International experience and practice of integrated primary care in China

ZHANG Ya-lin; LIAO Xiao-yang; ZHAO Qian; LEI Yi; LI Zhi-chao; TANG Yi-jun; LI Ni

doi:10.16766/j.cnki.issn.1674-4152.001942

Volume 19 Issue 6

Jun. 2021

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Article Navigation > Chinese Journal of General Practice > 2021 > 19(6): 887-891

ZHANG Ya-lin, LIAO Xiao-yang, ZHAO Qian, LEI Yi, LI Zhi-chao, TANG Yi-jun, LI Ni. International experience and practice of integrated primary care in China[J]. Chinese Journal of General Practice, 2021, 19(6): 887-891. doi: 10.16766/j.cnki.issn.1674-4152.001942

Citation:

ZHANG Ya-lin, LIAO Xiao-yang, ZHAO Qian, LEI Yi, LI Zhi-chao, TANG Yi-jun, LI Ni. International experience and practice of integrated primary care in China[J]. Chinese Journal of General Practice, 2021, 19(6): 887-891. doi: 10.16766/j.cnki.issn.1674-4152.001942

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International experience and practice of integrated primary care in China

doi: 10.16766/j.cnki.issn.1674-4152.001942

1.
International Medical Center, General Practice Unit, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China

Funds:

2020JDR0119

2020JDR0126

2020-RK00-00142-ZF

2019-RK00-00221-ZF

2019037

2020010

Received Date: 2021-02-21
Available Online: 2022-02-16

Abstract

Abstract

With the acceleration of the global aging process and the outbreak of chronic diseases, the demand for health services is increasing, and the "fragmentation" of health services is becoming increasingly prominent. Therefore, integrated health service has become a worldwide trend of health system reform in the 21st century. Many countries and regions have carried out different forms and contents of exploration. Integrated primary care started late and developed rapidly in China, but it still faces some problems. From system level, organizational level, professional level, clinical level, this review analyze the current situation of integrated primary care in China, summarize and draw lessons from typical experience of Kaiser permanente, National Health Service, German Black Forest model. Based on the comparison of international experience, we examine the current situation and sort out China's main problems of integrated primary care in China. Problems include six aspects: policy formulation, standard implementation, inter agency coordination, inter professional cooperation, information construction and comprehensive evaluation. At the same time, we analyze the new trend of integrated primary care: the establishment and improvement of the integration mechanism, the construction of the gridded medical alliance and the specialty-general practice collaboration are the new trends of integrated primary care in China. It is necessary for China to shift service centers from tertiary hospital to primary care, and shift the focus of service from "organizational integration" to "clinical integration". In the future, we should promote and improve policy support, inter agency cooperation, inter professional cooperation mechanism and information integration technology to develop integrated primary care in China.
- International experience,
- Integration,
- Health service,
- Primary care,
- General practitioners

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References(36)

References

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International experience and practice of integrated primary care in China

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