Evidence map›Paper›PMID 42321743›Full record

ArticleBMC health services research2026

Measuring integrated hypertension care in community health centers: a cross-sectional study based on the Rainbow Model of Integrated Care in Chengdu, China.

Yalin Zhang, Wenyan Li, Chuan Zou, Lidi Liu, Ziyu Yang, Jianchao Yang, Zhengyong Chen, Changming Liu, Can Shen, Xiaoyang Liao

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Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

10 authors.

Yalin ZhangThe Department of General Practice, West China Hospital Sichuan University Jintang Hospital, Jintang First People's Hospital, Chengdu, Sichuan, 610400, China.
Wenyan LiThe Department of General Practice, West China Hospital Sichuan University Jintang Hospital, Jintang First People's Hospital, Chengdu, Sichuan, 610400, China.
Chuan ZouGeneral Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
Lidi LiuGeneral Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
Ziyu YangGeneral Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
Jianchao YangSchool of Economics and Management, Chengdu Technological University, Chengdu, Sichuan, 611730, China.
Zhengyong ChenDepartment of Internal Medicine, Chengxiang Town Center Hospital Qingbaijiang District, Chengdu, 610300, China.
Changming LiuDepartment of General Practice, Xihanggang Community Health Center, Chengdu, 610200, China.
Can ShenGeneral Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China. 171265186@qq.com.
Xiaoyang LiaoGeneral Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China. liaoxiaoyang@wchscu.cn.

Funding

Joint Innovation Fund of Health Commission of Chengdu and Chengdu University of Traditional Chinese Medicine WXLH202406005Project of the Chinese Community Health Association 2021-1-063Project of the Health Commission of Chengdu City 2025550Project of the Health Commission of Sichuan Province TJZ201909Research project of Health and prevention commission of Sichuan province 2024-108Sichuan Science and Technology Program 2024NSFSC1534
6 · The paper itself

Abstract

backgroundEffective hypertension management requires cross-sector coordination. The effectiveness of integrated hypertension care varies due to its multidimensional nature, yet evidence from Chinese primary care is limited. This study assessed the level of integrated hypertension care using the Rainbow Model of Integrated Care Measurement Tool (RMIC-MT) and identified key influencing factors.

methodsA cross-sectional census was conducted among all community health centers (CHCs) in Chengdu between November 2021 and January 2022. Service integration was evaluated across six dimensions: person-& community-centeredness, care integration, professional integration, organizational integration, cultural competence, and technical competence. Multilevel linear modeling was applied to identify factors associated with integration.

resultsAmong 110 CHCs surveyed (effective rate: 84.6%), the highest mean integration score was observed in person- & community-centeredness (4.31), whereas organizational integration received the lowest score (2.96). Higher staff education levels (β = - 0.122, 95% CI: - 0.225 to - 0.019), availability of an emergency department (β = - 0.158, 95% CI: - 0.248 to - 0.068), implementation of disease-specific outpatient management (β = - 0.170, 95% CI: - 0.288 to - 0.052), and participation in hospital alliances (β = - 0.217, 95% CI: - 0.421 to - 0.013) were positively associated with greater integration. In contrast, having ophthalmology services (β = 0.110, 95% CI: 0.009 to 0.211) and use of wearable devices (β = 0.204, 95% CI: 0.037 to 0.370) were negatively associated with integration.

conclusionsInstitutional integration of hypertension services among CHCs in Chengdu remains suboptimal, with organizational domains lagging behind person-centered aspects. The findings highlight the necessity of strengthening systemic capacities-particularly in staff training, infrastructure development, and inter-organizational collaboration-to enhance the overall performance of integrated primary care.

Indexed as

Community Health CentersDelivery of Health Care, IntegratedHypertensionChinaCross-Sectional StudiesHumansPrimary Health CareCommunity health centersHypertensionInfluencing factorsIntegrated careRainbow Model of Integrated Care

Identifiers

PMID42321743
PMCPMC13536832

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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.