Xu Jing, Pan Rui, Pong Raymond W, Miao Yudong, Qian Dongfu
School of Health Policy & Management, Nanjing Medical University, Nanjing, P.R. China.
School of Public Health, Nanjing Medical University, Nanjing, P.R. China.
Int J Integr Care. 2016 Apr 5;16(1):8. doi: 10.5334/ijic.2456.
In recent years, in order to provide patients with seamless and integrated healthcare services, some models of collaboration between public hospitals and community health centres have been piloted in some cities in China. The main goals of this study were to assess the nature and characteristics of these collaboration models.
Three cases of three different collaboration models in three Chinese cities were selected to analyse using descriptive statistics, Pearson χ (2) and ordinal logistic regression.
Results showed that the Direct Management Model in Wuhan exhibited better structure indicators than the other two models. Staff in the Direct Management Model had the highest satisfaction level (77.6%) with respect to patient referral. Communications between hospitals and community health centres and among care providers were generally inadequate. Publicity about hospital-community health centre collaboration was inadequate, resulting in low awareness among patients and even among health professionals.
Results can inform health service delivery integration efforts in China and provide crucial information for the assessment of similar collaborations in other countries.
近年来，为向患者提供无缝且整合的医疗服务，中国一些城市已试点公立医院与社区卫生中心之间的某些合作模式。本研究的主要目的是评估这些合作模式的性质和特点。
选取中国三个城市的三种不同合作模式的三个案例，运用描述性统计、Pearson卡方检验和有序逻辑回归进行分析。
结果显示，武汉的直接管理模式在结构指标方面比其他两种模式表现更好。直接管理模式的工作人员对患者转诊的满意度最高（77.6%）。医院与社区卫生中心之间以及医护人员之间的沟通普遍不足。医院 - 社区卫生中心合作的宣传不足，导致患者甚至卫生专业人员的知晓度较低。
研究结果可为中国的卫生服务提供整合工作提供参考，并为评估其他国家的类似合作提供关键信息。
