The Impacts of Regional Regulatory Policies on the Prevention and Control of Chronic Diseases in China: A Mediation Analysis
| Autor: | Zhaoyang Zhang, Mo Hao, Qingyu Zhou, Qinwen Yu, Zhi Hu, Panshi Wang, Chuan Pu, Zhaohui Gong, Tianqiang Xu, Huihui Huangfu, Chengyue Li, Zheng Chen, Hua Wang, Anning Ma, Qun-hong Shen, Pei-wu Shi, Lingzhong Xu, Chao Hao, Li Li |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
regulatory policy
Longitudinal study Leadership and Management Mechanism (biology) Health Policy Control (management) Health Informatics Community service Article Health Information Management Environmental health Community health community service institution Medicine Yearbook Business Negative correlation community health centre China mediation analysis prevention and control of chronic diseases |
| Zdroj: | Healthcare Healthcare, Vol 9, Iss 1058, p 1058 (2021) Volume 9 Issue 8 |
| ISSN: | 2227-9032 |
| Popis: | Regional regulatory policies (RPs) are a major factor in the prevention and control of chronic diseases (PCCDs) through the implementation of various measures. This study aimed to explore the impacts of RPs on PCCDs, with a focus on the mediating roles of community service. The soundness of the regulatory mechanism (SORM) was used to measure the soundness of RPs based on 1095 policy documents (updated as of 2015). Coverage provided by community service institutions (CSIs) and community health centres (CHCs) was used to represent community service coverage derived from the China Statistical Yearbook (2015), while the number of chronic diseases (NCDs) was used to measure the effects of PCCDs based on data taken from the 2015 China Health and Retirement Longitudinal Study survey. To assess the relationship between SORM, NCDs and community service, a negative binomial regression model and mediation analysis with bootstrapping were conducted. Results revealed that there was a negative correlation between SORM and NCDs. CSIs had a major effect on the relationship between RPs and PCCDs, while CHCs had a partial mediating effect. RPs can effectively prevent and control chronic diseases. Increased effort should also be aimed at strengthening the roles of CSIs and CHCs. |
| Databáze: | OpenAIRE |
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