Dr. Shenglan Tang is Professor of Medicine and Global Health at Duke Global Health Institute. He is also Associate Director of DGHI for China Initiatives, and Executive Director of Global Health Program at Duke Kunshan University in China, as well as Director of Research Hub for Asia-Pacific Observatory on Health Systems and Policies/WHO, which has research projects in Cambodia, Nepal, Vietnam and other Asian countries. In his capacity at Duke Kunshan University, he was elected as President of Chinese Consortium of Universities for Global Health (CCUGH) in November 2015. Tang has more than 30 years of experience undertaking research on health systems reform, disease control and maternal and child health in China and other countries, and has provided consultancy services on health systems strengthening to many international organizations and governments of developing countries. In 2012, Tang came to Duke from the UNICEF/UNDP/World Bank/WHO Special Program for Research and Training in Tropical Diseases (TDR), based in Geneva, where he was Unit Leader for TB/HIV and Health Systems. Before his assignment at WHO, Tang was a faculty member at Liverpool School of Tropical Medicine in UK, and School of Public Health of Fudan University (former Shanghai Medical University).
Health Systems in Developing Countries
This course introduces students to key challenges faced in strengthening of health systems in low and middle income countries. The course will cover a diverse set of topics including an overview of organization of health systems, models of purchasing and providing health care, innovations in financing health care, and issues in service delivery such as quality of care and human resource challenges. Students will learn frameworks and methods employed in the evaluation of health systems. The course will also draw attention to resource allocation problems and various frameworks used to address them. The course will primarily rely on readings from a variety of health policy, economics and other social science journals. Course introduces key challenges faced in strengthening of health systems in low and middle income countries. Topics include: overview of organization of health systems, models of purchasing and providing health care, innovations in financing health care, issues in service delivery such as quality of care and human resource challenges, and frameworks and methods employed in the evaluation of health systems. Course will also draw attention to resource allocation problems and various frameworks used to address them. Readings primarily from health policy, economics and other social science journals. Consent of instructor required.
Was: GLHLTH 340
|GRAD Only||SPRING 2018||
Lei X, Huang K, Liu Q, Jie Y, Tang S. Are tuberculosis patients adherent to prescribed treatments in China? Results of a prospective cohort study. Infect Dis Poverty. 2016. 5:38 DOI: 10.1186/s40249-016-0134-9
Jiang H. Qian X, Chen L, Li J, Escobar E, Story M, Tang S. Towards universal access to skilled birth attendance: the process of transforming the role of traditional birth attendants in rural China. BMC Pregnancy Childb. 2016:16(1):1
Zhang H, Ehiri J, Yang H, Tang S, Li Y. Impact of community-based DOT on Tuberculosis treatment outcomes: a systematic review and meta-analysis. PloS One. 2016:11(2): e0147744.
Jia X, Chen J, Zhang S, Dai B, Long Q and Tang S. Implementing a “free” tuberculosis (TB) care policy under the integrated model in Jiangsu China practices and costs in the real world. Infect Dis Poverty (2016) 5:1. DOI 10.1186/s40249-016-0099-8
Zhou C, Long Q, Chen J, Xiang L, Li Q, Tang S, Huang F, Sun Q and Lucas H. Factors that determine catastrophic expenditure for tuberculosis care: a patient survey in China. Infect Dis Poverty (2016) 5:6. DOI 10.1186/s40249-016-0100-6
Xiang L, Pan Y, Hou S, Zhang H, Sato K, Li W, Wang J and Tang S. The impact of the new cooperative medical scheme on financial burden of tuberculosis patients: evidence from six counties in China. Infect Dis Poverty (2016) 5:8. DOI 10.1186/s40249-015-0094-5
Tang S, Wang L, Wang H, Chin D. Access to and affordability of healthcare for TB patients in China: issues and challenges. Infect Dis Poverty (2016) 5:10. DOI 10.1186/s40249-016-0096-y.
Li Y, Tang SL, Sato K, Cao J. Chinese People's Liberation Army on Action of Fighting against Ebola in Africa: Implications and Challenges. Chin Med J (Engl) 2015;128(10):1420.
Phua KH, Sheikh K, Tang SL, Lin V. Editorial - Health Systems of Asia: Equity, Governance and Social Impact. Soc Sci Med 2015;145:141-4.
Tang S. Tackling challenges of TB/MDRTB in China: concerted actions are imperative. Infect Dis Poverty 2015;4:19.
Mao W, Vu H, Xie Z, Chen W, Tang S. Systematic review on irrational use of medicines in China and Vietnam. PLoS One 2015;10(3):e0117710.
Liu Q, Liu L, Vu H, Liu X, Tang S, Wang H. Comparison between peer-led and teacher-led education in tuberculosis prevention in rural middle schools in Chongqing, China. Asia Pac J Public Health 2015;27(2):NP2101-11.
Li Y, Zhou L, Tang S, Cao J. [Health of peacekeepers protection with perspective of global health]. Zhonghua Yu Fang Yi Xue Za Zhi 2015;49(3):202-5.
Lei X, Liu Q, Escobar E, Philogene J, Zhu H, Wang Y, et al. Public-private mix for tuberculosis care and control: a systematic review. Int J Infect Dis 2015;34:20-32.
Ji H, Jiang H, Yang L, Qian X, Tang S. Factors contributing to the rapid rise of caesarean section: a prospective study of primiparous Chinese women in Shanghai. BMJ Open 2015;5(11):e008994.
Tang S. Developing equitable and efficient health insurance in China. Paulson Policy Memorandum, 2014 Oct. University of Chicago.
Liu P, Guo Y, Qian X, Tang S, Chen L. China's distinctive engagement in global health. Lancet. 2014 Aug 30:384(9945):7093-804
Yan F, Tang S, Zhang J. Global implications of China's healthcare reform. International J of Health Planning and Management. 2014 May 29. [Epub ahead of print]
Xiao N, Long Q, Tang X, Tang S. A community-based approach to non-communicable disease management within a context of advancing universal health coverage in China: progress and challenges. BMC Public Health. 2014;14 Suppl 2:S2
Sun J, Deng S, Xiong X & Tang S. Equity in access to healthcare among the urban elderly of China: does health insurance matter. International J of Health Planning and Management. 2014;Apr-Jun:29(2):e127-44
Tang S, Brix H & Bekedam. Advancing universal coverage of healthcare in China: translating political will into policy and practice. International J of Health Planning and Management. 2014 Apr-Jun;29(2):160-74 (corresponding author)
Mao H, Tang S & Chen Wen. Does economic incentive lead to irrational medicine use? The power of invisible hand - experience from China. Expert Review of Pharmacoeconomics & Outcomes Research. (accepted)
Wang H, Liu Q, Vu H, Tang S. Comparison between peer-led and teacher-led education in tuberculosis prevention in rural middle schools of Chongqing, China. Asia-Pacific Journal of Public Health. Oct. 2013
i Y, Ehiri J, Tang S, et al. Factors associated with patient, and diagnostic delays in Chinese TB patients: A systematic review and Meta-analysis. BMC Medicine. 2013
Tang S, Brix H & Bekedam. Advancing universal coverage of healthcare in China: translating political will into policy and practice. International J of Health Planning and Management. 2013 (corresponding author)
Long Q, Xu L, Bekedam H & Tang S. Changes in health expenditures in China in 2000s: Has the health system reform improved affordability? International J for Equity in Health (corresponding author)
Tang S, Ehiri J & Long Q. China's biggest, most neglected health challenge: Non-communicable diseases. BMC infectious diseases of poverty. 2013, 2:7 (5 April 2013)
Huang K, Tao F, Faragher B, Raven J, Tolhurst R, & Tang S. A mixed method study of factors associated with differences in caesarean section rates at community level: The case of rural China. Midwifery 2013 Feb 20. doi:pii: S0266-6138(12)00209-4. 10.1016/j.midw.2012.11.003. [Epub ahead of print]
Wu Z, Lei P, Hemminki E, Xu L, Tang S, Li X, Raven J, Gao J, Tolhurst R. (2012). Changes and equity in use of maternal health care in China: from 1991 to 2003. Matern Child Health J. 2012 Feb;16(2):501-9. Citation: 4
Raven JH, Tolhurst RJ, Tang S, van den Broek N. (2012). What is quality in maternal and neonatal health care? Midwifery. 2012 Oct;28(5):e676-83. doi: 10.1016/j.midw.2011.09.003. Epub 2011 Oct 20. Citation: 1
Hemminki E, Long Q, Zhang WH, Wu Z, Raven J, Tao F, Yan H, Wang Y, Klemetti R, Zhang T, Regushevskaya E, Tang S. (2012). Impact of Financial and Educational Interventions on Maternity Care: Results of Cluster Randomized Trials in Rural China, CHIMACA. Matern Child Health J. 2012 Feb 23. [Epub ahead of print] Citation: 0
Liu X, Tang S, Yu B, Phuong NK, Yan F, Thien DD, Tolhurst R. (2012). Can rural health insurance improve equity in health care utilization? A comparison between China and Vietnam. Int J Equity Health. 2012 Feb 29;11:10. doi: 10.1186/1475-9276-11-10. Citation: 2
Collins C, Gonzalez Block MA, Tang S. (2012). Disease control and health systems in low- and middle-income countries: enhancing positive interrelation. Trop Med Int Health. 2012 May;17(5):646-51. doi: 10.1111/j.1365-3156.2012.02968.x. Epub 2012 Mar 16. Citation: 0
Huang K, Tao F, Raven J, Liu L, Wu X, Tang S. (2012). Utilization of antenatal ultrasound scan and implications for caesarean section: a cross-sectional study in rural Eastern China. BMC Health Serv Res. 2012 Apr 12;12:93. Citation: 1
Huang K, Tao F, Bogg L, Tang S. (2012). Impact of alternative reimbursement strategies in the new cooperative medical scheme on caesarean delivery rates: a mixed-method study in rural China. BMC Health Serv Res. 2012 Jul 24;12:217. doi: 10.1186/1472-6963-12-217. Citation: 0
Li Z, Hou J, Lu L, Tang S, Ma J. (2012). On residents' satisfaction with community health services after health care system reform in Shanghai, China, 2011. BMC Public Health. 2012 Jun 22;12 Suppl 1:S9. doi: 0.1186/1471-2458-12-S1-S9. Epub 2012 Jun 22. Citation: 0
Tang S, Tao J, Bekedam H. (2012). Controlling cost escalation of healthcare: making universal health coverage sustainable in China. BMC Public Health. 2012 Jun 22;12 Suppl 1:S8. doi: 0.1186/1471-2458-12-S1-S8. Epub 2012 Jun 22. Citation: 1
Zhang J, Yan F, Tang S. (2012). The Incoherence of China's National Health Development Strategies. Am J Public Health. 2012 Dec;102(12):e14-6. doi: 10.2105/AJPH.2012.301046. Epub 2012 Oct 18. Citation: 0