockwall County. Dallas County is the second‐ largest county in Texas. In the Dallas MD, approximately 15,957 people are living with HIV, and approximately 900 new cases of HIV have been identified annually. 83% of people with ...