ArticleInternational journal of integrated care2018
Does A Medical Consortium Influence Health Outcomes of Hospitalized Cancer Patients? An Integrated Care Model in Shanxi, China.
Article in International journal of integrated care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed, 53 citations in OpenAlex.
- Two-Way Referrals in Chinese Medical Consortia Under the Framework of Hierarchical Diagnosis and Treatment: Progress and Challenges.Journal of evidence-based medicine · 2025Review
- Can medical consortiums bridge the gap in health inequity in China? A propensity score matching analysis.Health policy and planning · 2025Article
- Evaluation index system for value co-creation in integrated care within the context of digital transformation.Scientific reports · 2025Article
- Evolution and interaction mechanisms of China's high-performing national healthcare system.BMC health services research · 2025Article
- Evaluating the operational efficiency of the compact urban medical group in Qiqihar based on the three-stage DEA and Malmquist index model.Frontiers in public health · 2025Article
- Knowledge, attitudes, and practices of pharmacists on hierarchical management of COPD: a cross-sectional study in Jiangsu Province.Frontiers in medicine · 2025Article
- Incentive affects physicians' willingness to continue participating in urban-rural medical consortia: a comparative study of county and provincial hospitals in Central China.BMC health services research · 2024Article
- Eliciting Older Cancer Patients' Preferences for Follow-Up Care to Inform a Primary Healthcare Follow-Up Model in China: A Discrete Choice Experiment.The patient · 2024Article
- Article
- Comparison of the market share of public and private hospitals under different Medical Alliances: an interrupted time-series analysis in rural China.BMC health services research · 2024Article
- Predicting preterm birth using auto-ML frameworks: a large observational study using electronic inpatient discharge data.Frontiers in pediatrics · 2024Article
- The Effects of the Multi-Hospital Global Budget Payment on Medical Expenditure and Service Volume: The Evidence from Dangyang County, China.Risk management and healthcare policy · 2024Article
- Perceived benefits, costs, and relationships on provincial doctors' inclination to participate in urban-rural medical consortia in Central China: a social exchange theory perspective.Frontiers in public health · 2024Article
- Perceived knowledge, attitudes and practices regarding the medical consortium among medical staff in Sichuan, China: a cross-sectional survey.BMC health services research · 2023Article
- Strategies to Improve Long-Term Outcomes for Patients with Chronic Kidney Disease in China.Kidney diseases (Basel, Switzerland) · 2023Review
- Effectiveness of hierarchical medical system policy: an interrupted time series analysis of a pilot scheme in China.Health policy and planning · 2023Article
- Long-term exposure to ambient fine particulate matter chemical composition and in-hospital case fatality among patients with stroke in China.The Lancet regional health. Western Pacific · 2023Article
- Short-term air pollution exposure associated with death from kidney diseases: a nationwide time-stratified case-crossover study in China from 2015 to 2019.BMC medicine · 2023Article
- Patients' and Care Professionals' Evaluation of the Effect of a Hospital Group on Integrated Care in Chinese Urban Health Systems: A Propensity Score Matching and Difference-in-differences Regression Approach.International journal of health policy and management · 2023Article
- Using Multilevel Structural Equation Modeling (MSEM) to Identify the Predictors and Influencing Mechanism of Technology Use Among Chinese Physicians: An Example from Des-Gamma-Carboxy Prothrombin (DCP).Risk management and healthcare policy · 2022Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the effect of the medical consortium policy on the outcomes of cancer patients admitted to secondary hospitals in Shanxi, China.
methodElectronic medical records of lung cancer (n = 8,193), stomach cancer (n = 5,693) and esophagus cancer (n = 2,802) patients hospitalized in secondary hospitals were used. Propensity score matching was used to match each patient enrolled in medical consortium hospitals with a counterpart admitted in non-medical consortium hospitals. Cox proportional hazard models were used to estimate the hazard ratio of patients enrolled different categories of hospitals.
resultsThe hazards of lung, stomach and esophageal cancer patients admitted in medical consortium hospitals were consistently and significantly lower than those admitted in non-medical consortium hospitals after adjusting for a number of potential confounders. Lower hazard ratios were associated with lung (hazard ratio (HR) = 0.533, p < 0.001), stomach (HR = 0.494, p < 0.001), and esophagus (HR = 0.505, p < 0.001) cancer patients in medical consortium hospitals.
conclusionThe medical consortium provides an effective strategy to improve the outcomes of cancer patients in Shanxi, China. The partnerships between top-tier hospitals and grassroots medical services bridge the gap in resources and plays a critical role in the quality of care in China.
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