Have a personal or library account? Click to login
Healthcare Professionals’ Views of the Integrated County Healthcare Consortium in Zhejiang, China Cover

Healthcare Professionals’ Views of the Integrated County Healthcare Consortium in Zhejiang, China

International Journal of Integrated Care
Volume 22 (2022): Issue 0
By: Qisheng Gao,  Yao Ma,  Pinghua Zhu and  Dingwan Chen  
Open Access
|Jun 2022

References

  1. 1Gröne O, Garcia-Barbero M, WHO European Office for Integrated Health Care Services. Integrated care: a position paper of the WHO European Office for Integrated Health Care Services. International Journal of Integrated Care. 2001; 1: e21. DOI: 10.5334/ijic.28
    Back to article
  2. 2Enthoven AC, Tollen LA. Competition in health care: it takes systems to pursue quality and efficiency. Health Affairs (Millwood). 2005; Suppl Web Exclusives: W5–433. DOI: 10.1377/hlthaff.w5.420
    Back to article
  3. 3Nolte E, Pitchforth E. What is the evidence on the economic impact of integrated care? Technical Report. Copenhagen, Denmark: World Health Organization; 2014 [cited 2021 Jan 6]. Available from: https://www.euro.who.int/__data/assets/pdf_file/0019/251434/What-is-the-evidence-on-the-economic-impacts-of-integrated-care.pdf.
    Back to article
  4. 4Ouwens M, Wollersheim H, Hermens R, Hulscher M, Grol R. Integrated care programmes for chronically ill patients: a review of systematic reviews. Journal of the International Society for Quality in Health Care. 2005; 17(2): 141–146. DOI: 10.1093/intqhc/mzi016
    Back to article
  5. 5Shaw S, Rosen R, Rumbold B. What is integrated care? An overview of integrated care in NHS. Nuffield Trust; 2011[cited 2021 Jan 6]. Available from:http://www.nuffieldtrust.org.uk/files/2017-01/what-is-integrated-care-report-web-final.pdf.
    Back to article
  6. 6Dudley L, Garner P. Strategies for integrating primary health services in low-and middle-income countries at the point of delivery. The Cochrane Database of Systematic Reviews. 2011; (7): CD003318. DOI: 10.1002/14651858.CD003318.pub3
    Back to article
  7. 7Lin W, Liu GG, Chen G. The urban resident basic medical insurance: a landmark reform towards universal coverage in China. Health Economics. 2009; 18(Suppl 2): S83–S96. DOI: 10.1002/hec.1500
    Back to article
  8. 8Guan X, Liang H, Xue Y, Shi L. An analysis of China’s national essential medicines policy. Journal of Public Health Policy. 2011; 32(3): 305–319. DOI: 10.1057/jphp.2011.34
    Back to article
  9. 9Wang H, Gusmano MK, Cao Q. An evaluation of the policy on community health organizations in China: will the priority of new healthcare reform in China be a success? Health Policy. 2011; 99(1): 37–43. DOI: 10.1016/j.healthpol.2010.07.003
    Back to article
  10. 10Yip WC, Hsiao WC, Chen W, Hu S, Ma J, Maynard A. Early appraisal of China’s huge and complex health-care reforms. The Lancet. 2012; 379(9818): 833–842. DOI: 10.1016/S0140-6736(11)61880-1
    Back to article
  11. 11Li L. The challenges of healthcare reforms in China. Public Health. 2011; 125(1): 6–8. DOI: 10.1016/j.puhe.2010.10.010
    Back to article
  12. 12Hu S. Essential medicine policy in China: pros and cons. Journal of Medical Economics. 2013; 16(2): 289–294. DOI: 10.3111/13696998.2012.751176
    Back to article
  13. 13Marten R, McIntyre D, Travassos C, Shishkin S, Longde W, Reddy S, Vega J. An assessment of progress towards universal health coverage in Brazil, Russia, India, China, and South Africa (BRICS). The Lancet. 2014; 384(9960): 2164–2171. DOI: 10.1016/S0140-6736(14)60075-1
    Back to article
  14. 14Meng Q, Mills A, Wang L, Han Q. What can we learn from China’s health system reform? BMJ. 2019; 365: l2349. DOI: 10.1136/bmj.l2349
    Back to article
  15. 15Zhang L, Cheng G, Song S, Yuan B, Zhu W, He L, Ma X, Meng Q. Efficiency performance of China’s health care delivery system. The International Journal of Health Planning and Management. 2017; 32(3): 254–263. DOI: 10.1002/hpm.2425
    Back to article
  16. 16Yip W, Hsiao W. Harnessing the privatisation of China’s fragmented health-care delivery. The Lancet. 2014; 384(9945): 805–818. DOI: 10.1016/S0140-6736(14)61120-X
    Back to article
  17. 17World Bank Group, World Health Organization, Ministry of Finance, National Health and Family Planning Commission and Ministry of Health Resources and Social Security. Deeping health reform in China: building high-quality and value-based service delivery; 2016 [cited 2022 Jan 9]. Available from: https://openknowledge.worldbank.org/handle/10986/24720.
    Back to article
  18. 18Wang X, Sun X, Birch S, Gong F, Valentijn P, Chen L, Zhang Y, Huang Y, Yang H. People-centred integrated care in urban China. Bull World Health Organ. 2018; 96(12): 843–852. DOI: 10.2471/BLT.18.214908
    Back to article
  19. 19Wang X, Sun X, Gong F, Huang Y, Chen L, Zhang Y, Birch S. The Luohu model: A template for integrated urban healthcare systems in China. International Journal of Integrated Care. 2018; 18(4): 1–10. DOI: 10.5334/ijic.3955
    Back to article
  20. 20Cai M, Liu E, Tao H, Qian Z, Fu QJ, Lin X, Wang M, Xu C, Ni Z. Does a medical consortium influence health outcomes of hospitalized Cancer patients? An integrated care model in Shanxi, China. International Journal of Integrated Care. 2018; 18(2): 7. DOI: 10.5334/ijic.3588
    Back to article
  21. 21Xu J, Pan R, Pong RW, Miao Y, Qian D. Different models of hospital–community health centre collaboration in selected cities in China: a cross-sectional comparative study. International Journal of Integrated Care. 2016; 16(1): 8. DOI: 10.5334/ijic.2456
    Back to article
  22. 22Yip W, Fu H, Chen AT, Zhai T, Jian W, Xu R, Pan J, Hu M, Zhou Z, Chen Q, Mao W, Sun Q, Chen W. 10 years of health-care reform in China: progress and gaps in universal health coverage. The Lancet. 2019; 394(10204): 1192–1204. DOI: 10.1016/S0140-6736(19)32136-1
    Back to article
  23. 23Healthcare Security Administration of Zhejiang Province, Zhejiang Provincial Department of Finance, Health Commission of Zhejiang Province. Interim Measures for Payment of DRGs Points for Inpatient Costs of Basic Medical Insurance in Zhejiang Province; 2019 [cited 2022 Jan 5]. Available from: http://ybj.zj.gov.cn/art/2019/11/21/art_1615796_40422468.html.
    Back to article
  24. 24Healthcare Security Administration of Zhejiang Province, Health Commission of Zhejiang Province, Zhejiang Provincial Department of Finance, Zhejiang Provincial Department of Human Resources and Social Security, Zhejiang Medical Products Administration. Guidance on promoting the reform of the payment mode of basic medical insurance in the integrated county healthcare consortium of the whole province; 2019 [cited 2021 Jan 6]. Available from: http://ybj.zj.gov.cn/art/2019/7/18/art_1615796_35819371.html.
    Back to article
  25. 25Health Commission of Zhejiang Province. Guidance on strengthening the public health work of the integrated county healthcare consortium; 2019 [cited 2021 Jan 6]. Available from: http://wsjkw.zj.gov.cn/art/2019/6/18/art_1229123408_857097.html.
    Back to article
  26. 26Cifuentes M, Fernald DH, Green LA, Niebauer LJ, Crabtree BF, Stange KC, Hassmiller SB. Prescription for health: changing primary care practice to foster healthy behaviors. Annals of Family Medicine. 2005; 3(Suppl 2): S4–S11. DOI: 10.1370/afm.378
    Back to article
  27. 27Zhu L, Peng Z, Liu L, Ling S. Combining Resource, Structure and Institutional Environment: A Configurational Approach to the Mode Selection of the Integrated Healthcare in County. International Journal of Environmental Research and Public Health. 2019; 16(16): 2975. DOI: 10.3390/ijerph16162975
    Back to article
  28. 28Chen LN, Ge MH, Lin JH, Yu BF. Construction of county medical community: Experience sharing of keqiao district in Shaoxing. Chinses Hospitals. 2019; 023(007): 75–78. DOI: 10.19660/j.issn.1671-0592.2019.07.24 [in Chinese].
    Back to article
  29. 29Zhu ZG. The practice and preliminary effect of improving the capacity of primary medical and health services under the background of integrated county healthcare consortium in Deqing County. Chinese Journal of Rural Medicine and Pharmacy. 2020; 27(01): 58–60. DOI: 10.3969/j.issn.1006-5180.2020.01.037 [in Chinese].
    Back to article
  30. 30Zhang Y, Shi YF, Shi HH, Shao DC. Merits and demerits of medical community: reflection on practice in Yuyao. Chinese Rural Health Service. 2020; 40(02): 109–112. DOI: 10.3969/j.issn.1005-5916.2020.02.010 [in Chinese].
    Back to article
  31. 31Relman AS. Doctors as the key to health care reform. The New England Journal of Medicine. 2009; 361(13): 1225–1227. DOI: 10.1056/NEJMp0907925
    Back to article
  32. 32Rigoli F, Dussault G. The interface between health sector reform and human resources in health. Hum Resour Health. 2003; 1(1): 9. DOI: 10.1186/1478-4491-1-9
    Back to article
  33. 33Buchan J. Health sector reform and human resources: lessons from the United Kingdom. Health Policy Plan. 2000; 15(3): 319–25. DOI: 10.1093/heapol/15.3.319
    Back to article
  34. 34Kramer MS. Clinical Epidemiology and Biostatistics, 1st ed.; Berlin, Germany: Springer. 1988; Volume 157. DOI: 10.1007/978-3-642-61372-2
    Back to article
  35. 35Luo GS, Feng QM, Xu TT, Gao HD, Tan XJ, Zhao JM. Study on satisfaction and policy cognition of health professionals in the integrated county healthcare consortium in poverty-stricken areas of Guangxi. Chongqing Medicine. 2019; 48(04): 676–680. DOI: 10.3969/j.issn.1671-8348.2019.04.031 [in Chinese].
    Back to article
  36. 36Zhou C, Lai SH, Zhang L, Tan F. Analysis on the operation mode and effect of medical preventive integration in county scale medical alliances in Hangzhou. Chin J Hosp Admin. 2021; 37(9): 709–712. DOI: 10.3760/cma.j.cn111325-20210311-00210 [in Chinese].
    Back to article
  37. 37He R, Miao Y, Ye T, Zhang Y, Tang W, Li Z, Zhang L. The effects of global budget on cost control and readmission in rural China: a difference-in-difference analysis. Journal of Medical Economics. 2017; 20(9): 903–910. DOI: 10.1080/13696998.2017.1336448
    Back to article
  38. 38Di Giorgio L, Filippini M, Masiero G. Implications of global budget payment system on nursing home costs. Health Policy. 2014; 115(2–3): 237–248. DOI: 10.1016/j.healthpol.2014.01.017
    Back to article
  39. 39Aas IH. Incentives and financing methods. Health Policy. 1995; 34(3): 205–220. DOI: 10.1016/0168-8510(95)00759-8
    Back to article
  40. 40Forrest CB, Weiner JP, Fowles J, Vogeli C, Frick KD, Lemke KW, Starfield B. Self-referral in point-of-service health plans. JAMA. 2001; 285(17): 2223–2231. DOI: 10.1001/jama.285.17.2223
    Back to article
  41. 41Xu YC. Why the primary medical and health institutions do not welcome the medical community. Physician online. 2019; 7: 13–14. DOI: 10.3969/j.issn.2095-7165.2019.07.007 [in Chinese].
    Back to article
  42. 42Niu YD, Zhang L. Analysis in the development and problems of county medical Alliance. Chinese Health Economics. 2020; 39(2): 22–25 [in Chinese].
    Back to article
  43. 43Xu CH, Yang JX. An empirical analysis of the influence of financial subsidy level on the output of county-level public hospitals. Health Economics Research. 2017; 5: 36–39. DOI: 10.14055/j.cnki.33-1056/f.20170427.008 [in Chinese].
    Back to article
  44. 44Gao QS. Influencing factors of community first visit system based on fishbone diagram in China. Chinese Journal of General Practice. 2015; 13(3): 341–343. DOI: 10.16766/j.cnki.issn.1674-4152.2015.03.001 [in Chinese].
    Back to article
  45. 45Wu D, Lam TP. Underuse of Primary Care in China: The Scale, Causes, and Solutions. Journal of the American Board of Family Medicine. 2016; 29(2): 240–247. DOI: 10.3122/jabfm.2016.02.150159
    Back to article
  46. 46Li X, Lu J, Hu S, Cheng KK, De Maeseneer J, Meng Q, Mossialos E, Xu DR, Yip W, Zhang H, Krumholz HM, Jiang L, Hu S. The primary health-care system in China. The Lancet. 2017; 390(10112): 2584–2594. DOI: 10.1016/S0140-6736(17)33109-4
    Back to article
  47. 47OECD.Stat. Health care resources: Physicians by categories; 2020[cited 2021 Jan 6]. Available from: http://stats.oecd.org/Index.aspx?QueryId=30173.
    Back to article
  48. 48Wu JY, Yang QS. Research on the capacity service status quo and evaluation of county public hospital in Zhejiang Province. Chinese Hospitals. 2016; 20(02): 8–13. DOI: 10.3969/j.issn.1671-0592.2016.02.003 [in Chinese].
    Back to article
  49. 49Wei YX, Wang ZY. Analysis and Reflection on the Effect of Close Medical Alliance Trusteeship Cooperation in Zhejiang Province—Based on Incomplete Contract Theory. Health Economics Research. 2020; 37(09): 16–19. DOI: 10.14055/j.cnki.33-1056/f.2020.09.004 [in Chinese].
    Back to article
  50. 50Yu SQ. Discussion on performance appraisal scheme of primary health institutions under county healthcare consortium. Money China. 2021; 14: 177–178. DOI: 10.19887/j.cnki.cn11-4098/f.2021.14.088 [in Chinese].
    Back to article
  51. 51Qin JM, Wang F, Lin CM, Zhang YC, Zhang LF. Recent developments in performance assessment policies and practices in primary healthcare in China. Chinese General Practice. 2021; 24(16): 1989–1994. DOI: 10.12114/j.issn.1007-9572.2021.00.194 [in Chinese].
    Back to article
  52. 52Liu WY, Hsu CH, Liu TJ, Chen PE, Zheng B, Chen CW, Tung TH. Systematic Review of the Effect of a Zero-Markup Policy for Essential Drugs on Healthcare Costs and Utilization in China, 2015–2021. Front Med (Lausanne). 2021; 8: 618046. DOI: 10.3389/fmed.2021.618046
    Back to article
  53. 53Zhang TL, Wei RM, Xu LZ, Zhang DF, Li ZR, Zhang H. Impact analysis of medicine markups abolition on revenue structure of 12 public hospitals in Qingdao. Chin J Hosp Admin. 2018; 34(08): 631–634. DOI: 10.3760/cma.j.issn.1000-6672.2018.08.004 [in Chinese].
    Back to article
  54. 54Zhai XM, He XM, Du Q, Yuan J, Liu K, Song MY, Cong JN, Huang XM. Research on the impact of comprehensive reform of county public hospitals on the structure of hospital revenue and expenditure. Chinese Hospital Management. 2019; 39(01): 22–24 [in Chinese].
    Back to article
  55. 55Liu Y, Lu L, Wang WX, Liu S, Chen HR, Gao X, Huang MY, Liu YN, Ren YM, Wang CC. Job Burnout and Occupational Stressors among Chinese Healthcare Professionals at County-Level Health Alliances. International Journal of Environmental Research and Public Health. 2020; 17(6): 1848. DOI: 10.3390/ijerph17061848
    Back to article
  56. 56Wang H, Jin Y, Wang D, Zhao S, Sang X, Yuan B. Job satisfaction, burnout, and turnover intention among primary care providers in rural China: results from structural equation modeling. BMC Family Practice. 2020; 21(1): 12. DOI: 10.1186/s12875-020-1083-8
    Back to article
  57. 57Zhang M, Yang R, Wang W, Gillespie J, Clarke S, Yan F. Job satisfaction of urban community health workers after the 2009 healthcare reform in China: a systematic review. International Journal for Quality in Health Care. 2016; 28(1): 14–21. DOI: 10.1093/intqhc/mzv111
    Back to article
  58. 58Song K. Study on turnover intention and job preference of primary health workers in five provinces of China. PhD thesis, Shandong University. 2014; 63–64 [in Chinese].
    Back to article
  59. 59Yao WG, Wei GW, Xu AG, Qiu LY, Chen Z, Yu H. Sample survey of human resources and work situation of community health services in Guangdong province. Chinese General Practice. 2011; 14(16): 1779–1781. DOI: 10.3969/j.issn.1007-9572.2011.16.009 [in Chinese].
    Back to article
  60. 60Shi L, Song K, Rane S, Sun X, Li H, Meng Q. Factors associated with job satisfaction by Chinese primary care providers. Primary Health Care Research and Development. 2014; 15(1): 46–57. DOI: 10.1017/S1463423612000692
    Back to article
  61. 61Ma X, Wang H, Yang L, Shi L, Liu X. Realigning the incentive system for China’s primary healthcare providers. BMJ. 2019; 365: l2406. DOI: 10.1136/bmj.l2406
    Back to article
DOI: https://doi.org/10.5334/ijic.5690 | Journal eISSN: 1568-4156
Journal RSS Feed
Language: English
Submitted on: Jan 6, 2021
Accepted on: Jun 2, 2022
Published on: Jun 22, 2022
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
healthcare professional,
integrated county healthcare consortium,
improvement measures,
satisfaction

© 2022 Qisheng Gao, Yao Ma, Pinghua Zhu, Dingwan Chen, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.

Previous articleVolume 22 (2022): Issue 0Next article