Evidence map›Paper›PMID 40345684›Full record

ArticleBMJ open2025

Assessing the quality of gynaecological care in China: protocol for a nationwide survey using mixed-methods.

Hua Yang, Chenyang Pei, Guangyu Hu, Xiangyu Gu, Pengming Sun, Fengxia Xue, Zixuan Fan, Yuanli Liu, Jing Ma, Lan Zhu

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hua Yang *Department of Obstetrics and Gynecology, National Clinical Research Center for Obstetric and Gynaecological Diseases, State Key Laboratory of Common Mechanism Research for Major Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID http://orcid.org/0000-0002-3624-175X
Chenyang Pei *School of Health Policy and Management, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Guangyu HuInstitute of Medical Information/Centre for Health Policy and Management, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Xiangyu GuDepartment of Obstetrics and Gynecology, National Clinical Research Center for Obstetric and Gynaecological Diseases, State Key Laboratory of Common Mechanism Research for Major Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Pengming SunFujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian, China.
Fengxia XueDepartment of Gynecology and Obstetrics, Tianjin Medical University General Hospital, Tianjin, China.
Zixuan FanKey Laboratory of Regional Sustainable Development Modeling, Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, China.
Yuanli LiuSchool of Health Policy and Management, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China liuyuanli_pumc@163.com jingma@sz.tsinghua.edu.cn zhu_julie@vip.sina.com.
Jing MaSchool of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China liuyuanli_pumc@163.com jingma@sz.tsinghua.edu.cn zhu_julie@vip.sina.com.
Lan ZhuDepartment of Obstetrics and Gynecology, National Clinical Research Center for Obstetric and Gynaecological Diseases, State Key Laboratory of Common Mechanism Research for Major Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China liuyuanli_pumc@163.com jingma@sz.tsinghua.edu.cn zhu_julie@vip.sina.com.ORCID http://orcid.org/0000-0001-5753-5426

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe burden of gynaecological diseases is increasing globally, affecting women's health, quality of life and fertility. Improving the quality of gynaecological care will enhance patient recovery and improve outcomes of gynaecological diseases. However, comprehensive evaluation tools and nationwide data on the quality of gynaecological care are lacking. This study aims to develop a framework for evaluating gynaecological care quality in China, analysing disparities and proposing improvement strategies. METHODS AND ANALYSIS: This nationwide study employs a sequential explanatory mixed-methods design across three phases: (1) questionnaire development through a literature review, indepth interviews, expert consultation and pilot testing; (2) collection of cross-sectional survey data from gynaecology departments, healthcare providers and patients in public healthcare facilities across 31 provinces in mainland China; and (3) integration and interpretation of qualitative and quantitative results. The study collects data on organisational structure, care processes and outcomes. Analysis of quantitative data will include risk adjustment of key quality indicators, comprehensive evaluation of care quality and exploration of influencing factors using linear regression. Qualitative data will undergo thematic and content analyses. Joint displays will be used to integrate the mixed-method results. ETHICS AND DISSEMINATION: The study was approved by the Peking Union Medical College Hospital Ethics Committee (I-24ZM0003). All participants provided informed consent. Data were anonymised and participants retained the right to withdraw without penalty. A risk-benefit assessment was conducted, and no vulnerable groups were included without justification. These findings will be disseminated to healthcare policymakers through academic publications, scientific conference presentations and reports. The results are expected to provide methodological guidance for the quality evaluation of gynaecological care and inform policy development in China.

Indexed as

GynecologyQuality of Health CareChinaCross-Sectional StudiesFemaleHumansQuality Indicators, Health CareResearch DesignSurveys and QuestionnairesGYNAECOLOGYHealth policyQuality in health care

Identifiers

PMID40345684
PMCPMC12067806

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.