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| 1 | Disparity in reimbursement for tuberculosis care among different health insurance schemes: evidence from three counties in central China显示文摘Background:Health inequity is an important issue all around the world.The Chinese basic medical security system comprises three major insurance schemes,namely the Urban Employee Basic Medical Insurance(UEBMI),the Urban Resident Basic Medical Insurance(URBMI),and the New Cooperative Medical Scheme(NCMS).Little research has been conducted to look into the disparity in payments among the health insurance schemes in China.In this study,we aimed to evaluate the disparity in reimbursements for tuberculosis(TB)care among the abovementioned health insurance schemes.Methods:This study uses a World Health Organization(WHO)framework to analyze the disparities and equity relating to the three dimensions of health insurance:population coverage,the range of services covered,and the extent to which costs are covered.Each of the health insurance scheme’s policies were categorized and analyzed.An analysis of the claims database of all hospitalizations reimbursed from 2010 to 2012 in three counties of Yichang city(YC),which included 1506 discharges,was conducted to identify the differences in reimbursement rates and out-of-pocket(OOP)expenses among the health insurance schemes.Results:Tuberculosis patients had various inpatient expenses depending on which scheme they were covered by(TB patients covered by the NCMS have less inpatient expenses than those who were covered by the URBMI,who have less inpatient expenses than those covered by the UEBMI).We found a significant horizontal inequity of healthcare utilization among the lower socioeconomic groups.In terms of financial inequity,TB patients who earned less paid more.The NCMS provides modest financial protection,based on income.Overall,TB patients from lower socioeconomic groups were the most vulnerable.Conclusion:There are large disparities in reimbursement for TB care among the three health insurance schemes and this,in turn,hampers TB control.Reducing the gap in health outcomes between the three health insurance schemes in China should be a focus of TB care and control.Achieving equity through integrated policies that avoid discrimination is likely to be effective. | Yao Pan Shanquan Chen Manli Chen Pei Zhang Qian Long Li Xiang Henry Lucas | 2016 | Infectious Diseases of Poverty2016，5，1： | 7 |
| 2 | Are free anti-tuberculosis drugs enough? An empirical study from three cities in China显示文摘Background:Tuberculosis(TB)patients in China still face a number of barriers in seeking diagnosis and treatment.There is evidence that the economic burden on TB patients and their households discourages treatment compliance.Methods:A cross-sectional study was conducted in three cities of China.Patients were selected using probability proportional to size(PPS)cluster sampling of rural townships or urban streets,followed by list sampling from a patient register.Data were collected using a questionnaire survey,key informant interviews and focus group discussions with TB patients to gain an understanding of the economic burden of TB and implications of this burden for treatment compliance.Results:A total of 797 TB patients were surveyed,of which 60 were interviewed in-depth following the survey.More than half had catastrophic health expenditure.TB patients with higher household incomes were less likely to report non-compliance(OR 0.355,95%CI 0.140–0.830)and patients who felt that the economic burden relating to TB treatment was high more likely to report non-compliance(OR 3.650,95%CI 1.278–12.346).Those who had high costs for transportation,lodging and food were also more likely to report non-compliance(OR 4.150,95%CI 1.804–21.999).The findings from the qualitative studies supported those from the survey.Conclusion:The economic burden associated with seeking diagnosis and treatment remains a barrier for TB patients in China.Reducing the cost of treatment and giving patients subsidies for transportation,lodging and food is likely to improve treatment compliance.Improving doctors’salary system to cut off the revenue-oriented incentive,and expanding current insurance’s coverage can be helpful to reduce patients’actual burden or anticipated burden.Future research on this issue is needed. | Shanquan Chen Hui Zhang Yao Pan Qian Long Li Xiang Lan Yao Henry Lucas | 2015 | Infectious Diseases of Poverty2015，4，1： | 7 |
| 3 | Modulation of the electronic states of perovskite SrCrO3 thin films through protonation via low-energy hydrogen plasma implantation approaches显示文摘Hydrogenation of transition metal oxides offers a powerful platform to tailor physical functionalities as well as for potential applications in modern electronic technologies.An ideal nondestructive and efficient hydrogen incorporation approach is important for the realistic technological applications.We demonstrate the proton injection on SrCro3 thin films via an efficient low-energy hydrogen plasma implantation experiments,without destroying the original lattice framework.Hydrogen ions accumu-late largely at the interfacial regions with amorphous character which extend about one-third of the total thickness.The Hx.SrCro3(HSCO)thin films appear like exfoliated layers which however retain the fully strained state with distorted perovskite structure.Proton doping induces the change of Cr oxidation state from Cr^4+to Cr^3+in HSCO thin films and a transition from metallic to insulat-ing phase.Our investigations suggest an attractive platform in manipulating the electronic phases in proton-based approaches and may offer a potential peeling off strategy for nanoscale devices through low-energy hydrogen plasma implantation approaches. | Meng Wu Shanquan Chen Chuanwei Huang Xing Ye Haiping Zhou Xiaochun Huang Kelvin H.L.Zhang Wensheng Yan Lihua Zhang Kisslinger Kim Yingge Du Scott Chambers Jin-Cheng Zheng Hui-Qiong Wang | 2020 | Frontiers of physics2020，15，1： | 0 |
| 4 | Thin paints for durable and scalable radiative cooling显示文摘Passive daytime radiative cooling(PDRC) is environment-friendly without energy input by enhancing the coating's solar reflectance(R_(solar)) and thermal emittance(ε_(LWIR)) in the atmosphere's long-wave infrared transmission window.However,high R_(solar) is usually achieved by increasing the coating's thickness,which not only increases materials' cost but also impairs heat transfer.Additionally,the desired high R_(solar) is vulnerable to dust pollution in the outdoors.In this work,a thin paint was designed by mixing hBN plates,PFOTS,and IPA. R_(solar)=0.963 and ε_(LWIR)=0.927 was achieved at a thickness of 150 μm due to the high backscattering ability of scatters.A high through-plane thermal conductivity(~1.82 W m^(-1) K^(-1)) also can be obtained.In addition,the porous structure coupled with the binder PFOTS resulted in a contact angle of 154°,demonstrating excellent durability under dust contamination.Outdoor experiments showed that the thin paint can obtain a 2.3℃ lower temperature for sub-ambient cooling than the reference PDRC coating in the daytime.Furtherly,the above-ambient heat dissipation performance can be enhanced by spraying the thin paint on a 3D heat sink,which was 15.7℃ lower than the reference 1D structure,demonstrating excellent performance for durable and scalable PDRC applications. | Shanquan Liu Fei Zhang Xingyu Chen Hongjie Yan Wei Chen Meijie Chen | 2024 | Journal of Energy Chemistry2024，90，3： | 0 |
| 5 | Polypharmacy Among People Living with Dementia — Israel and 24 Countries in European Union, 2015–2019显示文摘What is already known about this topic?With a growing number of people living with dementia(PLWD),the practice of taking multiple medications to manage symptoms or comorbidities,i.e.,polypharmacy,among PLWD has become a global health challenge.What is added by this report?In 2015–2019,polypharmacy for PLWD varied substantially among 25 studied countries,with approximately 1 in 5 Estonian PLWD and 4 in 5 Cypriot PLWD having polypharmacy.In addition,Switzerland,Poland,Austria,and the Czech Republic have experienced a significantly increasing trend in polypharmacy for PLWD.What are the implications for public health practice?Countries should pay special attention to polypharmacy and make efforts to control polypharmacy among PLWD,especially in countries where the trend of polypharmacy among PLWD has been increasing. | Shanquan Chen Xi Chen Huanyu Zhang | 2022 | China CDC weekly2022，4，45： | 0 |
| 6 | Padé approximations of quantized-vortex solutions of the Gross–Pitaevskii equation显示文摘Quantized vortices are important topological excitations in Bose–Einstein condensates. The Gross–Pitaevskii equation is a widely accepted theoretical tool. High accuracy quantized-vortex solutions are desirable in many numerical and analytical studies. We successfully derive the Padéapproximate solutions for quantized vortices with winding numbers ω = 1, 2, 3, 4, 5, 6 in the context of the Gross–Pitaevskii equation for a uniform condensate. Compared with the numerical solutions, we find that(1) they approximate the entire solutions quite well from the core to infinity;(2) higher-order Padé approximate solutions have higher accuracy;(3) Padé approximate solutions for larger winding numbers have lower accuracy. The healing lengths of the quantized vortices are calculated and found to increase almost linearly with the winding number. Based on experiments performed with 87Rb cold atoms, the healing lengths of quantized vortices and the number of particles within the healing lengths are calculated, and they may be checked by experiment. Our results show that the Gross–Pitaevskii equation is capable of describing the structure of quantized vortices and physics at length scales smaller than the healing length. | Weiru Chen Shanquan Lan Xiyi Liu Jiexiong Mo Xiaobao Xu Guqiang Li | 2021 | Communications in Theoretical Physics2021，73，8： | 0 |
| 7 | National Action Plan in Antimicrobial Resistance Using Framework Analysis for China显示文摘INTRODUCTION The emergence of multi-antibiotic-resistant bacteria has turned bacterial resistance into a pressing global issue.Antibiotics that once effectively treated various infectious diseases are now becoming less efficient against a new class of bacteria known as“Super Bacteria,”including methicillin-resistant Staphylococcus aureus(1).It is estimated that one person dies every minute due to drug-resistant strains of disease,and by 2050,drug-resistant bacterial infections could become the leading cause of death in humans(2). | Shanquan Chen Jiahong Zhang Yongning Wu | 2023 | China CDC weekly2023，5，22： | 0 |
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