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Objective:To investigate the status and willingness of information disclosure based on social supervision in tertiary and secondary public hospitals, so as to provide reference for expanding information disclosure content.Methods:By using stratified cluster random sampling method, 66 tertiary public hospitals and 126 secondary public hospitals in 6 provinces were selected for questionnaire survey in April 2021. Thirty-one indicators in 3 categories and 5 groups were selected to obtain the information disclosure status and willingness. Chi-square test, variance analysis and paired t-test were used to conduct difference analysis. Results:The indicators with higher disclosure rates in public hospitals were drug prices and medical service price adjustments (93.9% in tertiary hospitals and 92.1% in secondary hospitals) and medical insurance reimbursement policies and compensation processes (90.9% in tertiary hospitals and 86.5% in secondary hospitals), while the indicators with lower disclosure rates were case fatality rates in low-risk groups (24.2% in tertiary hospitals and 26.2% in secondary hospitals), proportion of special needs medical services (27.3% in tertiary hospitals), and average daily outpatient visits per practitioner (27.3% in tertiary hospitals and 26.2% in secondary hospitals). The indicators that public hospitals thought could be disclosed at a higher rate were drug and medical service price adjustments, medical insurance reimbursement policies and compensation processes, and prices and medical insurance reimbursement of commonly used drugs and major medical consumables, while the indicators that were thought to be disclosed at a lower rate were some medical service safety indicators and hospital financial indicators.For all indicators, the percentage that the hospitals thought could be disclosed was higher than the percentage that had been disclosed.Conclusions:At present, China′s secondary and tertiary public hospitals have a low rate of disclosure about medical service efficiency, medical service safety, statistical summary cost and financial indicators. However, except for some medical service indicators and financial related indicators, the hospitals′ information disclosure willingness is relatively high, and the scope of information disclosure can be expanded in an orderly manner in steps.
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Objective To understand the distribution of cancer deaths in China in 2015 and provide reference for the prevention and control of cancer.Methods Based on the results of Global Burden of Disease 2015,the cancer death distributions in different age groups,sex groups,provinces or by different malignant tumor in Chinese were described.Results The age-standardized mortality rate of cancer was 159.01/100 000 in China in 2015.The mortality rate was highest in age group ≥70 years (1 102.73/100 000),and lowest in age group 5-14 years (5.40/100 000).The mortality rate in males was 2.15 times higher than that in females.The first 5 provinces with high cancer mortality rate were Anhui,Qinghai,Sichuan,Guangxi and Henan.Lung cancer,liver cancer,stomach cancer,esophageal cancer and colorectal cancer ranked 1-5 in term of mortality rate.Conclusion The cancer mortality differed with age,gender,area and different malignant tumors,suggesting the necessity to develop targeted prevention and control strategies.
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Objective To understand the distribution of cancer deaths in China in 2015 and provide reference for the prevention and control of cancer.Methods Based on the results of Global Burden of Disease 2015,the cancer death distributions in different age groups,sex groups,provinces or by different malignant tumor in Chinese were described.Results The age-standardized mortality rate of cancer was 159.01/100 000 in China in 2015.The mortality rate was highest in age group ≥70 years (1 102.73/100 000),and lowest in age group 5-14 years (5.40/100 000).The mortality rate in males was 2.15 times higher than that in females.The first 5 provinces with high cancer mortality rate were Anhui,Qinghai,Sichuan,Guangxi and Henan.Lung cancer,liver cancer,stomach cancer,esophageal cancer and colorectal cancer ranked 1-5 in term of mortality rate.Conclusion The cancer mortality differed with age,gender,area and different malignant tumors,suggesting the necessity to develop targeted prevention and control strategies.
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Objective To analyze the characteristics of life expectancy and influencing factors in Chinese population in different areas and provide scientific evidence for policy-making on disease managements,medical care and risk factor intervention.Methods Based on the national census data from National Bureau of Statistics and the death registration data from the National Health and Family Planning Commission,we used exponential model,under-report adjustment model and abbreviated life tables to estimate the life expectancy and influence on disease in Chinese population in 2013.Results The Chinese life expectancy was 75.8 years in 2013,1 year higher than that in 2010.The life expectancy in urban area was 77.4 years,while it was 75.1 years that in rural area with the gap between the rural area and urban area was 2.3 years.The life expectancy was 77.2 years in the eastern area,75.8 years in middle area and 73.5 years in western area,the gap between the east and west was 3.6 years.In 2013,the first 10 leading diseases causing the life expectancy lost were cerebrovascular disease,ischemic heart disease,chronic obstructive pulmonary disease,lung cancer,road injury,liver cancer,stomach cancer,hypertensive heart disease,lower respiratory infection,esophagus cancer,resulting in 7.97 years of life expectancy lost.Conclusion The life expectancy in Chinese has already reached a relative high level,while the gap between different areas still exists.Different policies on disease management,medical care and risk factor interventions targeting different areas are needed to increase the life expectancy and improve the quality of life.
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Objective To analyze the characteristics of life expectancy and influencing factors in Chinese population in different areas and provide scientific evidence for policy-making on disease managements,medical care and risk factor intervention.Methods Based on the national census data from National Bureau of Statistics and the death registration data from the National Health and Family Planning Commission,we used exponential model,under-report adjustment model and abbreviated life tables to estimate the life expectancy and influence on disease in Chinese population in 2013.Results The Chinese life expectancy was 75.8 years in 2013,1 year higher than that in 2010.The life expectancy in urban area was 77.4 years,while it was 75.1 years that in rural area with the gap between the rural area and urban area was 2.3 years.The life expectancy was 77.2 years in the eastern area,75.8 years in middle area and 73.5 years in western area,the gap between the east and west was 3.6 years.In 2013,the first 10 leading diseases causing the life expectancy lost were cerebrovascular disease,ischemic heart disease,chronic obstructive pulmonary disease,lung cancer,road injury,liver cancer,stomach cancer,hypertensive heart disease,lower respiratory infection,esophagus cancer,resulting in 7.97 years of life expectancy lost.Conclusion The life expectancy in Chinese has already reached a relative high level,while the gap between different areas still exists.Different policies on disease management,medical care and risk factor interventions targeting different areas are needed to increase the life expectancy and improve the quality of life.