A brief introduction of evaluation for medical consortium in China and abroad_Chinese Journal of Evidence-Based Medicine

Authors：

TAO Wenjuan ¹ ,  LI Weimin ² , WEN Jin ¹ , WANG Miao ³

1. Hospital Management Institute, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
2. West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
3. Department of Public Affairs, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding?author：

LI Weimin, Email: weimi003@yahoo.com

Keywords：

Medical consortium; Integrated care; Evaluation

DOI：

10.7507/1672-2531.201811011

Video：

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This paper analyzed the four aspects of the medical consortium both in China and abroad, including evaluation of object, theoretical basis and model, content and method, and provided reference for construction and development of medical consortium evaluation in China.

Citation： TAO Wenjuan, LI Weimin, WEN Jin, WANG Miao. A brief introduction of evaluation for medical consortium in China and abroad. Chinese Journal of Evidence-Based Medicine, 2019, 19(3): 368-372. doi: 10.7507/1672-2531.201811011 Copy

1.	國務院辦公廳. 國務院辦公廳關于印發全國醫療衛生服務體系規劃綱要（2015～2020年）的通知. Available at: http://www.gov.cn/zhengce/content/2015-03/30/content_9560.htm.
2.	醫政醫管局. 《國家衛生計生委關于開展醫療聯合體建設試點工作的指導意見》解讀. Available at: http://www.nhfpc.gov.cn/yzygj/s3594q/201701/d992dd00295e48ec8f62bea6c4b66869.shtml.
3.	國務院辦公廳. 國務院辦公廳關于推進醫療聯合體建設和發展的指導意見. Available at http://www.gov.cn/zhengce/content/2017-04/26/content_5189071.htm.
4.	楊瑞璋. 利用現成資料評價醫療聯合體效果. 中國醫院管理, 1987, 7(12): 34-36.
5.	中華人民共和國國家衛生健康委員會. 《國家衛生計生委關于開展醫療聯合體建設試點工作的指導意見》解讀. Available at: http://www.nhfpc.gov.cn/zwgk/jdjd/201705/bd5e8d08ac7b4b20ae8583e6c1393c54.shtml.
6.	黃顯官, 王林智, 余郭莉, 等. 醫聯體模式及其發展的研究. 衛生經濟研究, 2016, (3): 10-12.
7.	王文娟, 蔡媛青, 歐陽雁玲. 我國醫聯體運行效率的比較研究: 基于新結構經濟學的視角: 第十一屆中國軟科學學術年會, 中國北京, 2015.
8.	萬曉文, 石應康, 杜陵江. 醫院戰略聯盟績效影響因素分析及評價模型. 華西醫學, 2012, 27(7): 1085-1090.
9.	孫濤, 張薇, 葛思澳, 等. 區域醫療聯合體的聯盟穩定性評價指標體系框架. 中國醫院管理, 2016, 36(4): 5-7.
10.	薄云鵲, 張檸, 崔積鈺, 等. 基層醫療機構患者視角的區域醫療聯合體運行效果分析. 中國醫院, 2018, 22(3): 28-30.
11.	林琳, 劉慧, 夏令國, 等. “滕-山醫聯體”運行 3 年的社會效益調查. 衛生軟科學, 2016, 30(6): 18-21.
12.	董麗佳, 張朋, 黃葭燕. 醫聯體就診流程合理性的評價. 中國衛生資源, 2014, 17(3): 189-191.
13.	顧建鈞, 張程, 方衛, 等. 上海市浦東新區醫療機構對區域醫療聯合體模式的評價. 中國初級衛生保健, 2015, 29(9): 7-10.
14.	彭張林, 張強, 楊善林. 綜合評價理論與方法研究綜述. 中國管理科學, 2015, 23(S1): 245-256.
15.	熊季霞, 陸榮強, 徐愛軍. 新醫改背景下公立醫院集團模式的治理與評價. 南京中醫藥大學學報(社會科學版), 2013, 14(3): 177-180.
16.	李輝, 盛紅彬, 井明霞. 組建兵團區域性醫院集團可行性分析評價指標體系的初步研究. 上海交通大學學報(醫學版), 2013, 33(10): 1393-1398.
17.	徐一楠, 辛有清, 史培娜. 基于 TOPSIS 法的某醫院托管改革效果綜合評價研究. 繼續醫學教育, 2018, 32(1): 83-86.
18.	田文華, 段光鋒, 蘇澎, 等. 區域醫療聯合體績效評估的探討. 海軍醫學雜志, 2015, 36(1): 82-84.
19.	方鵬騫, 林振威, 陳詩亮, 等. 醫聯體聯動模式及其核心醫院改革前后綜合效益分析——以武漢市為例. 中國醫院, 2014, 18(7): 14-16.
20.	文靜, 陳正君, 鄧存良, 等. “菜單化”醫療聯合體模式實效評價. 現代醫院, 2017, 17(5): 629-631.
21.	趙大仁, 劉志會, 何思長, 等. 成都市某社區衛生服務中心加入醫療聯合體的實效評價. 中國醫療管理科學, 2016, 6(5): 24-28.
22.	何思長, 趙大仁, 孫渤星, 等. 基于 Topsis 法和 RSR 法模糊聯合的醫療聯合體實效評價. 中國醫院管理, 2016, 36(5): 7-9.
23.	高鵬, 范君暉. 基于 TOPSIS-RSR 法模糊聯合的上海區域醫療聯合體實效評價研究. 中國醫療管理科學, 2018, 8(3): 5-10.
24.	Hwang W, Chang J, Laclair M, et al. Effects of integrated delivery system on cost and quality. Am J Manag Care, 2013, 19(5): e175-e184.
25.	Vondeling H. Economic evaluation of integrated care: an introduction. Int J Integr Care, 2004, 4: e20.
26.	何水紅, 高長林, 杜彬, 等. 醫聯體建設模式實踐與思考. 現代醫院管理, 2017, 15(1): 32-34, 41.
27.	錢東福. 城市醫療服務體系整合的理論與實證研究. 人文醫學與衛生管理. 北京: 科學出版社, 2014.
28.	任文杰. 世界視野下的“中國模式”——醫聯聯合體模式的實踐探索與管理創新. 武漢: 武漢大學出版社, 2014.
29.	Ling T, Bardsley M, Adams J, et al. Evaluation of UK integrated care pilots: research protocol. Int J Integr Care, 2010, 10: e056.
30.	Hjelmar U, Hendriksen C, Hansen K. Motivation to take part in integrated care-an assessment of follow-up home visits to elderly persons. Int J Integr Care, 2011, 11: e122.
31.	Busetto L, Luijkx K, Vrijhoef HJM. Development of the COMIC model for the comprehensive evaluation of integrated care interventions. International Journal of Care Coordination, 2016, 19(1-2): 47-58.
32.	Saunders RP, Evans MH, Joshi P. Developing a process-evaluation plan for assessing health promotion program implementation: a how-to guide. Health Promot Pract, 2005, 6(2): 134-147.
33.	Pimperl A, Schulte T, Mühlbacher A, et al. Evaluating the impact of an accountable care organization on population health: the quasi-experimental design of the German Gesundes Kinzigtal. Popul Health Manag, 2017, 20(3): 239-248.
34.	Colla CH, Lewis VA, Kao LS, et al. Notice of Retraction and Replacement: Colla et al. Association between Medicare accountable care organization implementation and spending among clinically vulnerable beneficiaries. JAMA Internal Medicine. 2016; 176(8): 1167-1175. JAMA Intern Med, 2017, 177(11): 1702-1703.
35.	Reiss-Brennan B, Brunisholz KD, Dredge C, et al. Association of integrated team-based care with health care quality, utilization, and cost. JAMA, 2016, 316(8): 826-834.
36.	Scuffham PA, Mihala G, Ward L, et al. Evaluation of the gold coast integrated care for patients with chronic disease or high risk of hospitalisation through a non-randomised controlled clinical trial: a pilot study protocol. BMJ Open, 2017, 7(6): e016776.
37.	Everink IH, van Haastregt JC, Maessen JM, et al. Process evaluation of an integrated care pathway in geriatric rehabilitation for people with complex health problems. BMC Health Serv Res, 2017, 17(1): 34.
38.	Kautz CM, Gittell JH, Weinberg DB, et al. Patient benefits from participating in an integrated delivery system: impact on coordination of care. Health Care Manage Rev, 2007, 32(3): 284-294.
39.	Ignatyev Y, Timm J, Heinze M, et al. Development and preliminary validation of the scale for evaluation of psychiatric integrative and continuous care-patient's version. Front Psychiatry, 2017, 8: 162.
40.	Eyre L, George B, Marshall M. Protocol for a process-oriented qualitative evaluation of the Waltham forest and east London collaborative (WELC) integrated care pioneer programme using the researcher-in-residence model. BMJ Open, 2015, 5(11): e009567.
41.	Uittenbroek RJ, Reijneveld SA, Stewart RE, et al. Development and psychometric evaluation of a measure to evaluate the quality of integrated care: the patient assessment of integrated elderly care. Health Expect, 2016, 19(4): 962-972.
42.	Huckman RS. Hospital integration and vertical consolidation: an analysis of acquisitions in New York State. J Health Econ, 2006, 25(1): 58-80.
43.	Gaynor M, Laudicella M, Propper C. Can governments do it better? Merger mania and hospital outcomes in the English NHS. J Health Econ, 2012, 31(3): 528-543.
44.	Tsiachristas A, Stein KV, Evers S, et al. Performing economic evaluation of integrated care: highway to hell or stairway to heaven? Int J Integr Care, 2016, 16(4): 3.
45.	張研, 唐文熙, 孫曉偉, 等. 健康整合的評價及評價體系初探. 醫學與社會, 2014, 27(8): 23-26.

1. 國務院辦公廳. 國務院辦公廳關于印發全國醫療衛生服務體系規劃綱要（2015～2020年）的通知. Available at: http://www.gov.cn/zhengce/content/2015-03/30/content_9560.htm.
2. 醫政醫管局. 《國家衛生計生委關于開展醫療聯合體建設試點工作的指導意見》解讀. Available at: http://www.nhfpc.gov.cn/yzygj/s3594q/201701/d992dd00295e48ec8f62bea6c4b66869.shtml.
3. 國務院辦公廳. 國務院辦公廳關于推進醫療聯合體建設和發展的指導意見. Available at http://www.gov.cn/zhengce/content/2017-04/26/content_5189071.htm.
4. 楊瑞璋. 利用現成資料評價醫療聯合體效果. 中國醫院管理, 1987, 7(12): 34-36.
5. 中華人民共和國國家衛生健康委員會. 《國家衛生計生委關于開展醫療聯合體建設試點工作的指導意見》解讀. Available at: http://www.nhfpc.gov.cn/zwgk/jdjd/201705/bd5e8d08ac7b4b20ae8583e6c1393c54.shtml.
6. 黃顯官, 王林智, 余郭莉, 等. 醫聯體模式及其發展的研究. 衛生經濟研究, 2016, (3): 10-12.
7. 王文娟, 蔡媛青, 歐陽雁玲. 我國醫聯體運行效率的比較研究: 基于新結構經濟學的視角: 第十一屆中國軟科學學術年會, 中國北京, 2015.
8. 萬曉文, 石應康, 杜陵江. 醫院戰略聯盟績效影響因素分析及評價模型. 華西醫學, 2012, 27(7): 1085-1090.
9. 孫濤, 張薇, 葛思澳, 等. 區域醫療聯合體的聯盟穩定性評價指標體系框架. 中國醫院管理, 2016, 36(4): 5-7.
10. 薄云鵲, 張檸, 崔積鈺, 等. 基層醫療機構患者視角的區域醫療聯合體運行效果分析. 中國醫院, 2018, 22(3): 28-30.
11. 林琳, 劉慧, 夏令國, 等. “滕-山醫聯體”運行 3 年的社會效益調查. 衛生軟科學, 2016, 30(6): 18-21.
12. 董麗佳, 張朋, 黃葭燕. 醫聯體就診流程合理性的評價. 中國衛生資源, 2014, 17(3): 189-191.
13. 顧建鈞, 張程, 方衛, 等. 上海市浦東新區醫療機構對區域醫療聯合體模式的評價. 中國初級衛生保健, 2015, 29(9): 7-10.
14. 彭張林, 張強, 楊善林. 綜合評價理論與方法研究綜述. 中國管理科學, 2015, 23(S1): 245-256.
15. 熊季霞, 陸榮強, 徐愛軍. 新醫改背景下公立醫院集團模式的治理與評價. 南京中醫藥大學學報(社會科學版), 2013, 14(3): 177-180.
16. 李輝, 盛紅彬, 井明霞. 組建兵團區域性醫院集團可行性分析評價指標體系的初步研究. 上海交通大學學報(醫學版), 2013, 33(10): 1393-1398.
17. 徐一楠, 辛有清, 史培娜. 基于 TOPSIS 法的某醫院托管改革效果綜合評價研究. 繼續醫學教育, 2018, 32(1): 83-86.
18. 田文華, 段光鋒, 蘇澎, 等. 區域醫療聯合體績效評估的探討. 海軍醫學雜志, 2015, 36(1): 82-84.
19. 方鵬騫, 林振威, 陳詩亮, 等. 醫聯體聯動模式及其核心醫院改革前后綜合效益分析——以武漢市為例. 中國醫院, 2014, 18(7): 14-16.
20. 文靜, 陳正君, 鄧存良, 等. “菜單化”醫療聯合體模式實效評價. 現代醫院, 2017, 17(5): 629-631.
21. 趙大仁, 劉志會, 何思長, 等. 成都市某社區衛生服務中心加入醫療聯合體的實效評價. 中國醫療管理科學, 2016, 6(5): 24-28.
22. 何思長, 趙大仁, 孫渤星, 等. 基于 Topsis 法和 RSR 法模糊聯合的醫療聯合體實效評價. 中國醫院管理, 2016, 36(5): 7-9.
23. 高鵬, 范君暉. 基于 TOPSIS-RSR 法模糊聯合的上海區域醫療聯合體實效評價研究. 中國醫療管理科學, 2018, 8(3): 5-10.
24. Hwang W, Chang J, Laclair M, et al. Effects of integrated delivery system on cost and quality. Am J Manag Care, 2013, 19(5): e175-e184.
25. Vondeling H. Economic evaluation of integrated care: an introduction. Int J Integr Care, 2004, 4: e20.
26. 何水紅, 高長林, 杜彬, 等. 醫聯體建設模式實踐與思考. 現代醫院管理, 2017, 15(1): 32-34, 41.
27. 錢東福. 城市醫療服務體系整合的理論與實證研究. 人文醫學與衛生管理. 北京: 科學出版社, 2014.
28. 任文杰. 世界視野下的“中國模式”——醫聯聯合體模式的實踐探索與管理創新. 武漢: 武漢大學出版社, 2014.
29. Ling T, Bardsley M, Adams J, et al. Evaluation of UK integrated care pilots: research protocol. Int J Integr Care, 2010, 10: e056.
30. Hjelmar U, Hendriksen C, Hansen K. Motivation to take part in integrated care-an assessment of follow-up home visits to elderly persons. Int J Integr Care, 2011, 11: e122.
31. Busetto L, Luijkx K, Vrijhoef HJM. Development of the COMIC model for the comprehensive evaluation of integrated care interventions. International Journal of Care Coordination, 2016, 19(1-2): 47-58.
32. Saunders RP, Evans MH, Joshi P. Developing a process-evaluation plan for assessing health promotion program implementation: a how-to guide. Health Promot Pract, 2005, 6(2): 134-147.
33. Pimperl A, Schulte T, Mühlbacher A, et al. Evaluating the impact of an accountable care organization on population health: the quasi-experimental design of the German Gesundes Kinzigtal. Popul Health Manag, 2017, 20(3): 239-248.
34. Colla CH, Lewis VA, Kao LS, et al. Notice of Retraction and Replacement: Colla et al. Association between Medicare accountable care organization implementation and spending among clinically vulnerable beneficiaries. JAMA Internal Medicine. 2016; 176(8): 1167-1175. JAMA Intern Med, 2017, 177(11): 1702-1703.
35. Reiss-Brennan B, Brunisholz KD, Dredge C, et al. Association of integrated team-based care with health care quality, utilization, and cost. JAMA, 2016, 316(8): 826-834.
36. Scuffham PA, Mihala G, Ward L, et al. Evaluation of the gold coast integrated care for patients with chronic disease or high risk of hospitalisation through a non-randomised controlled clinical trial: a pilot study protocol. BMJ Open, 2017, 7(6): e016776.
37. Everink IH, van Haastregt JC, Maessen JM, et al. Process evaluation of an integrated care pathway in geriatric rehabilitation for people with complex health problems. BMC Health Serv Res, 2017, 17(1): 34.
38. Kautz CM, Gittell JH, Weinberg DB, et al. Patient benefits from participating in an integrated delivery system: impact on coordination of care. Health Care Manage Rev, 2007, 32(3): 284-294.
39. Ignatyev Y, Timm J, Heinze M, et al. Development and preliminary validation of the scale for evaluation of psychiatric integrative and continuous care-patient's version. Front Psychiatry, 2017, 8: 162.
40. Eyre L, George B, Marshall M. Protocol for a process-oriented qualitative evaluation of the Waltham forest and east London collaborative (WELC) integrated care pioneer programme using the researcher-in-residence model. BMJ Open, 2015, 5(11): e009567.
41. Uittenbroek RJ, Reijneveld SA, Stewart RE, et al. Development and psychometric evaluation of a measure to evaluate the quality of integrated care: the patient assessment of integrated elderly care. Health Expect, 2016, 19(4): 962-972.
42. Huckman RS. Hospital integration and vertical consolidation: an analysis of acquisitions in New York State. J Health Econ, 2006, 25(1): 58-80.
43. Gaynor M, Laudicella M, Propper C. Can governments do it better? Merger mania and hospital outcomes in the English NHS. J Health Econ, 2012, 31(3): 528-543.
44. Tsiachristas A, Stein KV, Evers S, et al. Performing economic evaluation of integrated care: highway to hell or stairway to heaven? Int J Integr Care, 2016, 16(4): 3.
45. 張研, 唐文熙, 孫曉偉, 等. 健康整合的評價及評價體系初探. 醫學與社會, 2014, 27(8): 23-26.

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