- Location
- Dalla Lana School of Public Health
- Series/Type
- Alumni Event, DLSPH Event, Faculty/Staff Event, Student Event
- Format
- Hybrid
- Dates
- May 1, 2025 from 12:00pm to 1:30pm
Links
Join us for the Global Implementation Science Lab Seminar series.
On May 1st, 2025, we will have two presenters, Dr. Ma and Dr. Tao, share their works regarding primary healthcare and implementation intervention for lung cancer screening from 12:00-1:30 pm. This event is open to U of T staff, students, faculty, and alumni.
The details of the two presentations are as following:
Title: Red tape in primary healthcare: Manifestations and its impact on job performance through the lens of motivation internalization
Speaker: Huifen Ma, PhD (Department of Public Administration, School of Medical Management, Shandong First Medical University, China)
Abstract: Red tape in China’s primary healthcare system imposes significant administrative burdens on primary healthcare workers (PHCWs), yet its impact on individual job performance through psychological mechanisms remains under explored. This mixed-methods study, involving 1,200 PHCWs and 107 interviews across 36 institutions in Shandong Province, investigates red tape’s manifestations—duplicative reporting, excessive documentation, disruptive inspections, and inefficient meetings—and its effect on job performance through motivation internalization, as framed by Self-Determination Theory (SDT). Findings reveal moderately high perceived red tape (mean = 8.25/15), which negatively affects job performance (β= -0.11, p < 0.001) by undermining autonomy, competence, and relatedness, mediated by the Self-Determination Index. These insights highlight the need for streamlined bureaucratic processes, digital reporting, and participatory decision-making to enhance PHCWs’ motivation and performance.
Title: Effectiveness and implementation of interventions for increasing lung cancer screening uptake: A systematic review and meta-analysis
Speaker: Wenjuan Tao, PhD (Institute of Hospital Management, West China Hospital, Sichuan University, China)
Abstract: Lung cancer remains a leading cause of cancer-related mortality worldwide, with early detection through low-dose CT (LDCT) screening proven to significantly reduce mortality. However, the uptake of lung cancer screening (LCS) remains suboptimal. With the surge of studies on interventions to improve LCS, the effectiveness of the various interventions and the potential barriers and enablers to their implementation remain unclear. We conducted a systematic review and meta-analysis to evaluate the effectiveness and implementation of the interventions aimed at increasing LCS, providing evidence-based insights to optimize LDCT screening programs.