scholarly journals The Current Status of Cancer Control in China

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 248s-248s
Author(s):  
Y. Wang

Background and context: With the rapid economic growth and aging population, China is now facing the challenge of cancer burden. China National Cancer Registry data displayed that >4 million people were diagnosed with cancer in 2012, which accounted for 20% of global cancer incidence and 25% global cancer deaths occurred in China. Lung, gastrointestinal, breast cancers are the top 3 most common caused cancer diseases for Chinese people. Cancer brings huge economic loss both to Chinese economy and individuals. The total cancer cost has been raised 4 times more than in 2003, which was estimated to >400 billion Chinese Yuan. From 1970s, Chinese government attached importance to cancer control and conducted cancer prevention and control planning and strategy, but the medical resource allocation for cancer is still inequality in the country. Aim: China Anti-Cancer Association (CACA) investigates a research on how cancer control medical resource allocates in China and provides suggestion on cancer control policy development. Strategy/Tactics: Through collecting the data from 55 cancer hospitals across the country from 2013 to 2015 to analyze. Program/Policy process: The results show that oncology doctors and nurses slightly increase in consecutive 3 years, but the outpatient and inpatient visits grow in the average annual rate of 10%, the oncology professionals supply falls short of patient's demand. In terms of geography distribution, the cancer control medical resources are rich in municipality, capital cities and coastline cities. Northeast, southwest, and northwest part of China have weak medical resources to prevent and cure cancers. The oncology professional is constituted by clinical surgery, internal medical doctor, radiation therapist, and others. Clinical surgery is estimated to account for 40% of all professionals in cancer hospitals. The oncology professionals have higher education and academic background in third-grade class A hospitals. Inpatient and outpatient visits are much more in provincial cancer hospitals, rather than in prefectural-level cancer hospitals. Outcomes: Based on the research, CACA suggests that government should realize the importance of cancer control medical resource allocation, including increasing the number of oncology professionals, strengthening the professionals' academic training in secondary class A hospitals and prefectural-level cancer hospitals, and providing more financial investment to the parts where have insufficient medical resources. In addition, CACA advocates to taking the actions on tobacco control, HPV and HBV vaccine injection, changing healthy lifestyle, implementing the strategy of early detection, diagnose, and treatment, and formulating standardized and precision cancer treatment guideline, to ease the cancer burden so as to improve people's healthy life in China.

2021 ◽  
Vol 11 (12) ◽  
pp. 3090-3095
Author(s):  
Ramesh Chandran ◽  
N. Gayathri ◽  
S. Rakeshkumar

The medical data integrating system allows the hospital’s resource constraints to be more effectively utilized. Moreover, by improving the resource management and allocation method, the hospital’s operations may be more organized, and the effectiveness of healthcare can be improved without breaking the medical agreements. Significant catastrophes frequently result in a scarcity of important medical resources, hence resource allocation must be optimized to enhance the performance of relief operations. The two main requirements for healthcare industrial applications are timeliness and reliability. Therefore, in the architecture of a smart healthcare industry these two criteria should be thought carefully. A well-known approach for the security and timeliness in the intelligent healthcare industry is to utilize hybrid IoT and Cloud technologies. Yet it is not enough to protect their hard deadlines for tight time-sensitive applications utilizing cloud. A potential way to cope with efficiency and latency criteria for strict time-sensitive applications is the deployment of intermediate processing layer IoT that can be linked between healthcare industrial plant and cloud. The purpose of this article is to develop a healthcare Industrial IoT system that include a medical resource allocation scheme for dividing a certain amount of workload between those multiple computing layers which are dependable and time consuming. IOT is integration of microprocessors and controller Workload partitioning can give us important design decisions to specify how many computing resources are needed in cooperation with IoT to develop a local private cloud. Ant lion optimization (ALO) and TABU Look for the right route. The simplest method of deciding the distance to a destination is to choose an OLSR routing protocol depending on the meaning or measure it requires. The method proposed in the distribution and data storage of medical resources is very efficient.


2021 ◽  
Vol 12 ◽  
Author(s):  
Georgia Michailidou

Accruing evidence suggest that COVID-19 is more fatal for males and minorities than other sub-populations. In this paper, we study medical dilemmas pertaining to the allocation of medical resources to evaluate whether existing social biases correspond to the demographic disparities of the pandemic. We develop and implement a choice experiment in which participants decide how to allocate scarce medical resources among COVID-19 patients with diverse demographic attributes. We find that participants violate optimal resource allocation significantly more often for the benefit of females. Males are almost half as likely to receive lifesaving resources even if these are medically more beneficial for them. We also find that participants are less likely to assign resources to patients with high compared to low income. Last, we find no evidence of patients' race affecting allocation preferences.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sida Wan ◽  
Yanming Chen ◽  
Yijia Xiao ◽  
Qiqi Zhao ◽  
Manchun Li ◽  
...  

Abstract Background Spatial allocation of medical resources is closely related to people’s health. Thus, it is important to evaluate the abundance of medical resources regionally and explore the spatial heterogeneity of medical resource allocation. Methods Using medical geographic big data, this study analyzed 369 Chinese cities and constructed a medical resource evaluation model based on the grading of medical institutions using the Delphi method. It evaluated China’s medical resources at three levels (economic sectors, economic zones, and provinces) and discussed their spatial clustering patterns. Geographically weighted regression was used to explore the correlations between the evaluation results and population and gross domestic product (GDP). Results The spatial heterogeneity of medical resource allocation in China was significant, and the following general regularities were observed: 1) The abundance and balance of medical resources were typically better in the east than in the west, and in coastal areas compared to inland ones. 2) The average primacy ratio of medical resources in Chinese cities by province was 2.30. The spatial distribution of medical resources in the provinces was unbalanced, showing high concentrations in the primate cities. 3) The allocation of medical resources at the provincial level in China was summarized as following a single-growth pole pattern supplemented by bipolar circular allocation and balanced allocation patterns. The agglomeration patterns of medical resources in typical cities were categorized into single-center and balanced development patterns. GDP was highly correlated to the medical evaluation results, while demographic factors showed, low correlations. Large cities and their surrounding areas exhibited obvious response characteristics. Conclusions These findings provide policy-relevant guidance for improving the spatial imbalance of medical resources, strengthening regional public health systems, and promoting government coordination efforts for medical resource allocation at different levels to improve the overall functioning of the medical and health service system and bolster its balanced and synergistic development.


Author(s):  
Liping Fu ◽  
Kaibo Xu ◽  
Feng Liu ◽  
Lu Liang ◽  
Zhengmin Wang

Background: The distribution of medical resources in China is seriously imbalanced due to imbalanced economic development in the country; unbalanced distribution of medical resources makes patients try to seek better health services. Against this backdrop, this study aims to analyze the spatial network characteristics and spatial effects of China’s health economy, and then find evidence that affects patient mobility. Methods: Data for this study were drawn from the China Health Statistical Yearbooks and China Statistical Books. The gravitational value of China’s health spatial network was calculated to establish a network of gravitational relationships. The social network analysis method was used for centrality analysis and spillover effect analysis. Results: A gravity correlation matrix was constructed among provinces by calculating the gravitational value, indicating the spatial relationships of different provinces in the health economic network. Economically developed provinces, such as Shanghai and Jiangsu, are at the center of the health economic network (centrality degree = 93.333). These provinces also play a strong intermediary role in the network and have connections with other provinces. In the CONCOR analysis, 31 provinces are divided into four blocks. The spillover effect of the blocks indicates provinces with medical resource centers have beneficial effects, while provinces with insufficient resources have obvious spillover effects. Conclusion: There is a significant gap in the geographical distribution of medical resources, and the health economic spatial network structure needs to be improved. Most medical resources are concentrated in economically developed provinces, and these provinces’ positions in the health economic spatial network are becoming more centralized. By contrast, economically underdeveloped regions are at the edge of the network, causing patients to move to provinces with medical resource centers. There are health risks of the increasing pressure to seek medical treatment in developed provinces with abundant medical resources.


1988 ◽  
Vol 23 ◽  
pp. 33-55 ◽  
Author(s):  
Michael Lockwood

A new word has recently entered the British medical vocabulary. What it stands for is neither a disease nor a cure. At least, it is not a cure for a disease in the medical sense. But it could, perhaps, be thought of as an intended cure for a medicosociological disease: namely that of haphazard or otherwise ethically inappropriate allocation of scarce medical resources. What I have in mind is the term ‘QALY’, which is an acronym standing for quality adjusted life year. Just what this means and what it is intended to do I shall explain in due course. Let me first, however, set the scene.


2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Litao Cui

In order to elucidate the relationship between talent recruitment and teacher allocation management in higher vocational colleges under the background of the "Double High Plan", this paper studies and analyzes the current status of talent recruitment in Chinese higher vocational colleges in conjunction with the characteristics of talent resource allocation in higher vocational colleges and proposes to elucidate the priorities and improve supporting policies with reasonable planning to improve the optimization guideline of talent recruitment efficiency, so as to better accomplish the building of the national "double high plan" and improve the ability of higher vocational colleges to nurture more outstanding talents for the society.


2021 ◽  
pp. 119-130
Author(s):  
Anna Smajdor ◽  
Jonathan Herring ◽  
Robert Wheeler

This chapter explores the issues around the rationing of medical resources. It considers the different ways in which restrictions are imposed on what treatments are available and the ethical basis on which these assessments are based. This includes the controversial 'quality adjusted life years' method which is used to determine a cost/benefit analysis of different treatments. The chapter also examines how rationing is consistent with broader themes of justice.


Author(s):  
Mingruo Hu

Abstract Potentially large amount of hydrogen resource in China could theoretically supply 100 × 106 fuel cell passenger cars yearly. The Chinese government highly values the hydrogen and fuel cell technology. Policies and plans have been put forward densely in the recent five years. Numerous companies, research institutes, and universities are developing proton exchange membrane fuel cell (PEMFC) and solid oxide fuel cell (SOFC)-related technologies. A preliminary local supplier chain of fuel cell-related technology has been formed. However, the lifetime is still a key issue for the fuel cell technology. More than 3500 fuel cell range extender electric vehicles were manufactured during 2016 and 2018, and at the beginning of 2019, there have been more than 40 hydrogen refueling stations including both under operation and under construction. It is estimated the number of fuel cell-based electric vehicles will reach 36,000 by the end of 2020; therefore, lack of hydrogen refueling station has become a key restriction for development of the fuel cell vehicle industry.


Sign in / Sign up

Export Citation Format

Share Document