ArticleInternational journal of environmental research and public health2019
Combining Resource, Structure and Institutional Environment: A Configurational Approach to the Mode Selection of the Integrated Healthcare in County.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed.
- Workplace management practices and quiet quitting among primary healthcare workers: a sequential-parallel mediation analysis.Frontiers in public health · 2026Article
- Can medical consortiums bridge the gap in health inequity in China? A propensity score matching analysis.Health policy and planning · 2025Article
- Health system regionalization's infrastructural dimensions: A scoping review.Journal of education and health promotion · 2025Review
- 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
- Can integrated care improve the efficiency of hospitals? Research based on 200 Hospitals in China.Cost effectiveness and resource allocation : C/E · 2021Article
- Comparative Study on the Satisfaction of Healthcare Service Providers with the Synergistic Development of Rural Healthcare Systems in China: Medical Alliance Counties vs. Non-Medical Alliance Counties.International journal of integrated careArticle
- Healthcare Professionals' Views of the Integrated County Healthcare Consortium in Zhejiang, China.International journal of integrated careArticle
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4 authors.
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Abstract
Integrated healthcare has received considerable attention and has developed into the highly important health policy known as Integrated Healthcare in County (IHC) against the background of the Grading Diagnosis and Treatment System (GDTS) in rural China. However, the causal conditions under which different integrated health-care modes might be selected are poorly understood, particularly in the context of China's authoritarian regime. This study aims to identify these causal conditions, and how they shape the mode selection mechanism for Integrated Healthcare in County (IHC). A theoretical framework consisting of resource heterogeneity, governance structure, and institutional normalization was proposed, and a sample of fifteen IHCs was selected, with data for each IHC being collected from news reports, work reports, government documents and field research for Fuzzy-sets Qualitative Comparative Analysis (fsQCA). This study firstly pointed out that strong governmental control and centralization are necessary conditions for the administration-oriented organization mode (MOA). Additionally, this research found three critical configured paths in the selection of organizational modes. Specifically, we found that the combination of low resource heterogeneity, weak governmental control, centralization, and normalization was sufficient to explain the selection path of the insurance-driven organization mode (MOI); the combination of low resource heterogeneity, strong governmental control, centralization, and normalization was sufficient for selecting MOA; and the combination of weak governmental control, weak centralization, and weak normalization was sufficient for selecting the contractual organization mode (MOC). Our study highlighted the necessity and feasibility of constructing different IHC modes separately and promoting their development gradually, as a result of the complex relationships among the causal conditions described above, thus helping to optimize the distribution of health resources and integrate the healthcare system.
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