Son preference has persisted in the face of sweeping change these incentives without more direct efforts by economic and social changes in China, India, and the the state and civil society to increase the flexibility of the Republic of Korea. The authors attribute this to their kinship system such that daughters and sons can be similar family systems, which generate strong perceived as being more equally valuable. Much can be disincentives to raise daughters while valuing adult done to this end through social movements, legislation, women's contributions to the household. Urbanization, and the mass media. female education, and employment can only slowly
Son preference has persisted in the face of sweeping change these incentives without more direct efforts by economic and social changes in China, India, and the the state and civil society to increase the flexibility of the Republic of Korea. The authors attribute this to their kinship system such that daughters and sons can be similar family systems, which generate strong perceived as being more equally valuable. Much can be disincentives to raise daughters while valuing adult done to this end through social movements, legislation, women's contributions to the household. Urbanization, and the mass media. female education, and employment can only slowly
BackgroundTo ensure equity and accessibility of public health care in rural areas, the Chinese central government has launched a series of policies to motivate village doctors to provide basic public health services. Using chronic disease management and prevention as an example, this study aims to identify factors associated with village doctors’ basic public health services provision and to formulate targeted interventions in rural China.MethodsData was obtained from a survey of village doctors in three provinces in China in 2014. Using a multistage sampling process, data was collected through the self-administered questionnaire. The data was then analyzed using multilevel logistic regression models.ResultsThe high-level basic public health services for chronic diseases (BPHS) provision rate was 85.2 % among the 1149 village doctors whom were included in the analysis. Among individual level variables, more education, more training opportunities, receiving more public health care subsidy (OR = 3.856, 95 % CI: 1.937–7.678, and OR = 4.027, 95 % CI: 1.722–9.420), being under integrated management (OR = 1.978, 95 % CI: 1.132–3.458), and being a New Cooperative Medical Scheme insurance program-contracted provider (OR = 2.099, 95 % CI: 1.187–3.712) were associated with the higher BPHS provision by village doctors. Among county level factors, Foreign Direct Investment Index showed a significant negative correlation with BPHS provision, while the government funding for BPHS showed no correlation (P > 0.100).ConclusionIncreasing public health care subsidies received by individual village doctors, availability and attendance of training opportunities, and integrated management and NCMS contracting of village clinics are important factors in increasing BPHS provision in rural areas.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1276-y) contains supplementary material, which is available to authorized users.
Introduction: The measurement of health status of the elderly remains one important topic. Self-rated health status (SRH) is considered to be a simple indicator to measure the health status of the old population. But some researchers still take a skeptical view about its reliability. This study aims to investigate the association between SRH indicator and health status of the elderly and discuss its subsequent public health implications.Methods: In a total 1096 people who were 60 years of age or older from 1784 households from a suburban area of Beijing were interviewed using multistage stratified cluster sampling. SRH was measured by a single question “please choose one point in this 0–100 scale, which can best represent your health today.” The disease status and physical functional status were also obtained. A multiple linear regression was conducted to test the associate between SRH and individual’s disease/functional status.Results: The average of SRH scores of the elderly was 72.49 ± 15.64 (on a 1–100 scale). The SRH scores declined not only with the severity of self-reported mental/disease status, but also with the decrease of physical functional status. Multiple linear regression showed that after adjustment for other variables, 2-week sickness, chronic diseases, hospitalization, and ability of self-care (washing and dressing) were able to explain 35% of the variation in SRH among the elderly. Among them, disease status and self-care ability were the most powerful predictor of SRH. After adjusting other variables, physical functional status could explain only 5% of the variation in SRH.Conclusion: Self-rated health reflects the disease/functional health status of the elderly. It is an easy-to-implement variable and it can reduce both recall bias and investigator bias, thus being widely used in health surveys. It is a cost-effective means of measuring the health status. However, the comparability of SRH in different populations should be studied in future.
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