Do medical alliances truly work? Perspectives on health service utilisation among outpatients with chronic diseases in Shanghai, China Article Swipe

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Wanju Sun , Haiyan Zhu , Linyi Zhang , Zhaoxin Wang , Luo Li , Weigang Qi , Hualin Qi , Yingxue Hua , Xiang Gao , Ling Yuan , Jianwei Shi ·

YOU? · · 2023 · Open Access · · DOI: https://doi.org/10.1071/py22115

Background To achieve proper health utilisation among various health institutions and improve primary care capacity, China implemented medical alliance (MA) reform as part of healthcare reforms in 2009. With chronic disease management as the focus and priority of primary health institutions, this study aimed to analyse the specific distribution and trends of outpatient visits to various levels of health institutions (community health centres (CHCs) vs hospitals) in MAs. Methods All outpatient data were extracted from the Chuansha MA in Pudong New Area, Shanghai, between 2016 and 2020, and submitted to descriptive analysis, Chi-Square tests and correlation analysis. Results This article found that outpatients aged >60 years visited CHCs more than hospitals for some chronic diseases. The adjusted average costs of outpatients presented upward trends both in hospitals and in CHCs. Conclusions The Chuansha MA worked in guiding older outpatients to visit CHCs, but did not control the increasing medical costs. The Shanghai government should further improve medical capability of CHCs to attract all community-dwelling residents at all ages to implement hierarchical diagnosis and treatment systems, as well as make more efforts to control increasing medical costs.

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Community health Medicine Government (linguistics) Health care Population health Family medicine Public health China Health economics Alliance Environmental health Descriptive statistics Nursing Economic growth Economics Philosophy Mathematics Political science Law Linguistics Statistics

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Type: article
Language: en
Landing Page: https://doi.org/10.1071/py22115
PDF: https://www.publish.csiro.au/py/pdf/PY22115
OA Status: hybrid
Cited By: 14
References: 27
Related Works: 10
OpenAlex ID: https://openalex.org/W4318541328

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DOI: https://doi.org/10.1071/py22115

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Title: Do medical alliances truly work? Perspectives on health service utilisation among outpatients with chronic diseases in Shanghai, China

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Language: en

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Publication year: 2023

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Publication date: 2023-01-30

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Authors: Wanju Sun, Haiyan Zhu, Linyi Zhang, Zhaoxin Wang, Luo Li, Weigang Qi, Hualin Qi, Yingxue Hua, Xiang Gao, Ling Yuan, Jianwei Shi

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Landing page: https://doi.org/10.1071/py22115

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Concepts: Community health, Medicine, Government (linguistics), Health care, Population health, Family medicine, Public health, China, Health economics, Alliance, Environmental health, Descriptive statistics, Nursing, Economic growth, Economics, Philosophy, Mathematics, Political science, Law, Linguistics, Statistics

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Cited by: 14

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