The Luohu Model: A Template for Integrated Urban Healthcare Systems in China

作者：Xin Wang, Xizhuo Sun, Fangfang Gong, Yixiang Huang, Lijin Chen, Yong Zhang, Stephen Birch · 发表于：International Journal of Integrated Care · 年份：2018 · DOI：10.5334/ijic.3955 · 被引用次数：45 · 研究领域：Healthcare Systems and Reforms、Primary Care and Health Outcomes、Healthcare Policy and Management

INTRODUCTION: 2017, China's National Health and Family Planning Commission encouraged all cities to learn from the Luohu model of integration adopted in Luohu as an approach to meeting these challenges. In this paper, we study the integration process, analyze the core mechanisms, and conduct preliminary evaluations of integrated policy development in the Luohu model. POLICY DEVELOPMENT: The Luohu hospital group was established in Aug 2015, consists of five district hospitals, 23 community health stations and an institute of precision medicine. The group adopted a series of professional, organizational, system, functional and normative strategies for integrated care, which was provided for the residents of Luohu, especially for the elderly population and patients with chronic conditions. According to a preliminary evaluation of the past two years, the Luohu model showed improvement in the structure and process towards integrated care. New preventive programs conducted in the hospital group resulted in changes of disease incidence. Residents were more satisfied with the Luohu model. However, spending exceeded the global budget for health insurance because of short-term increases in the demand for health care. LESSONS LEARNED: First, engagement of multiple stakeholders is essential for the design and implementation of reform. Second, organizational integration is a prerequisite for integrated care in China. Third, effective care integration requires alignment with payment reform...