Key result
The China Gastrointestinal Health Index (GHI) was developed with 46 indicators, yielding an overall 2019 score of 49.89 for China, with regional variations from 39.19 to 76.13.
Why the study?
Gastrointestinal disease burden in China is high with significant provincial variation, and a comprehensive agreed set of indicators was needed to guide rational resource allocation.
The development of the China Gastrointestinal Health Index provides a comprehensive tool to monitor gastrointestinal health and guide resource allocation across regions in China.
Answers are grounded in this paper and cite their sources.
Provides framework for GD monitoring and resource allocation in China; leaves open prospective validation before policy adoption.
Background: The disease burden of gastrointestinal disease (GD) in China is high, with significant variation across provinces. A comprehensive agreed set of indicators could guide rational resource allocation to support better GD outcomes. Methods: This study collected data from multiple sources, including national surveillance, surveys, registration systems, and scientific research. Literature reviews and Delphi methods were used to obtain monitoring indicators; the analytic hierarchy process was used to determine indicator weights. Findings: The China Gastrointestinal Health Index (GHI) system consisted of four dimensions and 46 indicators. The weight of the four dimensions from high to low included the prevalence of gastrointestinal non-neoplastic diseases and gastrointestinal neoplasms (GN) (0.3246), clinical treatment of GD (0.2884), prevention and control of risk factors (0.2606), and exposure to risk factors (0.1264). The highest indicator weight of GHI rank was the successful smoking cessation rate (0.1253), followed by the 5-year survival rate of GN (0.0905), and the examination rate of diagnostic oesophagogastroduodenoscopy (0.0661). The overall GHI for China in 2019 was 49.89, varying from 39.19 to 76.13 across all sub-regions. The top five sub-regions in the total GHI score were in the eastern region. Interpretation: GHI is the first system designed to monitor gastrointestinal health systematically. In the future, data from sub-regions of China should be used to test and improve the GHI system for its impact. Funding: This research was supported by the National Health Commission of China, the First Affiliated Hospital of Naval Medical University (2019YXK006), and the Science and Technology Commission of Shanghai Municipality (21Y31900100).
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Cheng et al. (2023) studied Gastrointestinal disease. China Gastrointestinal Health Index (GHI) was evaluated on China Gastrointestinal Health Index (GHI) score. The China Gastrointestinal Health Index (GHI) was developed with 46 indicators, yielding an overall 2019 score of 49.89 for China, with regional variations from 39.19 to 76.13.
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