Heterogeneity of frailty and psychosocial factors among community-dwelling older adults in Shijiazhuang city of China: A cross-sectional study based on conservation of resources theory
October 2026
Frailty, as a common geriatric health syndrome, has attracted extensive attention due to its association with multiple adverse health outcomes. However, the heterogeneity of frailty and its related...
Review and outlook of multimorbidity research in mainland China over the last 15 years
October 2026
Multimorbidity, defined as the coexistence of two or more chronic conditions in a single individual, has become a major public-health challenge in ageing societies. The management of such complex health...
Association between leisure-time physical activity trajectories and stroke risk in patients with hypertension in Jiangsu Province of China
October 2026
Leisure-time physical activity (LTPA) is associated with a reduced risk of stroke among patients with hypertension. However, most studies have relied on a single LTPA assessment and have not adequately...
Facilitators and barriers to implementing the management of medically unexplained symptoms in primary care: A scoping review based on the updated consolidated framework for implementation research
October 2026
Patients with medically unexplained symptoms (MUS) account for a high proportion of general practice consultation. It is difficult to make a definite diagnosis, thus limiting treatment strategies for...
Prevalence and associated factors of comorbid hypertension, diabetes, and dyslipidemia in Chinese adults: A meta-analysis
June 2026
Hypertension, diabetes, and dyslipidemia are common chronic metabolic conditions and major risk factors for cardiovascular disease. These three conditions frequently coexist, presenting a significant...
A five-stage, AI-assisted approach for general practitioners to formulate practice-based research questions
June 2026
General practitioners (GPs) in primary care—particularly in low- and middle-income countries (LMICs)—frequently encounter meaningful clinical problems but lack the methodological training to formalize...
Treatment burdens of diabetic patients with multimorbidity among middle aged and older adults: A cross-sectional survey in 6 primary care facilities of three provinces of China
June 2026
To measure treatment burden among middle-aged and older adults with diabetes and multimorbidity in primary care, identify latent burden subtypes, and analyze associated participant characteristics to...
Artificial intelligence research practices in primary healthcare institutions in China and the potential issue of data poverty: a scoping review
June 2026
Artificial intelligence (AI) technology plays a significant role in enhancing the quality of primary healthcare and promoting health equity. China has introduced multiple key policies to encourage the...
Design, implementation and case analysis of randomized controlled trials (RCTs) in community-based primary care settings
June 2026
Randomized controlled trials (RCTs) are a cornerstone of high-quality medical research. Rigorously conducting RCTs in primary care settings significantly improves evidence generation, validates findings,...
Experiences of internalized self-management ability among community-dwelling older adults: A qualitative study based on ICOPE framework
June 2026
As China's population ages rapidly, maintaining intrinsic capacity (IC) is key to healthy aging. However, existing research lacks focus on older adults’ subjective experiences of self-managing their...
The use of new media in Shanghai community health service centers: A cross-sectional survey comparing pilot and non-pilot centers for "high-quality development" program
April 2026
New media has become a vital approach for health communication in medical institutions. In October 2022, Shanghai Government launched the "High-Quality Development" program for public hospitals. However,...
Construction and Quality Appraisal of a TPKCEE-Based Community Teaching Program for General Practice Residency Training in Shanghai, China
April 2026
General Practice Residency Training(GPRT) is one of the core links to consolidate the primary healthcare system and cultivate "gatekeepers" for residents' health. Primary healthcare puts forward higher...
Perceptions and experiences of "Zero-time exercise" among community-dwelling older adults in Nanchang, China: A qualitative study
April 2026
In the context of population aging, community-dwelling older adults commonly experience insufficient physical activity and difficulty maintaining regular exercise. Zero-time exercise (ZTEx) is lifestyle-based...
Developing a rigorous case study in research of primary healthcare service management
December 2025
The aim of the article is to help general practitioners and primary care researchers understand the fundamentals of designing case studies by explaining and analysing the standard developing procedures....
Outpatient healthcare-seeking behavior and influencing factors among residents in Guangdong Province: An analysis based on the seventh national health service survey in 2023
December 2025
The tiered healthcare delivery system is a crucial component in deepening healthcare reform....
Ten-year development of general practice in China: Opportunities and challenges
December 2025
To review the strengths and limitations of the development of general practice in China during the last decade (2010—2020) and to assess the opportunities and challenges for its future development....
Autonomous motivation and its change among primary healthcare workers in shandong province: A survey based on self-determination theory
December 2025
To compare primary healthcare workers’ (PHCWs) initial motivation of choosing medicine and current work motivation based on Self-Determination Theory (SDT), reveal changes in autonomous motivation—defined...
Patients' continued willingness to seek initial treatment at primary care facilities: A study of trust-based driving mechanisms
December 2025
Initial treatment at primary care facilities can promote rational use of healthcare services and alleviate imbalance between healthcare supply and demand. However, the proportion of Chinese patients...
Consistency between expressed and perceived needs for family doctor contracted services among rural older adults: A survey of 456 residents in Ningxia
December 2025
To investigate the status and influencing factors of consistency between expressed and perceived needs for family doctor contracted services among rural older adults in Ningxia Autonomous Region of...
Design and development of scales in primary care: Practical steps and statistical methods
December 2025
This article outlines the statistical methods and practical steps involved in designing and developing valid and reliable questionnaires in primary care. Based on literature review on questionnaire...
Reconfiguring the functional features of primary care in a non-gatekeeping context: A 15-year mixed-methods systematic review from China
December 2025
Basic medical service is the primary manifestation of primary care within China's healthcare system. Since the 2009 healthcare reform, the theory of primary care functional features has been introduced...
Comparison of the effectiveness of Fried's frailty phenotype and the FRAIL scale in assessing pre-frailty among community-dwelling older adults undergoing health examinations
December 2025
Pre-frailty represents a transitional risk status between health and frailty. Early identification and intervention during this stage can delay or even reverse the frailty development. However, there...
Using the smart health management services and devices among China’s adults and the influencing factors: A mixed-methods study
December 2025
As the emerging of structural imbalance characterized by surging demand and insufficient high-quality supply in China’s health management system, smart health management services become a novel measure...
The research environment and reward preferences of primary care practitioners in the shanghai general practice research network: A mixed methods study
September 2025
Practice-Based Research Networks (PBRNs) enable collaborative primary care research. In China, since 2023, healthcare reforms emphasizing community-based primary care have spurred PBRN development....