Evidence map›Paper›PMID 30483036›Full record

ArticleInternational journal of integrated care2018

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

Xin Wang, Xizhuo Sun, Fangfang Gong, Yixiang Huang, Lijin Chen, Yong Zhang, Stephen Birch

Abstract read
In one paragraph

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 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Delivering Integrated Community Care for the Elderly: A Qualitative Case Study in Southern China.International journal of environmental research and public health · 2024
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  18. Eliciting Preferences of Providers in Primary Care Settings for Post Hospital Discharge Patient Follow-Up.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Xin WangSchool of Public Health, Health Development Research Center, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou, CN.
Xizhuo SunShenzhen Luohu Hospital Group, No. 47 Youyi Road, Shenzhen, CN.
Fangfang GongShenzhen Luohu Hospital Group, No. 47 Youyi Road, Shenzhen, CN.
Yixiang HuangSchool of Public Health, Health Development Research Center, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou, CN.
Lijin ChenSchool of Public Health, Health Development Research Center, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou, CN.
Yong ZhangSchool of Public Health, Health Development Research Center, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou, CN.
Stephen BirchCentre for the Business and Economics of Health, University of Queensland, AU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEmerging from the epidemiological transition and accelerated aging process, China's fragmentated healthcare systems struggle to meet the demands of the population. On Sept 1 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 reforms. Fourth, normative integration could promote collaboration in an integrated healthcare system.

conclusionCore strategies and mechanisms of the Luohu model will promote integrated care in urban China and other countries facing the same challenges. However, it is necessary to study the effects of the Luohu model over the long term and continue to strive for integrated care.

Indexed as

district healthcare systemhospital groupintegrated care

Identifiers

PMID30483036
PMCPMC6199563

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.