Hongmei Yi

Hongmei Yi
Peking University | PKU · School of Advanced Agricultural Sciences

PhD

About

105
Publications
32,204
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Introduction
Skills and Expertise

Publications

Publications (105)
Article
Introduction: Primary healthcare in rural China is underutilised, especially in village clinics in Southwest China. The aim of this study was to explore any relationships among the ethnicity of the healthcare provider, the clinical competence of the healthcare provider, and the utilisation of village clinics in Southwest China. Methods: This cro...
Article
Full-text available
Background Patient satisfaction is an important outcome measure of health service and is one of the main reasons for the gradual deterioration of doctor–patient relationships in China. This study used the standardized patient (SP) method to explore patient satisfaction and its health provider-related determinants among primary health facilities in...
Article
Full-text available
The COVID-19 pandemic shocked the economy of China in early 2020. Strict lockdown measures were implemented nationwide to prevent the further spread of the virus. During the lockdown period, many economic activities were affected, which had repercussions for the nation's overall employment. Vocational graduates were among the most affected by the c...
Experiment Findings
Full-text available
According to the 18th National Reading Survey, adults’ average reading volume in China is significantly lower than that in developed countries. One fundamental reason is that many adults do not develop the habit of reading when they are young and thus become reluctant readers. In China, children's reading activities on campus are often utilitarian,...
Article
With a goal of improving health system quality and efficiency, reforms of China's health system over the past decade have sought to strengthen primary healthcare in lower-level clinics and health centers. Despite these wide-ranging reforms and initiatives, population-based studies have documented dramatic declines in patients' use of primary care f...
Article
Full-text available
Poor knowledge, scarce resources, and lack of or misaligned incentives have been widely documented as drivers of the irrational use of medicine (IUM), which significantly challenges the efficiency of health systems across the globe. However, there is limited understanding of the influence of each factor on IUM. We used detailed data on provider tre...
Article
To achieve common prosperity, we need to equalize the labor productivity in agriculture with that in other non-agricultural sectors. China’s agricultural labor productivity is less than 1/3 of that in the manufacturing and service industries. Our analysis on the trend of agricultural development suggests that it is essential to raise the agricultur...
Article
Full-text available
Background Although the progress in global health initiatives has improved the availability of primary health care (PHC), unqualified healthcare remains a serious challenge in low- and middle-income countries, where PHC is often underutilized. This study examines factors associated with patients’ healthcare-seeking behaviors in rural Chin—seeking h...
Article
Full-text available
Chronic diseases can be controlled through effective self-management. The purpose of this study is to explore the regularity of clinical visits and medication adherence of patients with hypertension or diabetes (PWHD), and its association with the first experience with care and individual factors in rural Southwestern China. This cross-sectional st...
Article
Policymakers in developing countries have prioritized the mass expansion of vocational education and training (VET). This study examines whether the quality of VET in developing countries increases by investing greater resources per student. To achieve this goal, we examine the impacts of attending model schools (which have far more resources per s...
Article
Full-text available
Purpose To describe changes in the prevalence of visual impairment and glasses ownership with age and as associated with income and population density for visual impairment among rural and urban migrant Chinese students. Design Meta-analysis of 12 cross-sectional, school-based studies conducted between 2012 and 2017. Setting Rural and urban migra...
Article
Full-text available
Background Due to lack of neurologists in low- and middle-income countries, communities of patients living with epilepsy are calling for task-shifting of diagnosis and management from physicians to paramedical providers in the primary health care systems to narrow the huge treatment gap. Evidence to guide this work has been limited. This study asse...
Article
Full-text available
Background: While strengthening primary care quality is key to China's health system reforms, evidence to guide this work has been limited, particularly for rural areas. This study provides the first nationally-representative assessment of village doctors' competence in diagnosing and managing presumptive heart disease. Methods: A cross-sectional s...
Article
Full-text available
Background While strengthening primary care quality is key to China's health system reforms, evidence to guide this work has been limited, particularly for rural areas. This study provides the first nationally-representative assessment of village doctors’ competence in diagnosing and managing presumptive heart disease. Methods A cross-sectional st...
Article
Full-text available
Objective To estimate the effect of providing free spectacles on uncorrected visual acuity (VA) among urban migrant Chinese school children. Design Exploratory analysis from a parallel cluster-randomised clinical trial. Methods After baseline survey and VA screening, eligible children were randomised by school to receive one of the two interventi...
Preprint
Full-text available
Objective Chronic diseases can be controlled through effective self-management. The purpose of this study is to explore the regularity of clinical visits and medication adherence of patients with hypertension or diabetes (PDH), and its association with the first experience with care and individual factors in rural Southwestern China. Methods The au...
Article
Full-text available
Background Non-physician clinicians (NPCs) providing services in functionally private markets account for a large share of the workforce in the primary care system in many low-income and middle-income countries. Although regular in-service training is believed to be crucial to updating NPCs’ professional knowledge, skills, and practices, participat...
Article
Full-text available
This article reports on research conducted to investigate student confidence in reading by collecting data from 135 primary schools in rural China. In the survey, we adopted the PIRLS scales of confidence in reading and reading skills test items. Our analysis shows that compared to the other countries and regions, rural China ranks last with regard...
Preprint
Full-text available
Background While strengthening primary care quality is key to China’s health system reforms, evidence to guide this work has been limited, particularly for rural areas. This study provides the first nationally representative assessment of village doctors’ competence in diagnosing and managing presumptive heart disease. Methods A cross-sectional stu...
Article
This paper aims to explore and quantify the reading achievement of primary school students from three different regions in rural China. Using survey data on 23,143 students from Shaanxi, Guizhou, and Jiangxi provinces, we find although gaps in student reading achievement exist among the three sample provinces, all sample students exhibit low levels...
Article
Background Medical records play a fundamental role in healthcare delivery, quality assessment and improvement. However, there is little objective evidence on the quality of medical records in low and middle-income countries. Objective To provide an unbiased assessment of the quality of medical records for outpatient visits to rural facilities in C...
Article
Full-text available
Sustaining multiple ecosystem service benefits in transboundary river basins is a complex and challenging task in the developing world. This can be attributed to conflicting conservation and human development needs and exacerbated by climate change impacts, especially episodic drought and flooding events. We use a case study from Rwanda in the Kage...
Article
Full-text available
It is commonly believed that reading challenges should be addressed early to reduce the likelihood that developmental delays will impact students over the long term. However, students in developing countries often have limited access to reading resources. In this study, the authors used a randomized controlled trial of 11,083 fourth‐ and fifth‐grad...
Conference Paper
Background China has one of the highest rates of antibiotic resistance worldwide. Existing studies document high rates of antibiotic prescription by primary care providers, especially in rural areas, but there has been little research on clinically inappropriate use of antibiotics, and its drivers. In this study, we used direct measures of clinical...
Article
Full-text available
Background: China has one of the highest rates of antibiotic resistance. Existing studies document high rates of antibiotic prescription by primary care providers, but there is little direct evidence on clinically-inappropriate use of antibiotics or the drivers of antibiotic prescription. Methods: To assess clinically-inappropriate antibiotic pre...
Article
Full-text available
Importance Uncorrected refractive error causes 90% of poor vision among Chinese children. Background Little is known about teachers’ influence on children's glasses wear. Design Cohort study. Participants Children at 138 randomly‐selected primary schools in Guangdong and Yunnan provinces, China, with uncorrected visual acuity (VA) ≤6/12 in eithe...
Article
Full-text available
The goal of this paper is to describe and analyze the relationship between ability tracking and student social trust, in the context of low-income students in developing countries. Drawing on the results from a longitudinal study among 1,436 low-income students across 132 schools in rural China, we found a significant lack of interpersonal trust an...
Article
Full-text available
An increasing number of policy makers in developing countries have made the mass expansion of upper-secondary vocational education and training (VET) a top priority. The goal of this study is to examine whether VET fulfills these objectives of building skills and abilities along multiple dimensions and further identify which school-level factors he...
Article
Background Future progress against tuberculosis in China will likely rely on improved detection, particularly in rural areas where prevalence remains high. The ability of rural providers to correctly diagnose Tuberculosis is largely unknown, as are the potential effects on tuberculosis patients of health-system reforms promoting initial contact wit...
Article
Background The quality of primary care is central to China's ongoing health system reforms. Although there is ample evidence on investments in health system infrastructure, little objective evidence is available on the quality of care delivered to patients, particularly by rural grassroots providers. The aim of this study was to assess the ability...
Article
Full-text available
Background Offering free glasses can be important to increase children’s wear. We sought to assess whether “Upgrade glasses” could avoid reduced glasses sales when offering free glasses to children in China. Methods In this cluster-randomized, controlled trial, children with uncorrected visual acuity (VA)< = 6/12 in either eye correctable to >6/12...
Data
Baseline students questionnaire_Chinese.pdf. Chinese version of baseline student questionnaire. (PDF)
Data
Baseline student questionnaire_English.doc. English version of baseline student questionnaire. (DOC)
Data
PRICE endline students questionnaire_English.pdf. English version of endline student questionnaire. (PDF)
Data
PRICE endline students questionnaire_Chinese.pdf. Chinese version of endline student questionnaire. (PDF)
Article
Full-text available
Background Despite recent reductions in prevalence, China still faces a substantial tuberculosis (TB) burden, with future progress dependent on the ability of rural providers to appropriately detect and refer TB patients for further care. This study (a) provides a baseline assessment of the ability of rural providers to correctly manage presumptive...
Data
Methodological appendix. (PDF)
Data
Additional statistics comparing vignettes and SP visits. (PDF)
Data
Simulation of out-of-pocket costs with and without managed referrals. (PDF)
Data
Provider characteristics. (PDF)
Data
Completion of checklist items. (PDF)
Data
Correlates of correct management, CXR, referral, and antibiotic prescription of standardized patients (SPs) among village and township providers. (PDF)
Data
Patient selection into health system tiers with symptoms of TB. (PDF)
Data
Simulation of system-level management outcomes with and without managed referrals (all health systems). (PDF)
Data
Case management of SPs. (PDF)
Data
Estimated patient pathways under gatekeeping. (PDF)
Article
By 2010, only one-quarter of workers in China had received a high school (HS) education. One of the root causes of this low rate is that China has the highest HS tuition fees globally. Although the Chinese government has implemented a series of programs to reduce the cost of attending vocational HS, the cost of attending academic HS in China emains...
Article
Full-text available
Purpose The purpose of this paper is to evaluate the effect of adult children migration on the health status of elderly parents. Increased labor migration in developing countries that lack adequate social security systems and institutionalized care for the elderly is a phenomenon that is important to understand. When their adult children go away to...
Article
Full-text available
The goal of this study is to examine whether promising a conditional cash transfer (conditional on matriculation) at the start of junior high school increases the rate at which disadvantaged students matriculate into high school. Based on a randomised controlled trial (RCT) involving 1418 disadvantaged (economically poor) students in rural China, w...
Article
Full-text available
Although a large number of students around the world attend vocational schools, there is little evidence about what factors matter for learning in these schools. Using data on approximately 1,400 vocational students in one eastern province in China, we employ a student fixed-effects model to identify whether teacher enterprise experience, direct oc...
Article
Full-text available
The goal of this paper is to describe and analyze the relationship between ability tracking and student social capital, in the context of poor students in developing countries. Drawing on the results from a longitudinal study among 1,436 poor students across 132 schools in rural China, a significant lack of interpersonal trust is found and confiden...
Article
Full-text available
Although a large number of students around the world attend vocational schools, there is little evidence about what factors matter for learning in these schools. Using data on approximately 1,400 vocational students in one eastern province in China, we employ a student fixed-effects model to identify whether teacher enterprise experience, direct oc...
Article
Full-text available
Students in rural China are dropping out of secondary school at troubling rates. While there is considerable quantitative research on this issue, no systematic effort has been made to assess the deeper reasons behind student decision making through a mixed-methods approach. This article seeks to explore the prevalence, correlates and potential reas...
Article
Full-text available
China's rapid development and urbanization have induced large numbers of rural residents to migrate from their homes to urban areas in search of better job opportunities. Parents typically leave their children behind with a caregiver, creating a new, potentially vulnerable subpopulation of left-behind children in rural areas. A growing number of po...
Article
Full-text available
Few studies have examined the association between the New Cooperative Medical Scheme (NCMS) policy design and its achievement of providing financial protection to rural residents. This study collected data on NCMS policy design and health care spending from 25 counties and rural households in their catchment areas. It shows that on average, NCMS ha...
Article
Full-text available
Importance: The number of urban migrants in China is 300 million and is increasing rapidly in response to government policies. Urban migrants have poor access to health care, but little is known about rates of correction of refractive error among migrant children. This is of particular significance in light of recent evidence demonstrating the edu...
Article
Full-text available
A number of developing countries are currently promoting vocational education and training (VET) as a way to build human capital and strengthen economic growth. The primary aim of this study is to understand whether VET at the high school level contributes to human capital development in one of those countries—China. To fulfill this aim, we draw on...
Article
To study safety of children's glasses in rural China, where fear that glasses harm vision is an important barrier for families and policy-makers. Exploratory analysis from a cluster-randomized, investigator-masked, controlled trial. Among primary schools (n=252) in western China, children were randomized by school to one of three interventions: fre...
Article
To study the effect of free glasses combined with teacher incentives on in-school glasses wear among Chinese urban migrant children. Cluster-randomized controlled trial. Children with VA <= 6/12 in either eye due to refractive error in 94 randomly-chosen primary schools underwent randomization by school to receive free glasses, education on their u...
Article
Full-text available
Since economic liberalization in the late 1970s, China's health care providers have grown heavily reliant on revenue from drugs, which they both prescribe and sell. To curb abuse and to promote the availability, safety, and appropriate use of essential drugs, China introduced its national essential drug list in 2009 and implemented a zero markup po...
Article
Full-text available
Empirical evidence suggests that the prevalence of soil-transmitted helminth (STH) infections in remote and poor rural areas is still high among children, the most vulnerable to infection. There is concern that STH infections may detrimentally affect children's healthy development, including their cognitive ability, nutritional status, and school p...