Community-based integration of management of non-communicable diseases in China

Non-communicable diseases (NCDs) are a leading cause of deaths and of disease burden in China. This paper analyzes the rationale and implications of a community-based approach to a better coordinated NCDs care and management system in China. As argued by the author, the buildup of an integrated NCDs...

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Autor principal:	Yue Xiao
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2015
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/ddb5414d728c4aa2ad6074e6cf86b710
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spelling	oai:doaj.org-article:ddb5414d728c4aa2ad6074e6cf86b7102021-12-02T13:44:07ZCommunity-based integration of management of non-communicable diseases in China2095-882X10.1016/j.cdtm.2015.07.001https://doaj.org/article/ddb5414d728c4aa2ad6074e6cf86b7102015-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095882X15000468https://doaj.org/toc/2095-882XNon-communicable diseases (NCDs) are a leading cause of deaths and of disease burden in China. This paper analyzes the rationale and implications of a community-based approach to a better coordinated NCDs care and management system in China. As argued by the author, the buildup of an integrated NCDs care delivery system is feasible now and large health expenditures will be saved if more stable outpatients with NCDs could be shifted to community health facilities to receive their medications. However, the key issues remain in building a general practitioner led (GP-led) primary care delivery system in China. Some prominent issues include the shortage of quality generalists, lack of proper incentives and management mechanisms, and the absence of patients and provider, and restrictive arrangements in basic health insurance policies. Even with these hard-to-solve issues, some recent reform initiatives for integrated NCDs care delivery in some localities have demonstrated originality and creativeness in developing better coordination between primary and secondary NCDs care. However, without large-scale public sector reform, innate issues with human resource development, income distribution and financing of public healthcare providers cannot be solved. It may take a long time to see deep integration of primary and secondary NCDs care in China. Keywords: Non-communicable disease, Integrated managements, CoordinationYue XiaoKeAi Communications Co., Ltd.articleMedicine (General)R5-920ENChronic Diseases and Translational Medicine, Vol 1, Iss 3, Pp 133-140 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Yue Xiao Community-based integration of management of non-communicable diseases in China
description	Non-communicable diseases (NCDs) are a leading cause of deaths and of disease burden in China. This paper analyzes the rationale and implications of a community-based approach to a better coordinated NCDs care and management system in China. As argued by the author, the buildup of an integrated NCDs care delivery system is feasible now and large health expenditures will be saved if more stable outpatients with NCDs could be shifted to community health facilities to receive their medications. However, the key issues remain in building a general practitioner led (GP-led) primary care delivery system in China. Some prominent issues include the shortage of quality generalists, lack of proper incentives and management mechanisms, and the absence of patients and provider, and restrictive arrangements in basic health insurance policies. Even with these hard-to-solve issues, some recent reform initiatives for integrated NCDs care delivery in some localities have demonstrated originality and creativeness in developing better coordination between primary and secondary NCDs care. However, without large-scale public sector reform, innate issues with human resource development, income distribution and financing of public healthcare providers cannot be solved. It may take a long time to see deep integration of primary and secondary NCDs care in China. Keywords: Non-communicable disease, Integrated managements, Coordination
format	article
author	Yue Xiao
author_facet	Yue Xiao
author_sort	Yue Xiao
title	Community-based integration of management of non-communicable diseases in China
title_short	Community-based integration of management of non-communicable diseases in China
title_full	Community-based integration of management of non-communicable diseases in China
title_fullStr	Community-based integration of management of non-communicable diseases in China
title_full_unstemmed	Community-based integration of management of non-communicable diseases in China
title_sort	community-based integration of management of non-communicable diseases in china
publisher	KeAi Communications Co., Ltd.
publishDate	2015
url	https://doaj.org/article/ddb5414d728c4aa2ad6074e6cf86b710
work_keys_str_mv	AT yuexiao communitybasedintegrationofmanagementofnoncommunicablediseasesinchina
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Community-based integration of management of non-communicable diseases in China

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