Cohort study found that being insured and having longer exposure of health insurance significantly increased migrant workers' likelihood to use professional healthcare in Shenzhen, decreased their total occasions of professional healthcare utilisation, and were causally associated with a decrease in professional healthcare expenditures which were paid out-of-pocket in the 6 months of follow-up by migrant workers. / Internal migration has become a more and more prominent societal and economic phenomenon in mainland China and Shenzhen is one of the most frequently selected locales for rural-urban migrants. This thesis aims 1) to assess health status and to describe patterns of healthcare utilisation amongst migrant factory workers, 2) to follow up the sample over 6 months to understand the impact of health insurance participation on health service utilisation and health expenditures, and 3) to assess the implications for health policies. / Our results suggest that health strategies should take into consideration the specific health needs of the highly mobile factory migrant workers. Through insurance coverage, local health authorities may be able to help improve rural-urban migrant workers' health by improving services at community level, and incorporating psychological care in the services provided by Community Health Centres. / Questionnaire surveys were used in a representative sample from factory workers in Shenzhen. The baseline and follow-up studies were conducted during April to December 2009 in Shenzhen, China. / Results show that migrant factory workers in Shenzhen represent a broad combination of geographic complexity and have special socio-demographic characteristics. The results have specified some association between self-rated health and SES, and major correlates of depressive symptoms amongst migrant factory workers. The seroprevalence of antibodies to rubella amongst female migrant workers is too low to provide immunity in the population. Sex, age, education, sleeping hours and internet use were associated with being a current smoker. The crude two-week illness rate was 21.6%. More than half and 11.6% of sick migrant workers chose self-treatment or neglected their sickness, respectively. Self-perception of disease being not severe, lack of time and economic difficulties were the major explanations for not utilizing professional care. / Mou, Jin. / Adviser: Sian Meryl Griffiths. / Source: Dissertation Abstracts International, Volume: 73-02, Section: B, page: . / Thesis (Ph.D.)--Chinese University of Hong Kong, 2010. / Includes bibliographical references (leaves 253-270). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [201-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstract also in Chinese.

Findings suggest that: (1) Public hospitals are turned into state-owned enterprises as they are encouraged to grow into larger size by management autonomy and financial regulatory reform, and the abandonment of the government on the control over management and hospital assets; (2) government abandons its financial responsibility towards public hospital workers and the latter need to use market mechanism to earn their income by cross-reimbursement of price and that devalues professionalism of these workers; (3) government abandons the subsidy to public hospitals through the reform of public hospital financial system; (4) the large higher-tiered public hospitals obtain their preferential rights through political advantageous position; (5) the reform of public hospitals is not at all one dimensional: public hospitals respond by active actions, aggregate breaking of rules and regulations, individual break-through, and no response. In summary, marketization, de-professionalization, diswelfare and market diversification contribute to the reverse triangle model of China's public healthcare system. / Key words: social policy, public hospital, marketization, de-professionalization, discriminated market. / Reform of China's public healthcare system is an extension of China's reform of its social welfare provision system. The above findings provide evidences on the economic rules, social relationships, and government actions in social welfare services as illustrated in the provision of health care by public hospitals in China. It is important reference for decision-makers in the new round of public service reform in the coming future. / Service providers are indispensable components of a social welfare system. Their performance is influenced by government policies and how service providers are active agents. Therefore, attaining the goals of social welfare services needs to consider the institutional arrangements for service providers. / Taking public health service in China as an example, this research answers why the public healthcare provision system in China turns out to be a reverse triangle structure, which is an anti-welfare model suggested by the World Health Organization. With a new institutionalism perspective, policy documents are used to study the effect of government intervention on public hospitals, and the interaction of government and public hospitals. / 馮文. / Submitted: 2010年12月. / Submitted: 2010 nian 12 yue. / Adviser: Chack-kie Wong. / Source: Dissertation Abstracts International, Volume: 73-04, Section: A, page: . / Thesis (Ph.D.)--Chinese University of Hong Kong, 2011. / Includes bibliographical references (p. 272-329). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [201-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstracts in Chinese and English. / Feng Wen.

Wan, Suk Fan. / Thesis submitted in: December 2006. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2007. / Includes bibliographical references (leaves 170-176). / Abstracts in English and Chinese. / Abstract --- p.i / Acknowledgements --- p.iv / Chapter Chapter 1 --- Introduction --- p.1 / Rationale of the Research Topic --- p.2 / Research Questions --- p.3 / Research Objectives --- p.4 / Overview of the Present Thesis --- p.4 / Chapter Chapter 2 --- Literature Review --- p.6 / The Vicissitudes of the Concept of Mental Health Problems in the Western Culture --- p.6 / The Development of the Concept of Children and Adolescents in the Western Culture --- p.12 / The Traditional Chinese Concept of Children and Parental Role --- p.19 / The Child Mental Health Problem in Hong Kong --- p.24 / Summary --- p.29 / Chapter Chapter 3 --- Theoretical Framework --- p.32 / Orientation of A Critical Social Work --- p.32 / "Discourse, Power / Knowledge" --- p.34 / "Discourse, Subjectivity and Human Problem" --- p.38 / Criticism from Foucault and Inspiration for the Theoretical Framework --- p.40 / Social Constructionism --- p.44 / Summary --- p.46 / Chapter Chapter 4 --- Research Methodology --- p.48 / Rationale of Selecting the Qualitative Research Method --- p.48 / Research Design --- p.50 / Methods of Data Collection and Analysis --- p.51 / The Setting of the Child Psychiatric Unit of the Alice Ho Miu Ling / Nethersole Hospital --- p.54 / Sampling Method and the Profile of the Participant Families --- p.56 / Quality of the Present Research and Its Measure --- p.62 / Summary --- p.65 / Chapter Chapter 5 --- The Results of Study : The Subjective Experiences of the Children and Adolescents --- p.67 / The Subjective Experience related to the Child Mental Health Problems: the Children and Adolescents´ة Perspective --- p.67 / "I have problems, but my problems were not necessarily a child mental health problem.'" --- p.67 / My school and family lives were disturbed not only by my problems; but by the treatment provided by the Child Psychiatric Unit too!´ة --- p.73 / Effects on School Lives --- p.73 / Effects on Family lives --- p.75 / "´بPerhaps the treatment improved my problems, but it was such a painful and meaningless process to me!´ة" --- p.81 / ´بThe Child Psychiatric Ward - a place I never want to go again!´ة --- p.81 / "´بNo one discussed with me about my progress and discharge plan, I felt like being trapped!´ة" --- p.90 / I had no part to play in my treatment!´ة --- p.91 / I was confused by too many helping professionals. They were unhelpful unless I was ready to help myself. ´ب --- p.94 / I had no choice! No one discussed with me before the decision was made!'´ة --- p.95 / Summary --- p.97 / Chapter Chapter 6 --- The Results of Study : The Subjective Experiences of the Parents --- p.99 / The Subjective Experiences related to their Children´ةs Mental Health Problems : the Parents´ةPerspective --- p.99 / ´بMy child does not only have child mental health problem but also problems with other aspects of his / her life.´ة --- p.99 / ´بWe were desperate; the services provided by the Child Psychiatric Unit were our last resource!´ة --- p.106 / "´بMy child's problem affected not only his / her well-being, but it also affected our family relationship, parenting, emotions and mental health!'´ة" --- p.109 / "´بFamily Relationships - it was not his problem only, my whole family was affected.´ة" --- p.109 / "Parenting -1 know I need to adjust my parenting in response to my child's problem, but I am uncertain in what way I should change.´ة" --- p.114 / "´بEmotions and Mental Health - although I was disappointed by my child, I blamed myself for his problem and worried that his future would be destroyed by his problem.´ة" --- p.120 / Who is going to take care of my emotions?´ة --- p.129 / I needed help; but Ifelt that I was not included from the treatment program!´ة --- p.129 / I need more than a pill for my child!' --- p.129 / "´بDoctor, would you listen to my opinions and difficulties in dealing with my child's problem before you design the treatment plan?´ة" --- p.133 / Visiting - the precious moment to show our support to my child but restricted by the hospital policy.' --- p.135 / Summary --- p.137 / Chapter Chapter 7 --- Discussion and Implications --- p.139 / The Constitution of Subjectivities --- p.140 / The Subjectivities of the Children and Adolescents --- p.142 / The Subjectivities of the Parents --- p.145 / Power Relations --- p.149 / Power Relations between Self and Discourse --- p.150 / Power Relations between Parents and Children --- p.151 / Power Relations between Services User and Helping Professionals --- p.152 / Power Relations between Service Users and Hospital Policies --- p.154 / Emergence of New Meanings and Creation ofAlternatives --- p.155 / Implications for Social Work Practice and Future Child Mental Service Development --- p.156 / Contributions and Limitations of this study --- p.160 / Contributions of this Study --- p.160 / Limitations of this Study --- p.161 / Directions for Further Study --- p.163 / Self-reflexivity : My Personal Change after Completing this Study --- p.163 / Conclusion --- p.165 / Appendices / Appendix 1 Guidelines for interview --- p.166 / Appendix 2 Letter to the family and consent form (Chinese version) --- p.168 / Bibliography --- p.170 / List of Tables: / Table 1: Summary of Erikson's Psychosocial Theory --- p.17 / Table 2: Details of the Data Collection Schedule --- p.53 / Table 3: The Socio-Demographic Data of the Six Families --- p.57 / Table 4: Diagnosis and Psychiatric Histories of the Six Children and Adolescents --- p.58 / Table 5: Details of Hospitalization of the Children and Adolescents --- p.59 / Table 6: Details of the Follow up Service Received by the Children and Adolescents --- p.59

Fong, Hildy Felicia. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2011. / Includes bibliographical references (leaves 221-234). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstract and appendix also in Chinese.

University of Macau / Institute of Chinese Medical Sciences