AI Article Synopsis

  • - China is shifting from a hospital-centered healthcare system to a people-centered integrated care model, focusing on health needs and public expectations.
  • - A study conducted through semi-structured interviews in six provinces identified five key themes around public expectations for integration in primary health care, including clinical, functional, and system integration.
  • - Findings suggest that while service processes and quality improvement are more visible to the public, there is a need for greater emphasis on multi-disciplinary collaboration and inter-organizational strategies to enhance healthcare delivery.

Article Abstract

Background: China is transforming its hospital-centric service delivery system into a people-centered integrated care model, with service delivery organized around the health needs and expectations of people.

Objective: To guide reforms and align with public expectations, this study profiles successful integration in primary health care from the public perspective.

Methods: Guided by the rainbow model of integrated care, semi-structured interviews were conducted in six provinces in China. A total of 58 interviewees completed the interviews. Tape-based analysis was used to produce narrative summaries. Researchers listened to the recordings and summarized by 30-s segments. Thematic analysis was performed on summaries to identify thematic families.

Results: Five themes and 16 sub-themes were generated. Respondents' expectations were primarily on three themes: clinical integration (such as interaction between professional and client, continuity, and empowering and engaging individuals), functional integration (such as resources management, quality improvement, and reforming payment systems), and system integration (such as institutional distribution and supervision). Yet a few interviewees mentioned professional integration (multi-disciplinary collaboration) and organizational integration (inter-organizational strategy).

Conclusions: Qualitative data were used to reveal public perceptions of successful primary health care integration. Service processes, institutional distribution, regulation, resource management, and quality improvement are more visible to the public and will be priorities for future efforts. Whereas inter-organizational strategies and multi-disciplinary collaboration have been shown to facilitate service improvements. Future efforts could consider how policy efforts can be grounded in visible service delivery through management practices.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578409PMC
http://dx.doi.org/10.1080/16549716.2024.2430811DOI Listing

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