Explanipedia

Obesity and Occupational Disparities in Urban China: Evidence from a Large-Scale Cross-Sectional Study Open

Guoxi Zhang, Huyang Zhang, Gordon G. Liu, Leiyu Shi · 2025

Background/Objectives: Obesity has become a global public health crisis, with China now ranking among the countries with the highest number of obese adults. Urban China faces a growing burden of obesity, but little is known about how obesi…

Practical integrated healthcare prevention and management of children’s health quality of respiratory functions: a systematic review Open

Wen‐Yi Liu, Tao-Hsin Tung, Leiyu Shi · 2025

Background To synthesise recent empirical evidence for the prevention and management of respiratory function in children. Methods and findings We searched the PubMed, Cochrane Library, Embase and Web of Science databases for studies publis…

Enhancing MAFLD Care: Efficacy of a Multidisciplinary Community Intervention on Self-Management and Hepatic Outcomes Open

Hai Yong Cai, Hailun Liang, Leiyu Shi, Yihui Rong, J. Li , et al. · 2025

Metabolic-associated fatty liver disease (MAFLD) is a prevalent condition associated with significant hepatic morbidity, yet evidence-based community interventions remain limited. This mixed-methods study first assessed self-management cap…

Application of 7E model in the clinical teaching of emergency nursing Open

Jie Shen, Leiyu Shi, Xiaodan Zheng, Yan Wu, Yanping GE · 2025

Objective To evaluate the application of 7E model in the clinical teaching of emergency nursing. Methods A convenience sample of nursing students who participated in internship in the Department of Emergency Medicine between Jan 2023 and F…

Effects of Prenatal Exposure to Ozone, Heatwave and Green Space on Neonatal Congenital Heart Disease: A Case-Control Study in Eastern China Open

Weizhe Zhang, Tiezheng Li, Leiyu Shi, Die Li, Mary A. Fox · 2025

Congenital heart disease (CHD) is the most prevalent birth defect. Ozone and heatwave exposure during pregnancy could increase the risk of adverse birth outcomes. Green space might be associated with beneficial birth outcomes. The research…

Impact of family doctors on gradient utilization of health services among diabetic patients: evidence from a real-world study Open

Yin Fan, Mengyun Sui, Leiyu Shi, Xue Long, Su Xu · 2025

Objective The family doctor system plays a crucial role in promoting the gradient utilization of health resources. However, empirical evidence regarding the use of health services across different levels of care by diabetic patients under …

Patient-centered medical home and the quality of primary care: survey study with patients and administrators of community healthcare centers in Shanghai, China Open

Hua Jin, Huining Zhou, Leiyu Shi, Hanzhi Zhang, Aizhen Guo , et al. · 2025

Indicators to Measure and Analyze Healthcare Accessibility in Metropolitan Cities in China Open

Qing Wang, Li Weng, Fengwang Ma, Jingshan Li, Leiyu Shi · 2025

Social Support’s Dual Mechanisms in the Loneliness–Frailty Link Among Older Adults with Diabetes in Beijing: A Cross-Sectional Study of Mediation and Moderation Open

Hao Cai, Hailun Liang, Jiali Zhu, Leiyu Shi, Jing Li , et al. · 2025

Background: The mechanisms linking loneliness to frailty in older adults with diabetes remain unclear. Guided by the Loneliness–Health Outcomes Model, this study is the first to simultaneously validate the dual mechanisms (mediation and mo…

Investigating the Effect of AI Literacy on the Quality of Technical Translation Open

Ke Xu, Wenhui Tang, Z. F. Tian, Qianhui Luan, Leiyu Shi · 2025

Physician group practice in China's healthcare reform: a national survey on physicians' perspectives and implementation challenges Open

Rui Fan, Meng Qing, Long Zhang, Chao Liu, Li Han , et al. · 2025

Background The physician group (PG) model, while well-established in the United States, is a relatively recent healthcare delivery innovation in China. Despite rapid growth in PG registrations, comprehensive understanding of physicians’ pe…

From intention to implementation: automating biomedical research via LLMs Open

Yi Luo, Leiyu Shi, Yihao Li, Aobo Zhuang, Yeyun Gong , et al. · 2025

Changes in primary health care service experiences and urban–suburban disparities among Shanghai residents: a two-year comparative study(2023–2024) Open

Sen Yang, Wanyu Li, Jianwei Shi, Leiyu Shi, Le Ma , et al. · 2025

Background Primary health care (PHC) is central to achieving universal health coverage, yet longitudinal assessments of residents' experiences—especially regarding urban–suburban disparities—remain scarce. This study aims to examine change…

Dual Pathways of Social Support in Loneliness and Frailty Among Older Adults with Diabetes: A Cross-Sectional Study on Mediation and Moderation Mechanism Open

Hao Cai, Hailun Liang, Jingwei Zhu, Leiyu Shi, Jing Li , et al. · 2025

Background: The mechanisms linking loneliness to frailty in older adults with diabetes remain unclear. Guided by the Loneliness-Health Outcomes Model, this study investigates the dual mediating and moderating roles of social support in thi…

Occupational Burnout in Nurses Is due to Long‐Term Work Stress Rather Than <span>COVID</span>‐19 Pandemic Event Open

Yucheng Cao, Yanhong Dong, Leiyu Shi, Kathy Chappell, Zhiyun Jia , et al. · 2025

Aim This study aims to explore occupational burnout among Chinese nurses from two perspectives: first, by comparing changes in emotional exhaustion, depersonalisation and personal accomplishment before and after the COVID‐19 pandemic; and …

Digital Therapeutics for Cognitive Impairment: Exploring Innovations, Challenges, and Future Prospects Open

Grace Yuange Zang, Keqin Rao, Jing Wu, Yunhan He, Yi Tang , et al. · 2025

Recent advancements in cognitive neuroscience and digital technology have significantly accelerated the adoption of digital therapeutics for cognitive impairment. This viewpoint explores the innovative applications of digital therapeutics …

Value Evaluation for Urban Medical Groups in China: A Case From Dapeng New District in Shenzhen Open

Yan Cui, Leiyu Shi, Shilan Tang, Yansui Yang, Lijie Ren · 2025

Background An urban medical group in Dapeng New District was established in 2017 with the objective of enhancing outcomes for common diseases and reinforcing primary care by integrating high‐level hospitals with primary health services. Th…

Perceived Care Quality of Frontline Clinical Nurses in China and Its Predictors: A Mixed‐Methods Study Open

Yucheng Cao, Y. N. Gao, Jing Shao, Leiyu Shi, Wenxuan Sun , et al. · 2025

Aim To identify predictors of nurses' perceived care quality, explore their understanding of high‐quality care and propose improvement strategies to inform clinical practice. Design A mixed‐methods design, integrating quantitative data ana…

Effect of Telehealth Follow-up Consultation in Pediatric Acute Otitis Media - Shenzhen City, Guangdong Province, China, 2023-2024. Open

Yuzhang Huang, Shige Qi, Shaoshan Liu, Zhongying Pan, Brian Siu , et al. · 2025

Telehealth services can effectively bridge geographical healthcare disparities while optimizing pediatric care delivery systems.

The people-centered care and inpatients’ perceived experience in China: a nationwide cross-sectional study Open

Zhixing Wang, Xueyao Wang, Herng‐Chia Chiu, Xiangrong Kong, Qingfeng Li , et al. · 2025

Background The concept of People-Centered Care (PCC) is a prominent concept around the world, which is considered as an important concept and practice to promote health equity especially in China. Nevertheless, the association between PCC …

Association of Childhood Trauma Subtypes and Substance Use Among Chinese College Students - Jilin Province, China, 2021. Open

You Wu, Bowen Liu, Leiyu Shi, Dongyang Chen, Yunhe Wang , et al. · 2025

Implementation of targeted interventions and support systems is essential for individuals with childhood trauma histories. Healthcare providers should emphasize early identification and trauma-informed care approaches. Policy frameworks pr…

Quantitative evaluation of two-way referral policies based on PMC index model Open

Jing Gong, Leiyu Shi, Jinsong Deng, Wanzhen Xie, Shengwu Liao , et al. · 2025

This study indicates that the quality of two-way referral policy is generally good, which reveals the factors affecting the policy operability and contributes to expand the research perspective of two-way referral policy evaluation.We also…

Health satisfaction outcome from integrated autonomous mobile clinics Open

Yuzhang Huang, Shaoshan Liu, Zhongying Pan, C.H. Wu, Herng‐Chia Chiu , et al. · 2024

Autonomous mobile clinics (AMCs) have the potential to revolutionize healthcare delivery by bringing healthcare services to patients at the order of patient's fingertips. Particularly, AMCs can act as an essential touch point of integrated…

School Bullying, Bystander Behavior, and Mental Health among Adolescents: The Mediating Roles of Self-Efficacy and Coping Styles Open

X Wang, Leiyu Shi, Yunzhi Ding, Bowen Liu, Hongbao Chen , et al. · 2024

While numerous studies have revealed the impact of different bullying behaviors, such as victimization and perpetration, on the psychological development of adolescents, the exploration of the correlates of positive/negative bystander beha…

Composition and influencing factors of hospitalization expenses for epilepsy patients based on path analysis Open

Jing Gong, Nian Li, Ying Wang, Wanzhen Xie, Leiyu Shi , et al. · 2024

Coupling coordination degree of healthcare resource supply, demand and elderly population change in China Open

Mengyuan Ma, Leiyu Shi, Wanzhen Xie, Qiuli Zhu, Junqing Luo , et al. · 2024

Object To analyze the trend of the coupling and coordination of the supply and demand of healthcare resources between the elderly population and healthcare resources in China during the period of 2012–2022, to reveal the impact of the grow…

Trajectories and influencing factors of cognitive function and physical disability in Chinese older people Open

Shuyuan Cheng, Rong Yin, Kunpeng Wu, Qiong Wang, Hui Zhang , et al. · 2024

Introduction Dementia and physical disability are serious problems faced by the aging population, and their occurrence and development interact. Methods Based on data from a national cohort of Chinese people aged 60 years and above from th…

Ecological comparison of six countries in two waves of COVID-19 Open

Meiheng Liu, Leiyu Shi, Manfei Yang, Jun Jiao, Junyan Yang , et al. · 2024

Objective The purpose of this study is to provide experience and evidence support for countries to deal with similar public health emergencies such as COVID-19 by comparing and analyzing the measures taken by six countries in epidemic prev…

Examining cancer screening disparities by race/ethnicity and insurance groups: A comparison of 2008 and 2018 National Health Interview Survey (NHIS) data in the United States Open

Jingjing Sun, Kevin D. Frick, Hailun Liang, Clifton Chow, Sofia Aronowitz , et al. · 2024

Background Pervasive differences in cancer screening among race/ethnicity and insurance groups presents a challenge to achieving equitable healthcare access and health outcomes. However, the change in the magnitude of cancer screening disp…

Disparities and effectiveness of COVID-19 vaccine policies in three representative European countries Open

Wanzhen Xie, Leiyu Shi, Meiheng Liu, Junyan Yang, Mengyuan Ma , et al. · 2024

Objective The aim of this study was to examine the Coronavirus disease 2019(COVID-19) vaccine policies disparities and effectiveness in Germany, Denmark and Bulgaria, with a view to providing lessons for global vaccination and response to …

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