New models for chronic disease management in the United States and China

O’Donnell, Ronald R.

doi:10.15212/fmch.2014.0138

Cited by 3 publications

(4 citation statements)

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“…Third, as many studies have proposed, although the key 2‐way referral system reform aiming to integrate the cooperation of chronic disease prevention between the hospitals and CHCs has been proposed for many years, no substantial transformation has been made towards this policy. In this case, we cannot fundamentally change the competitive situation between the hospitals and CHCs and build a patient‐centerd mode like developed countries to best use primary care …”

Section: Discussionmentioning

confidence: 99%

“…Different from the developed countries' unanimous practice that continuously uses primary care as the first defense, China's chronic disease management (CDM) in community health centers (CHCs) has evolved from complete to collapse to revive for political reasons. Under the planned economy during 1949 to 1979, China had a relatively well‐functioning health system.…”

Section: Introductionmentioning

confidence: 99%

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Changes in chronic disease management among community health centers (CHCs) in China: Has health reform improved CHC ability?

Wang

Shi

et al. 2017

Health Planning & Management

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Since the 1980s, China has been criticized for its mode of chronic disease management (CDM) that passively provides treatment in secondary and tertiary hospitals but lacks active prevention in community health centers (CHCs). Since there are few systematic evaluations of the CHCs' methods for CDM, this study aimed to analyze their abilities. On the macroperspective, we searched the literature in China's largest and most authoritative databases and the official websites of health departments. Literature was used to analyze the government's efforts in improving CHCs' abilities to perform CDM. At the microlevel, we examined the CHCs' longitudinal data after the New Health Reform in 2009, including financial investment, facilities, professional capacities, and the conducted CDM activities. A policy analysis showed that there was an increasing tendency towards government efforts in developing CDM, and the peak appeared in 2009. By evaluating the reform at CHCs, we found that there was an obvious increase in fiscal and public health subsidies, large-scale equipment, general practitioners, and public health physicians. The benefited vulnerable population in this area also rose significantly. However, rural centers were inferior in their CDM abilities compared with urban ones, and the referral system is still not effective in China. This study showed that CHCs are increasingly valued in managing chronic diseases, especially after the New Health Reform in 2009. However, we still need to improve collaborative management for chronic diseases in the community and strengthen the abilities of CHCs, especially in rural areas.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Changes in chronic disease management among community health centers (CHCs) in China: Has health reform improved CHC ability?

Wang

Shi

et al. 2017

Health Planning & Management

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“…China shares with the United States an epidemic of chronic, non-communicable disease, with rising rates of cardiovascular disease and metabolic disorders in particular. The rising prevalence of these conditions results in great human suffering, lost productivity, high utilization of medical services and associated health care costs [1]. The first section of this special edition, "The Chronic Disease Challenge for General Practitioners" highlights the extent of this problem in China.…”

mentioning

confidence: 99%

“…The study by Wu and Jian [2] and United States researchers is that chronic disease is rising due to fragmented services that lack a focus on preventing and improving management of chronic disease. The result is poor health and dissatisfaction by patients, increasing prevalence of chronic disease in the population, and rising health care costs [1].…”

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confidence: 99%

Introduction to special edition: The challenge of chronic non-communicable disease and the opportunity for transforming health care through primary care based population health management

O’Donnell¹

2015

family med commun hlth

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Development of the health decision support system (HDSS) in Canada and its implications in China

Dai

Gao

et al. 2016

2016 12th International Conference on Natural Computation, Fuzzy Systems and Knowledge Discovery (ICNC-FSKD)

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New models for chronic disease management in the United States and China

Cited by 3 publications

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Changes in chronic disease management among community health centers (CHCs) in China: Has health reform improved CHC ability?

Changes in chronic disease management among community health centers (CHCs) in China: Has health reform improved CHC ability?

Introduction to special edition: The challenge of chronic non-communicable disease and the opportunity for transforming health care through primary care based population health management

Development of the health decision support system (HDSS) in Canada and its implications in China

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