Building a People-Centred Integrated Care Model in Urban China: A Qualitative Study of the Health Reform in Luohu

Di Liang; Lin Mei; Yingyao Chen; Ping Zhou; Xiaoguang Yang; Jiayan Huang

doi:10.5334/ijic.4673

Figures & Tables

Conceptual framework.
Note: The conceptual framework was built based on the policy triangle framework [32, 33] and the framework of if integrated care [34, 35].

Table 1

Summary of integration actions at the macro, meso and micro level.

Level of integration	Integration actions in Luohu Hospital Group
Macro level: System integration	Vertical: Integrated primary care and specialty care Horizontal: Integrated health care with public health services (e.g., health education, free vaccination, cancer screening, fall prevention) Integrated healthcare with social services (e.g., home care for disabled elders, community care in collaboration with daycare centers, institutional care incorporating health care with long-term care)
Meso level: Organisational integration	Vertical: Merged the resources of five district-level public hospitals and 23 public community health centers and founded single legal personhood Horizontal: Consolidated administrative and supporting departments of each hospital into six administrative centres and six supporting centres
Meso level: Professional integration	Vertical: Motivated specialists to train providers at community health centres Encouraged specialists to work part-time at community health centres Horizontal: Consolidated professional resources across hospitals
Micro level: Clinical integration	Vertical: Established a formal two-way referral system has been established Provided primary care doctors with timely decision support from specialists at hospitals Horizontal: Encouraged providers to integrate clinical pathways
Linking the macro, meso and micro level: Functional integration	Shared key support functions, including strategic planning, human resources, financial management, information system, and quality control.
Linking the macro, meso and micro level: Normative integration	Guided by a “health-centered” rather than a disease-centred perspective Shared the goals of “less illness, fewer hospitalisations, less burden, and better care”

The governance and organisational structure of Luohu Hospital Group.

Building a People-Centred Integrated Care Model in Urban China: A Qualitative Study of the Health Reform in Luohu

Figures & Tables

Figure 1

Table 1

Figure 2

Paradigm

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