HEOA Group, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
School of Health Management, Southern Medical University, Guangzhou, China.
Glob Health Res Policy. 2024 Mar 19;9(1):11. doi: 10.1186/s41256-024-00350-5.
The hospitalization rate of ambulatory care sensitive conditions (ACSCs) has been recognized as an essential indicator reflective of the overall performance of healthcare system. At present, ACSCs has been widely used in practice and research to evaluate health service quality and efficiency worldwide. The definition of ACSCs varies across countries due to different challenges posed on healthcare systems. However, China does not have its own list of ACSCs. The study aims to develop a list to meet health system monitoring, reporting and evaluation needs in China.
To develop the list, we will combine the best methodological evidence available with real-world evidence, adopt a systematic and rigorous process and absorb multidisciplinary expertise. Specific steps include: (1) establishment of working groups; (2) generations of the initial list (review of already published lists, semi-structured interviews, calculations of hospitalization rate); (3) optimization of the list (evidence evaluation, Delphi consensus survey); and (4) approval of a final version of China's ACSCs list. Within each step of the process, we will calculate frequencies and proportions, use descriptive analysis to summarize and draw conclusions, discuss the results, draft a report, and refine the list.
Once completed, China's list of ACSCs can be used to comprehensively evaluate the current situation and performance of health services, identify flaws and deficiencies embedded in the healthcare system to provide evidence-based implications to inform decision-makings towards the optimization of China's healthcare system. The experiences might be broadly applicable and serve the purpose of being a prime example for nations with similar conditions.
门诊医疗敏感条件（ACSCs）的住院率已被公认为反映医疗体系整体绩效的重要指标。目前，ACSCs 在全球范围内被广泛应用于评估卫生服务质量和效率的实践和研究中。由于各国医疗体系面临的挑战不同，ACSCs 的定义也有所不同。然而，中国并没有自己的 ACSC 清单。本研究旨在制定一个符合中国卫生系统监测、报告和评估需求的清单。
为了制定清单，我们将结合最佳方法学证据和实际证据，采用系统严谨的流程，吸收多学科专业知识。具体步骤包括：（1）成立工作组；（2）生成初始清单（审查已发表的清单、半结构化访谈、住院率计算）；（3）优化清单（证据评估、德尔菲共识调查）；（4）批准中国 ACSC 清单的最终版本。在该过程的每个步骤中，我们将计算频率和比例，使用描述性分析进行总结和得出结论，讨论结果，起草报告，并完善清单。
一旦完成，中国的 ACSC 清单可用于全面评估卫生服务的现状和绩效，识别医疗体系中存在的缺陷和不足，为优化中国医疗体系提供循证建议。这方面的经验可能具有广泛的适用性，可以为具有类似条件的国家提供一个范例。
