ArticleFrontiers in public health2023
A multi-case study of the vertically integrated health-care at county-level in rural China: towards holistic and dynamic governance.
Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Optimal exercise intensity for improving executive function in patients with attention deficit hyperactivity disorder: systematic review and network meta-analysis.European child & adolescent psychiatry · 2025Pooled it
- Impact of Spiritual Care Education on Leukemia Patients' Post-traumatic Growth and Resilience in Iran: A Randomized Controlled Trial.Journal of religion and health · 2026Trial
- Copper dysregulation in cardiometabolic disease: copper deficiency versus cuproptosis.Apoptosis : an international journal on programmed cell death · 2026Review
- Stigma and Relationship and Sexual Life in People with Severe Mental Disorders: A Systematic Review.Community mental health journal · 2026Article
- Faith, Social Connection, and Aging: A Narrative Review of the Impact of Religious and Spiritual Engagement on Social Well-being in Older Adults Across Global Contexts.Journal of religion and health · 2026Article
- Selective strategic adaptation and structural trade-offs in a public traditional Chinese medicine hospital under China's national performance appraisal: a longitudinal study.Frontiers in health services · 2026Article
- Associations between Nightmare Frequency, Nightmare Distress, and Psychopathological Problems among Chinese College Students: a Population-based Survey.The Psychiatric quarterly · 2025Article
- Green jackfruit flour ameliorates MASH and development of HCC via the AMPK and MAPK signaling pathways in experimental model systems.Scientific reports · 2025Article
- Effects of access to primary healthcare services on health vulnerability among older adults in China: focusing on demographic differences.Frontiers in public health · 2025Article
- Use of 3D foot and ankle puzzle enhances student understanding of the skeletal anatomy in the early years of medical school.Surgical and radiologic anatomy : SRA · 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
- Construction and Practice of the County Integrated Healthcare System in China: A Case Study of Shaxian, Sanming.International journal of integrated careArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: In contrast to the Grading Diagnosis and Treatment System (GDTS), Vertically Integrated Health-care at County-level (VIHC) is a strategic policy in rural China. This research intends to analyze the shift in governance paradigm with regard to the adjustment of the power structure and interest relationships among various participants, using the building of VIHC as a cut-in point. Methods: We carry out a multi-case study to investigate the paradigms of health governance when building VIHC in three different rural counties in China. Results: There were exchanges between government and other participants, vertical and horizontal collaborations among government divisions, and prompt responses to public requirements. County C's local administration, in particular, placed a strong emphasis on bureaucratic power and collaboration between various departments both within and outside of administrative boundaries. In contrast, County B's local administration emphasized the independence of healthcare practitioners and worked to win their support. In contrast to the previous two governments, County A encouraged social actors to participate and saw a little improvement in performance. Conclusion: In examining the health reform in rural China, this study paints a picture of the development of the health governance paradigm. In rural China, a comprehensive and dynamic governance paradigm was created through the integration of the health decision-making process, which was driven by the public's health needs, the operation mechanism, which featured both competition and cooperation, and the action logic of sharing responsibility.
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