Abstract:
Introduction:China has adopted a people-centred integrated care model to reform its severely hospital-centric and fragmented delivery system. As a template of this model in urban China, the Luohu Hospital Group has generated considerable public and academic interest to scale it up. Methods:Guided by a policy triangle framework, this qualitative study explored the context, actors, content, and process of founding the Luohu Hospital Group. Three semi-structured interviews and five focus groups were conducted among 35 key informants. Content analysis was used to analyse the data. Results:The reform in Luohu took place in a competitive health care market, based on the comprehensive health reform in Shenzhen. Under the strong leadership of the district government, the reform adopted comprehensive strategies to strengthen primary care and care coordination, improve the quality and efficiency of health care delivery, and promote population health. The reform achieved a high level of organisational integration but was still in the process of fulfilling professional and clinical integration. Conclusions and discussion:The establishment of the Luohu Hospital Group transformed the originally fragmented delivery system into a tightly integrated service delivery networks. Though valuable lessons have been generated, the reform and its impacts require ongoing monitoring.
journal_name
Int J Integr Carejournal_title
International journal of integrated careauthors
Liang D,Mei L,Chen Y,Zhou P,Yang X,Huang Jdoi
10.5334/ijic.4673subject
Has Abstractpub_date
2020-03-16 00:00:00pages
9issue
1issn
1568-4156journal_volume
20pub_type
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journal_title:International journal of integrated care
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journal_title:International journal of integrated care
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pub_type: 杂志文章
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journal_title:International journal of integrated care
pub_type: 杂志文章
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journal_title:International journal of integrated care
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更新日期:2010-06-30 00:00:00
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更新日期:2018-12-13 00:00:00
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journal_title:International journal of integrated care
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更新日期:2006-08-17 00:00:00
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