ArticleFrontiers in public health2022
How does people-centered integrated care in medical alliance in China promote the continuity of healthcare for internal migrants: The moderating role of respect.
Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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11 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Effectiveness of community health management for hypertensive patients under the medical alliance in China: a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- Impact of integrated care models on inpatient costs and health services efficiency: evidence from a difference-in-differences analysis in China.Health policy and planning · 2026Article
- Psychometric evaluation of the Chinese version of the Nurse-Patient Therapeutic Interaction Scale (NuPTIS): a translation and validation study.BMC nursing · 2026Article
- Depressive symptoms, insomnia, and burnout among health-care workers in an integrated medical alliance in Shanghai: implications for workforce well-being and health-system management.Frontiers in public health · 2026Article
- Medical alliances and diabetes-related distress in China: role of self-efficacy as a partial mediator.International health · 2025Article
- The people-centered care and inpatients' perceived experience in China: a nationwide cross-sectional study.International journal for equity in health · 2025Article
- National Patient Satisfaction Survey as a Predictor for Quality of Care and Quality Improvement - Experience and Practice.Patient preference and adherence · 2025Article
- Exploring the lack of continuity of care in older cancer patients under China's 'integrated health system' reform.Age and ageing · 2024Article
- Does vertical integration increase the costs for primary care inpatients? Evidence from a national pilot programme in China.Archives of public health = Archives belges de sante publique · 2024Article
- Associations Among Organizational Capabilities, Organizational Performance and the Medical Alliance Implementation Effect in Community Health Centers in China: A Moderated Mediation Model.Risk management and healthcare policy · 2023Article
- "Patient-Centered" Self-Efficacy and Chronic Disease Management: Associations with Doctors' Intentions and Perceived Treatment Effectiveness.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Continuity is crucial to the health care of the internal migrant population and urgently needs improvements in China. Chinese government is committed to promoting healthcare continuity by improving the people-centered integrated care (PCIC) model in medical alliances. However, little is known about the driving mechanisms for continuity. Methods: We created the questionnaire for this study by processes of a literature research, telephone interviews, two rounds of Delphi consultation. Based on the combination of quota sampling and judgment sampling, we collected 765 valid questionnaires from developed region and developing region in Zhejiang Province. Structural equation models were used to examined whether the attributes of PCIC (namely coordination, comprehensiveness, and accessibility of health care) associated with continuity, and explored the moderated mediating role of respect. Results: The result of SEM indicated that coordination had direct effect on continuity, and also had mediating effect on continuity via comprehensiveness and accessibility. The hierarchical linear regression analysis showed that the interactive items of coordination and respect had a positive effect on the comprehensiveness (β = 0.132), indicating that respect has positive moderating effect on the relationship between coordination and comprehensiveness. The simple slope test indicated that in the developed region, coordination had a significant effect on comprehensiveness for both high respect group(β = 0.678) and low respect group (β = 0.508). The moderated mediation index was statistically significant in developed areas(β = 0.091), indicating that respect had moderated mediating effect on the relationship between coordination and continuity via comprehensiveness of healthcare in the developed region; however, the moderated mediation effect was not significant in the developing region. Conclusion: Such regional differences of the continuity promoting mechanism deserve the attention of policy-makers. Governments and health authorities should encourage continuity of healthcare for migrants through improving the elements of PCIC-coordination, comprehensiveness and accessibility of healthcare, shaping medical professionalism of indiscriminate respect, and empowering migrants to have more autonomy over selection of services and decisions about their health.
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