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Aim The aim of this study was to evaluate awareness of, attitudes toward, and first aid knowledge of seizures of hospital staff in Henan, China. Method Two hundred nineteen hospital staff, including doctors, nurses, medical technicians, logisticians, and executives working at tertiary hospitals in Henan, China, completed the survey from March to September in 2016. The data comprised the demographic data section, awareness of epilepsy section, attitude toward epilepsy section, and first aid knowledge of seizure attack section. Results The participants obtained a mean score of 7.48 ± 1.705 on the awareness of epilepsy section, and a mean score of 5.32 ± 1.165 on the first aid knowledge of seizure attacks section. There were significant correlations between educational level ( r = 0.187, P = 0.006), occupation ( r = − 0.244, P = 0.000), and attitudes toward patients with epilepsy ( r = 0.351, P = 0.000) with the awareness of epilepsy. There were significant correlations between age ( r = 0.170, P = 0.014), educational status ( r = 0.139, P = 0.040), and professional titles ( r = 0.197, P = 0.004) with the first aid knowledge of seizures. Conclusion The study showed that hospital staff had a moderate level of knowledge regarding epilepsy, and they generally displayed a positive attitude. It was also determined that as the awareness of epilepsy increased, they displayed more positive attitudes toward patients with epilepsy. The study also suggests that specialists working on epilepsy should provide more lectures and educational sessions to improve the knowledge of and attitude toward epilepsy and first aid knowledge of seizures among hospital staff. [ABSTRACT FROM AUTHOR]

This research aims to analyze CCD inpatients' mobility patterns in central China and explore the influences of nonclinical factors on their decisions of medical travel. Using patients' information (n = 105,120) collected from Henan, a central province of China, as well as county-level health care, transportation, and socioeconomic data, we analyzed spatial-temporal variations of CCD inpatients' mobility from 2013 to 2017. The multiple regression, geographically weighted regression, and path analysis were integrated to reveal how health care level (availability), insurance coverage (affordability), transportation/accessibility, local economic development, and regional factors have influenced CCD inpatients' medical travel. Our findings indicate that CCD patients' mobility has greatly increased in central China, with a growth rate of 28.9% from 2013 to 2017. The spatial pattern of medical travel was uneven among four economic zones but relatively balanced between urban rural areas. Over 51% of CCD inpatients traveled from the most disadvantaged zone to the capital city for treatment. The mobility pattern has been mainly determined by local medical resources, health insurance coverage, and transportation/accessibility. Furthermore, despite little direct effects, local economic development and regional factors have greatly influenced medical travel through indirectly affecting the local health care sector and transportation development. • Domestic medical travel has growing quickly in China with new health care reforms. • More CCD patients traveled from disadvantaged areas to big cities for better healthcare. • The key push factor of domestic medical travel is insufficient local medical resources. • Advanced transportation/accessibility encourages patients' mobility. • Local economic development and regional factors also play fundamental roles. [ABSTRACT FROM AUTHOR]