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Gao J, Tian M, Liu J, Chen J, Zhang L, Wang X, Yan L, Liu Q, Wen J. Construction and validation of a competency model for hospital operation assistant of public hospitals in China: a cross‑sectional study. BMC Health Serv Res 2023; 23:1138. [PMID: 37872507 PMCID: PMC10594754 DOI: 10.1186/s12913-023-10139-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Accepted: 10/12/2023] [Indexed: 10/25/2023] Open
Abstract
BACKGROUND Hospital operation assistant (HOA) plays an important role in promoting the operation effectiveness and efficiency of hospital. China, as a resource-poor country, urgently needs to train HOA talent. The purpose of this study is to construct and validate a competency model for HOA, which can be used as a tool to select and train HOAs. METHODS Basic competency items were first constructed through literature review combined with the job analysis of HOA. Then, a questionnaire survey conducted on more than 300 hospital operation management-related staff was used to assess the importance of competency items. Exploratory factor analysis, structural equation model and second-order confirmatory factor analysis were used to construct and validate the competency model of HOA. RESULTS A total of 23 items were identified as critical to HOA capability, which were further divided into three factors: professional skills, professional knowledge and personality traits. The structural equation model showed that the standardized path coefficients of the three factors were 0.86, 0.82 and 0.98. The competency model passed strict fitting effect tests in several aspects, including root-mean-square error of approximation (RMSEA) = 0.077 (< 0.080), standardized root mean square residual (SRMR) = 0.062 (< 0.080), comparative fit index (CFI) = 0.927 (> 0.900) and Tucker-Lewis index (TLI) = 0.918 (> 0.900), which showed that the fitting validity of the model was ideal. The composite reliability (CR), average variance extracted (AVE) and correlation coefficients of all factors were within the standard range, which showed that the construction validity and discrimination validity of the model were ideal. CONCLUSION Our study indicates that the competency model of HOA is an instrument with appropriate fit validity, construct validity and discriminant validity, which can provide criteria for selecting and training HOAs.
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Affiliation(s)
- Jia Gao
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China
| | - Meirong Tian
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China
| | - Jun Liu
- Operation Management Department, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China
| | - Jingjing Chen
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China
| | - Lei Zhang
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China
| | - Xiaodong Wang
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China
| | - Ling Yan
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China
| | - Qiwang Liu
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China
| | - Jin Wen
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China.
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Dai Z, Hou Y, Kant S, Ma B. The influence of China's protected areas policy on households' risk perception, forest investment, and revenue. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:27799-27814. [PMID: 36394811 DOI: 10.1007/s11356-022-23994-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Accepted: 10/31/2022] [Indexed: 06/16/2023]
Abstract
Protected areas are an essential policy tool for biodiversity conservation in China as elsewhere, yet the impact of protected area policies on the livelihood of local households in China remains unknown. We contend that the protected area policy achieves the two goals of ecological conservation and livelihood improvement simultaneously. In this study, we empirically investigated the influence of the protected area policy on local households' risk perception, forest investment, and forest revenue. We analyzed a sample consisting of households located inside or adjacent to two protected areas, namely, Wuyishan National Park and Longqishan Nature Reserve, both in Fujian Province. A total of 211 valid questionnaires were collected in 2021, and the data were analyzed using structural equation modeling. The results indicate that the establishment of protected areas has a positive impact on forest revenues, mediated by risk perception and forest investment, while the average levels of perceived damage increased and perceived security decreased due to the protected area policy. Our study has implications for policymakers seeking to improve biodiversity and household livelihood around protected areas.
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Affiliation(s)
- Zhe Dai
- Graduate Department of Forestry, John H. Daniels Faculty of Architecture, Landscape, and Design, University of Toronto, 33 Willcocks Street, Toronto, Canada
| | - Yilei Hou
- School of Economics and Management, Beijing Forestry University, Haidian, 100083, China
| | - Shashi Kant
- Graduate Department of Forestry, John H. Daniels Faculty of Architecture, Landscape, and Design, University of Toronto, 33 Willcocks Street, Toronto, Canada
- Institute for Management & Innovation, University of Toronto Mississauga, 3359 Mississauga Road, Mississauga, Canada
| | - Ben Ma
- School of Environment and Natural Resources, Renmin University of China, Haidian, 100872, China.
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Li B, Chen J. Barriers to Community-Based Primary Health Care Delivery in Urban China: A Systematic Mapping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191912701. [PMID: 36232001 PMCID: PMC9566097 DOI: 10.3390/ijerph191912701] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Revised: 09/21/2022] [Accepted: 09/30/2022] [Indexed: 05/15/2023]
Abstract
Providing access to a range of basic health services, community-based primary health care (CB-PHC) plays a vital role in achieving the goal of health for all. Driven by a strong political commitment, China's CB-PHC progress in the past decade has been swift and impressive. However, a well-functioning delivery system for care has yet to be established. This systematic mapping review synthesizes selected evidence on barriers to CB-PHC delivery in urban China and draws lessons for policy development. We performed searches on five electronic databases: CINAHL, MEDLINE, Scopus, Web of Science, and China National Knowledge Infrastructure, and included studies published between 2012 and 2021. The Downs and Black and Critical Appraisal Skills Program checklists were used to assess the quality of eligible papers. We conducted our searches and syntheses following the framework set out in the Primary Health Care Performance Initiative (PHCPI). We synthesized the results of the included studies using a thematic narrative approach and reported according to PRISMA guidelines. Six salient barriers arose from our syntheses of 67 papers: lack of comprehensive health insurance schemes, lack of public awareness, superficial care relationships, gaps in communication, staff shortages and poor training, and second-rate equipment. These barriers are grouped into three subdomains following the PHCPI framework: access, people-centered care, and organization and management. A host of negative impacts of these barriers on community-based health care were also identified. It was not possible to determine clear causes of these barriers from the contributing evidence because of the lack of conceptual frameworks and research methods constraints. Non-eastern regions of China and access-related barriers require further exploration. It follows that, at the national level, the problems are likely more severe than the research suggests.
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Affiliation(s)
- Bo Li
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China
- Correspondence:
| | - Juan Chen
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China
- Mental Health Research Centre, The Hong Kong Polytechnic University, Hong Kong, China
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Qin X, Li P, Wu Y, Wang X, Yan S, Xu Y, Zhu P, Hao J, Tao F, Huang K. Impact of caesarean delivery on children's autism-like behaviours: the mediation of exclusive breastfeeding. Int Breastfeed J 2022; 17:53. [PMID: 35841102 PMCID: PMC9284736 DOI: 10.1186/s13006-022-00493-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Accepted: 06/26/2022] [Indexed: 11/10/2022] Open
Abstract
Background The rate of autism spectrum disorder (ASD) has been rising worldwide, and therefore it is important to identify potential causes of ASD to facilitate early prevention. This study examined the role of breastfeeding and the association between caesarean delivery (CD) and children’s autism spectrum disorder. Methods The data were from the Ma’anshan birth cohort (MABC) in China, that was set up between May 2013 and September 2014. Women within 14 gestational weeks were recruited. The delivery mode was extracted from medical notes and infant feeding was obtained from questionnaire surveys. Autism-like behaviour was assessed using the Checklist for Autism in Toddlers (CHAT-23) when children were 18 months old, and 3 years of age. At 5 years of age, autism-like behaviour was assessed using the Clancy Autism Behavior Scale behavior. Structural equation models tested the mediation effects of breastfeeding between CD and children’s autism spectrum disorder. Results In all, 1520 (48.89%) women gave birth via CD, and 406 (13.86%) children were identified with autism-like behaviours at 18 months. Compared with women giving birth via vaginal delivery, those giving birth via CD were more likely to experience a higher proportion of delayed initiation of breastfeeding (p < 0.01), and delayed onset of lactogenesis (p < 0.01). CD was associated with a lower proportion of exclusive breastfeeding at 4 months after delivery (p = 0.02). Autism-like behaviour was less likely amongst infants with exclusively breastfeeding at 4 months than amongst those not exclusively breastfeeding at 4 months (p < 0.01). SEM indicated that women who gave birth by CD were more likely to stop exclusive breastfeeding in the first 4 months (standard estimations = − 0.04, p = 0.02), and those children who were not exclusively breastfed at 4 months were more likely to have autism-like behaviours (standard estimations = − 0.05, p < 0.01). The associations persisted at 3 years, but not at 5 years. Conclusions Exclusive breastfeeding at 4 months of age mediated the association between caesarean delivery and children’s autism-like behaviours. Supplementary Information The online version contains supplementary material available at 10.1186/s13006-022-00493-6.
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Affiliation(s)
- Xiaoyun Qin
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, 230032, China.,Key Laboratory of Population Health Across Life Cycle (AHMU), MOE, Hefei, 230032, China.,NHC Key Laboratory of study on abnormal gametes and reproductive tract, Hefei, 230032, China.,Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, 230032, China
| | - Peixuan Li
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, 230032, China.,Key Laboratory of Population Health Across Life Cycle (AHMU), MOE, Hefei, 230032, China.,NHC Key Laboratory of study on abnormal gametes and reproductive tract, Hefei, 230032, China.,Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, 230032, China
| | - Ya Wu
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, 230032, China.,Key Laboratory of Population Health Across Life Cycle (AHMU), MOE, Hefei, 230032, China.,NHC Key Laboratory of study on abnormal gametes and reproductive tract, Hefei, 230032, China.,Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, 230032, China
| | - Xiaoxu Wang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, 230032, China.,Key Laboratory of Population Health Across Life Cycle (AHMU), MOE, Hefei, 230032, China.,NHC Key Laboratory of study on abnormal gametes and reproductive tract, Hefei, 230032, China.,Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, 230032, China
| | - Shuangqin Yan
- Ma'anshan Maternal and Child Health Care Hospital, Ma'anshan, 243000, China
| | - Yeqing Xu
- Ma'anshan Maternal and Child Health Care Hospital, Ma'anshan, 243000, China
| | - Peng Zhu
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, 230032, China.,Key Laboratory of Population Health Across Life Cycle (AHMU), MOE, Hefei, 230032, China.,NHC Key Laboratory of study on abnormal gametes and reproductive tract, Hefei, 230032, China.,Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, 230032, China
| | - Jiahu Hao
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, 230032, China.,Key Laboratory of Population Health Across Life Cycle (AHMU), MOE, Hefei, 230032, China.,NHC Key Laboratory of study on abnormal gametes and reproductive tract, Hefei, 230032, China.,Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, 230032, China
| | - Fangbiao Tao
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, 230032, China.,Key Laboratory of Population Health Across Life Cycle (AHMU), MOE, Hefei, 230032, China.,NHC Key Laboratory of study on abnormal gametes and reproductive tract, Hefei, 230032, China.,Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, 230032, China
| | - Kun Huang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, 230032, China. .,Key Laboratory of Population Health Across Life Cycle (AHMU), MOE, Hefei, 230032, China. .,NHC Key Laboratory of study on abnormal gametes and reproductive tract, Hefei, 230032, China. .,Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, 230032, China. .,Scientific Research Center in Preventive Medicine, School of Public Health, Anhui Medical University, Hefei, 230032, China.
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