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Institution

China Medical Board

NonprofitCambridge, Massachusetts, United States
About: China Medical Board is a nonprofit organization based out in Cambridge, Massachusetts, United States. It is known for research contribution in the topics: Global health & Public health. The organization has 27 authors who have published 75 publications receiving 44326 citations.


Papers
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Journal ArticleDOI
TL;DR: “Universal health coverage” (UHC) is the current global rallying call in an ongoing movement aimed at strengthening national health systems to extend their reach and promote equity, and some global health leaders have recently proposed that UHC represents the third grand transition in health.
Abstract: “Universal health coverage” (UHC) is the current global rallying call in an ongoing movement aimed at strengthening national health systems to extend their reach and promote equity. The conceptuali...

13 citations

Journal ArticleDOI
TL;DR: The Chinese doctors’ competencies framework includes six elements: (a) technical procedural skills; (b) diagnosis and management; (c) teamwork and administration; (d) communication; (e) professional behavior; and (f) professional values, relevant to China, consistent with its current situation, and similar to those developed in other countries.
Abstract: China adopted a Flexnerian model as its medical institutions developed over the recent past but the political, social, and economic environment has changed significantly since then. This has generated the need for educational reform, which in other countries, has largely been driven by competencies-oriented models such as those developed in Canada, and the United States. Our study sought to establish the competencies model, relevant to China, which will support educational reform efforts. Data was collected using a cross-sectional survey of 1776 doctors from seven provinces in China. The surveys were translated and adapted from the Occupational Information Network General Work Activity questionnaire (O*NET-GWA) and Work Style questionnaire (O*NET-WS) developed under the auspices of the US Department of Labor. Exploratory factor analysis and confirmatory factor analysis ascertained the latent dimensions of the questionnaires, as well as the factor structures of the competencies model for the Chinese doctors. In exploratory factor analysis, the questionnaires were able to account for 64.25 % of total variance. All responses had high internal consistency and reliability. In confirmatory factor analysis, the loadings of six constructs were between 0.53 ~ 0.89 and were significant, Construct reliability (CR) were between 0.79 ~ 0.93 respectively. The results showed good convergent validity. The resultant models fit the data well (GFI was 0.92, RMSEA was 0.07) and the six-factor competencies framework for Chinese doctors emerged. The Chinese doctors’ competencies framework includes six elements: (a) technical procedural skills; (b) diagnosis and management; (c) teamwork and administration; (d) communication; (e) professional behavior; and (f) professional values. These findings are relevant to China, consistent with its current situation, and similar to those developed in other countries.

13 citations

Journal ArticleDOI
TL;DR: A pilot test of performance standards for medical schools was set in the context of a multidimensional (multiple‐choice question examination, objective structured clinical examination, faculty observation) examination at 8 leading schools in China.
Abstract: BACKGROUND To establish international standards for medical schools, an appropriate panel of experts must decide on performance standards. A pilot test of such standards was set in the context of a multidimensional (multiple-choice question examination, objective structured clinical examination, faculty observation) examination at 8 leading schools in China. METHODS A group of 16 medical education leaders from a broad array of countries met over a 3-day period. These individuals considered competency domains, examination items, and the percentage of students who could fall below a cut-off score if the school was still to be considered as meeting competencies. This 2-step process started with a discussion of the borderline school and the relative difficulty of a borderline school in achieving acceptable standards in a given competency domain. Committee members then estimated the percentage of students falling below the standard that is tolerable at a borderline school and were allowed to revise their ratings after viewing pilot data. RESULTS Tolerable failure rates ranged from 10% to 26% across competency domains and examination types. As with other standard-setting exercises, standard deviations from initial to final estimates of the tolerable failure rates fell, but the cut-off scores did not change significantly. Final, but not initial cut-off scores were correlated with student failure rates (r = 0.59, P = 0.03). DISCUSSION This paper describes a method to set school-level outcome standards at an international level based on prior established standard-setting methods. Further refinement of this process and validation using other examinations in other countries will be needed to achieve accurate international standards.

12 citations

Journal ArticleDOI
TL;DR: Developing a community of tobacco researchers would elevate the tobacco issue on the public policy agenda, encourage transparency among key stakeholders and better identify strategies of tobacco control that could be effective in the Chinese context.
Abstract: Research has been shown to be a critical component of successful national tobacco control programmes. China currently has a small number of dedicated researchers addressing tobacco use and control. We encourage the growth of tobacco research as an academic and governmental field of inquiry. Such research would include multiple foci: biologic and toxicologic, epidemiologic, economic, health promotion, evaluation, policy and regulatory, and legal. Developing a community of tobacco researchers would elevate the tobacco issue on the public policy agenda, encourage transparency among key stakeholders and better identify strategies of tobacco control that could be effective in the Chinese context.

10 citations


Authors

Showing all 27 results

NameH-indexPapersCitations
Karen Sliwa8342268902
Lincoln C. Chen4913616341
Emma Smith314740806
Piya Hanvoravongchai26654428
John S. Ji24886176
Patrick A. Ongley14201148
Dong Xu13105963
Catherine Michaud131736410
Nigel Crisp8155081
M. Roy Schwarz810442
Yan Hu844199
Rebecca Firestone57403
Wenkai Li47137
Ping Yu Chao33178
Jennifer Ryan2313
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Performance
Metrics
No. of papers from the Institution in previous years
YearPapers
20193
20184
20172
20164
20154
20147