Evaluating Experimental Policymaking: Lessons from China's Rural Health Reforms

In recent years, much attention has been paid to the Chinese government’s experimental approach to developing policy, but few detailed evaluations of the effectiveness of the approach exist. The development of a rural health insurance system in China provides a test case to examine how experimental policy development can work in social and health policy. Faced with the need for multiple simultaneous reforms, which interact in complex ways, policy experimentation may be a way to ‘implement the un-implementable’ – even in contexts of low and varying implementation capacity. But it must be managed well, and consideration must be given to feedback, policy coordination, and capacity development.DFI

Decentralization of the provision of health services to people living with HIV/AIDS in rural China: the case of three counties

This study is based on a large-scale household survey and in-depth interviews of key informants that was conducted in villages in three counties of two provinces in China. We assess the new decentralized service provision system for people living with HIV/AIDS in rural populations in China. Since 2003, new social assistance schemes, and, more importantly, decentralization of routine treatment and care to community health stations, were progressively implemented in rural areas most affected by the HIV/AIDS epidemic. Though some problems remain, such as persistent discrimination towards infected patients and the lack of sufficient training of medical staff, the new decentralized pattern of service provision has lowered barriers to health access and alleviated economic pressure on affected households

Health Service Access for Rural People Living with HIV/AIDS in China: A Critical Evaluation

The increasingly serious HIV/AIDS epidemic creates a significant burden for the public health system; however, little attention has been paid to the issue of health service access in rural China. Based on a qualitative study of 34 Chinese rural People Living with HIVIAIDS (PLWHA) and 13 health providers, this study fills a gap by examining health service access from both the demand and supply-side. Utilizing access theory, this study explores the availability, affordability and acceptability of health services in rural China. Moreover, this study focuses on access barriers and institutional obstacles that PLWHA meet during their illness and considers the influence of the current Chinese political philosophy of marketization and privatization of the health care systems

Impact of HIV/AIDS on Social Relationships in Rural China

Social support promotes greater medical compliance, better immune system functioning and slows the progress of HIV/AIDS. One in every 50 People Living With HIV/AIDS (PLWHA) is Chinese, yet little is known about the impact of HIV/AIDS on social relationships in China. This study compares the characteristics of those who report that HIV/AIDS had a substantial impact versus a modest impact on their social relationships. We obtained data from a survey of 866 PLWHA in rural China, which was conducted in 2006-2007 in the three Chinese provinces with the highest prevalence of HIV/AIDS. Chi-square test and multiple logistic regression were performed. The analysis shows that PLWHA who had full-blown AIDS (OR= 1.53; 95% CI=1.09-2.13) and those who were poor (OR=2.19; 95% CI=1.52-3.16) reported greater impact on their social relationships. The results lay a solid foundation for designing effective policy initiatives and intervention programs aimed at alleviating the impact of HIV/AIDS on social relationships and improving the quality of life of PLWHA

Social Protection during Disasters: Evidence from the Wenchuan Earthquake

Using evidence from the Wenchuan earthquake (12 May 2008) in China, this article examines the impact of disaster on the functioning of China's social protection system. The article examines the social protection system and the recipients of social protection. It presents four main findings: (1) the impact of the disaster on the social protection system itself was considerable; (2) the system was able to cope fairly successfully with the enormous demands created by the earthquake by a surge of resource utilisation; (3) there was an alarming rate of burnout and possible degradation in capabilities after several months, which may affect the effectiveness of the reconstruction stage, and (4) the demands of the public for perfect equality of treatment has hindered targeting of resources, but also simplified the operation at the relief stage. The article concludes with tentative proposals as to the nature of the institutional resilience expressed in the surge

Introduction: China and International Development: Challenges and Opportunities

In parallel to its domestic economic boom, China has also been growing as an international actor and as a ‘Rising Power’ in global development. This introduction outlines the need for further understanding of China's own development experience, its increasing involvement in development activities in low? and middle?income countries, and its growing engagement in global governance structures. The articles highlighted contribute valuable expertise and insight from both Chinese and non?Chinese perspectives, to map the shifting landscape of China's engagement in global development, and contribute to mutual understanding between traditional donors and rising powers in development cooperation

Optical Force and Torque on a Graphene-Coated Gold Nanosphere by a Vector Bessel Beam

In the framework of the generalized Lorenz–Mie theory (GLMT), the optical force and torque on a graphene-coated gold nanosphere by a vector Bessel beam are investigated. The core of the particle is gold, whose dielectric function is given by the Drude–Sommerfeld model, and the coating is multilayer graphene with layer number N, whose dielectric function is described by the Lorentz–Drude model. The axial optical force [Formula: see text] and torque [Formula: see text] are numerically analyzed, and the effects of the layer number N, wavelength [Formula: see text] , and beam parameters (half-cone angle [Formula: see text] , polarization, and order l) are mainly discussed. Numerical results show that the optical force and torque peaks can be adjusted by increasing the thickness of the graphene coating, and can not be adjusted by changing [Formula: see text] and l. However, [Formula: see text] and l can change the magnitude of the optical force and torque. The numerical results have potential applications involving the trapped graphene-coated gold nanosphere

Crystal growth, structure and thermal properties of noncentrosymmetric single crystals PrCa4O(BO3)3+

Noncentrosymmetric praseodymium calcium oxyborate single crystals, PrCa4O(BO3)3 (PrCOB), were grown by the Czochralski technique. The monoclinic unit cell parameters were found to be a = 8.177 Å, b = 16.157 Å, c = 3.629 Å and Z = 2 with space group Cm. Crystal density was measured using the Archimedes method, being on the order of 3.47 g cm-3. Thermal properties of PrCOB were investigated, where the specific heat was found to be 0.63 J g-1 °C-1 at room temperature, increasing to 0.85 J g-1°C-1 at 700°C. The thermal expansion coefficients were measured to be α11 = 7.99, α22 = 4.90 and α33 = 9.46 (10-6/°C), respectively. In addition, thermal diffusivity λ22 and thermal conductivity κ22 as a function of temperature were studied, where λ22 was observed to decrease from 0.89 to 0.58 mm2 s-1, while κ22 was found to maintain the same value, being ∼1.90 W m-1°C-1 over the temperature range of 20-700°C. 2013 The Royal Society of Chemistry

Factor Structure and Psychometric Properties of the Work-Family Balance Scale in an Urban Chinese Sample

The purpose of this study was to explore the factor structure of the Work-Family Balance Scale (WFBS) and examine its reliability and validity in use in the urban Chinese population. The scale was validated using a sample of 605 urban Chinese residents from 7 cities. Exploratory factor analysis identified two factors: work-family conflict and work-family enrichment. The WFBS showed adequate reliability and concurrent validity. The WFBS is a reliable and valid instrument to measure work-family balance for Chinese working parents. However, further examination of the scale is needed

Long-term surgical outcomes of primary congenital glaucoma in China

OBJECTIVE: To evaluate the long-term outcomes of three surgical procedures for the treatment of primary congenital glaucoma (PCG). INTRODUCTION: PCG is one of the main causes of blindness in children. There is a paucity of contemporary data on PCG in China. METHODS: A retrospective study of 48 patients (81 eyes) with PCG who underwent primary trabeculectomy, trabeculotomy, or combined trabeculotomy and trabeculectomy (CTT). RESULTS: All patients were less than 4 years (yrs) of age, with a mean age of 2.08 ± 1.23 yrs. The mean duration of follow-up was 5.49 ± 3.09 yrs. The difference in success rates among the three surgical procedures at 1, 3, 6 and 9 yrs was not statistically significant (p = 0.492). However, in patients with over 4 yrs of follow-up, Kaplan-Meier survival analysis revealed that the success rates of trabeculectomy and CTT declined more slowly than that of trabeculotomy. Among the patients, 66.22% acquired good vision (VA >; 0.4), 17.57% acquired fair vision (VA = 0.1 - 0.3), and 16.22% acquired poor vision (VA < 0.1). The patients with good vision were mostly in the successful surgery group. Myopia was more prevalent postoperatively (p = 0.009). Reductions in the cup-disc ratio and corneal diameter were only seen in the successful surgery group (p = 0.000). In addition, the successful surgery group contained more patients that complied with a regular follow-up routine (p = 0.002). DISCUSSION: Our cases were all primary surgeries. Primary trabeculectomy was performed in many cases because no treatment was sought until an advanced stage of disease had been reached. CONCLUSIONS: In contrast to most reports, in the present study, trabeculectomy and CTT achieved higher long-term success rates than trabeculotomy. The patients with successful surgical results had better vision. Compliance with a routine of regular follow-up may increase the chances of a successful surgical outcome