#  NCCD-Lancet Commission on Primary Care in China 

 



     ![Lancet Commission on Primary Care in China](/sites/g/files/omnuum9296/files/styles/hwp_1_1__480x480/public/normand/files/pages_from_lancetcommission_0.jpg?itok=U_LiOLti) 

 



 

  

 

     ![(1/3) Presenting at the China Heart Congress (CHC) 2018](/sites/g/files/omnuum9296/files/styles/hwp_1_1__480x480/public/normand/files/b4_0.png?itok=obBXppKY) 

 



 

  

 

     ![img_0256.jpg](/sites/g/files/omnuum9296/files/styles/hwp_3_4__480x640/public/normand/files/img_0256.jpg?itok=YA0ciAz8) 

 



 

  

 

 

 

 

 

 

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## **The Lancet Commission for Primary Healthcare**

In the past, *The Lancet* has launched commissions on climate change, medical education, HIV/AIDS, and planetary health, with an aim to place a spotlight on neglected, emerging, or seminal topics in global public health. Dr. Normand will serve on a newly announced Lancet Commission, which will inform future policy and research on primary care in China. This is an incredibly important topic in China, which currently lacks a functioning primary care system. Most care in the country is delivered in hospitals, where space, resources, and clinical care teams are increasingly stretched. The rise of non-communicable and chronic diseases in China necessitates a change, and the government has started to invest heavily in village and community health centers to develop a more proactive and responsive primary care system. However, there is a lack of consensus on what China's primary care system could and should look like. This commission will involve partnerships with a number of leading health experts from the US and China to define the scope of the issue and offer recommendations and potential solutions. The end product of the 18-month commission will be a 25-30,000 document with profound academic and policy impacts.

## **Mission Statement**

To improve health and health care through international friendship, research-generation, and knowledge application. We strive to leverage the strengths of the US and China, through partnership and friendship, to foster meaningful collaboration and mutual understanding—and promote medical and public health advances. We are committed to expanding the scientific knowledge base, accelerating medical breakthroughs and cures, and sharing our findings with a global audience so that what we learn may benefit our countries and the world.



 

##  Publications 

 [ More project publications arrow\_circle\_right ](https://medicine.yale.edu/core/projects/china/publications/) 

 



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### 2014

Jing Li, Kumar Dharmarajan, Xi Li, Zhenqiu Lin, Sharon-Lise Normand, Harlan Krumholz, and Lixin Jiang. 2014. “[Protocol for the China PEACE (Patient-Centered Evaluative Assessment of Cardiac Events) Retrospective Study of Coronary Catheterisation and Percutaneous Coronary Intervention](/publications/protocol-china-peace-patient-centered-evaluative-assessment-cardiac-events)”. BMJ Open, 4, 3, Pp. e004595. doi:10.1136/bmjopen-2013-004595



 

 

Jing Li, Kumar Dharmarajan, Xi Li, Zhenqiu Lin, Sharon-Lise Normand, Harlan Krumholz, and Lixin Jiang. 2014. “[Protocol for the China PEACE (Patient-Centered Evaluative Assessment of Cardiac Events) Retrospective Study of Coronary Catheterisation and Percutaneous Coronary Intervention](/publications/protocol-china-peace-patient-centered-evaluative-assessment-cardiac-events)”. BMJ Open, 4, 3, Pp. e004595. doi:10.1136/bmjopen-2013-004595



 

 

 

- add\_circle do\_not\_disturb\_on Abstract
 
 INTRODUCTION: During the past decade, the volume of percutaneous coronary intervention (PCI) in China has risen by more than 20-fold. Yet little is known about patterns of care and outcomes across hospitals, regions and time during this period of rising... 

 

 

 

 



### 2017

Zhe Zheng, Heng Zhang, Xin Yuan, Chenfei Rao, Yan Zhao, Yun Wang, Sharon-Lise Normand, Harlan Krumholz, and Shengshou Hu. 2017. “[Comparing Outcomes of Coronary Artery Bypass Grafting Among Large Teaching and Urban Hospitals in China and the United States](/publications/comparing-outcomes-coronary-artery-bypass-grafting-among-large-teaching-and)”. Circ Cardiovasc Qual Outcomes, 10, 6. doi:10.1161/CIRCOUTCOMES.116.003327



 

 

Zhe Zheng, Heng Zhang, Xin Yuan, Chenfei Rao, Yan Zhao, Yun Wang, Sharon-Lise Normand, Harlan Krumholz, and Shengshou Hu. 2017. “[Comparing Outcomes of Coronary Artery Bypass Grafting Among Large Teaching and Urban Hospitals in China and the United States](/publications/comparing-outcomes-coronary-artery-bypass-grafting-among-large-teaching-and)”. Circ Cardiovasc Qual Outcomes, 10, 6. doi:10.1161/CIRCOUTCOMES.116.003327



 

 

 

- add\_circle do\_not\_disturb\_on Abstract
 
 BACKGROUND: Coronary artery disease is prevalent in China, with concomitant increases in the volume of coronary artery bypass grafting (CABG). The present study aims to compare CABG-related outcomes between China and the United States among large teaching... 

 

 

 

 



### 2012

Shengshou Hu, Zhe Zheng, Xin Yuan, Yun Wang, Sharon-Lise Normand, Joseph Ross, and Harlan Krumholz. 2012. “[Coronary Artery Bypass Graft: Contemporary Heart Surgery Center Performance in China](/publications/coronary-artery-bypass-graft-contemporary-heart-surgery-center-performance)”. Circ Cardiovasc Qual Outcomes, 5, 2, Pp. 214-21. doi:10.1161/CIRCOUTCOMES.111.962365



 

 

Shengshou Hu, Zhe Zheng, Xin Yuan, Yun Wang, Sharon-Lise Normand, Joseph Ross, and Harlan Krumholz. 2012. “[Coronary Artery Bypass Graft: Contemporary Heart Surgery Center Performance in China](/publications/coronary-artery-bypass-graft-contemporary-heart-surgery-center-performance)”. Circ Cardiovasc Qual Outcomes, 5, 2, Pp. 214-21. doi:10.1161/CIRCOUTCOMES.111.962365



 

 

 

- add\_circle do\_not\_disturb\_on Abstract
 
 BACKGROUND: The use of coronary artery bypass grafting (CABG) surgery in China is growing, but little is known about hospital-level performance. We sought to characterize the variation in performance across hospitals participating in a national registry... 

 

 

 

 



 

 

 

 

 

 

##  Read more 

 



 [ Center for Outcomes Research &amp; Evaluation (CORE) Yale-China project arrow\_circle\_right ](https://medicine.yale.edu/core/current_projects/global_health/)