ArticleInternational journal of integrated care2016
The Structure and Effectiveness of Health Systems: Exploring the Impact of System Integration in Rural China.
Article in International journal of integrated care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
8 citing papers in PubMed.
- Study on edge villages based on cross-region healthcare-seeking behavior.International journal of health geographics · 2025Article
- A multi-case study of the vertically integrated health-care at county-level in rural China: towards holistic and dynamic governance.Frontiers in public health · 2023Article
- Primary healthcare professionals' perspective on vertical integration of healthcare system in China: a qualitative study.BMJ open · 2022Article
- 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 · 2019Article
- Challenges for the surgical capacity building of township hospitals among the Central China: a retrospective study.International journal for equity in health · 2018Article
- Does A Medical Consortium Influence Health Outcomes of Hospitalized Cancer Patients? An Integrated Care Model in Shanxi, China.International journal of integrated care · 2018Article
- Why patients prefer high-level healthcare facilities: a qualitative study using focus groups in rural and urban China.BMJ global health · 2018Article
- Integration of Dementia Systems in Central America: A Social Network Approach.International journal of integrated careArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionFacing the challenges of aging populations, increasing chronic diseases prevalence and health system fragmentation, there have been several pilots of integrated health systems in China. But little is known about their structure, mechanism and effectiveness. The aim of this paper is to analyze health system integration and develop recommendations for achieving integration.
methodHuangzhong and Hualong counties in Qinghai province were studied as study sites, with only Huangzhong having implemented health system integration. Questionnaires, interviews, and health insurance records were sources of data. Social network analysis was employed to analyze integration, through structure measurement and effectiveness evaluation.
resultsHealth system integration in Huangzhong is higher than in Hualong, so is system effectiveness. The patient referral network in Hualong has more "leapfrog" referrals. The information sharing networks in both counties are larger than the other types of networks. The average distance in the joint training network of Huangzhong is less than in Hualong. Meanwhile, there are deficiencies common to both systems.
conclusionBoth county health systems have strengths and limitations regarding system integration. The use of medical consortia in Huangzhong has contributed to system effectiveness. Future research might consider alternative more context specific models of health system integration.
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