Policy &practice People-centred care in urban China Xin Wang et al. (...continued)） Core action Implementation Imple- Specific description in the Luohu model Document reference area' strategies mented? Multidisciplinary Team Yes In community health stations,each primary care team Luohu government resolution teams composition, consists of a general practitioner(leader),nurse,public no.5[2017乃： roles and health physician and health promotion practitioner and Lessons learnt from the leadership may also include specialist physicians (e.g.geriatrician, Luohu model to promote the paediatrician,internist),pharmacist,nutritionist or construction of district hospital psychologist. group in Shenzhen The roles of each member are clearly defined,with flexibility to adjust roles based on patients'needs and the context. Individual care Under The hospital group is preparing to use care plans for NA plans for patients preparation high-risk patients identifed by a risk stratification approach. Vertical Definition Yes The Luohu model defines the roles of each component Luohu government resolution integration of facility of the hospital group to ensure coordination. no.24[20151: roles within District-level hospitals are centres of excellence in Implementation plan for a vertically technology and staff expertise,focusing on providing comprehensive reform of integrated high complexity of care and valuable rescue care for public hospitals in Luohu network life-threatening situations.District hospitals also provide district technical assistance and training to community health Luohu hospital group stations. esolution no.3[2017刀 Community health stations focus on providing Charter of the Luohu hospital preventive care,rehabilitation,case management and group (revised version of 2017) medical care for common diseases Luohu government resolution no.5[2017小： Lessons learnt from the Luohu model to promote the construction of district hospital group in Shenzhen Provider- Yes In the hospital group,provider-to-provider relationships to-provider are strengthened through technical assistance and relationships capacity-building. District-level hospitals are responsible to provide clinical technical assistance through training,education and joint consultations to physicians in community health stations. Meanwhile,physicians in community health stations are encouraged to get three months of training in the hospitals Forming facility Yes The hospital group was established in the form of an networks independent corporation consisting of 23 community health stations,five district hospitals and an institute of precision medicine(which mainly provides diagnostic testing).A council of government officials and representatives from local communities was set up,to which the group are accountable to.Six administrative centres were re-organized using the resources of the respective centres in the former five district- level hospitals.Twelve centres provide resources and management for the whole group Horizontal Integrating of Yes The multidisciplinary primary health-care teams National Health and Family integration different types include former health promotion staff from family Planning Commission of Luohu of care planning stations,public health physicians from the district resolution no.4 [2016]: Chinese Center for Disease Control and Prevention and Implementation plan for specialists from hospitals.Teams work cooperatively appointing public health with other members to provide preventive care, physicians to work in screening,diagnosis,treatment,rehabilitation and case community health stations management for patients.Six resource-sharing centres (human resources,quality management,financial, research and education,community health station management and general management;Fig.1)allow for more efficient use of resources through reducing care overlap (continues...） 846 Bull World Hea/th Organ 2018:96:843-852 doi:http://dx.doi.org/10.2471/BLT.18.214908846 Bull World Health Organ 2018;96:843–852| doi: http://dx.doi.org/10.2471/BLT.18.214908 Policy & practice People-centred care in urban China Xin Wang et al. Core action areaa Implementation strategiesa Imple￾mented? Specific description in the Luohu model Document reference Multidisciplinary teams Team composition, roles and leadership Yes In community health stations, each primary care team consists of a general practitioner (leader), nurse, public health physician and health promotion practitioner and may also include specialist physicians (e.g. geriatrician, paediatrician, internist), pharmacist, nutritionist or psychologist. The roles of each member are clearly defined, with flexibility to adjust roles based on patients’ needs and the context. Luohu government resolution no. 5 [2017]: Lessons learnt from the Luohu model to promote the construction of district hospital group in Shenzhen Individual care plans for patients Under preparation The hospital group is preparing to use care plans for high-risk patients identified by a risk stratification approach. NA Vertical integration Definition of facility roles within a vertically integrated network Yes The Luohu model defines the roles of each component of the hospital group to ensure coordination. District-level hospitals are centres of excellence in technology and staff expertise, focusing on providing high complexity of care and valuable rescue care for life-threatening situations. District hospitals also provide technical assistance and training to community health stations. Community health stations focus on providing preventive care, rehabilitation, case management and medical care for common diseases Luohu government resolution no. 24 [2015]: Implementation plan for comprehensive reform of public hospitals in Luohu district Luohu hospital group resolution no. 3 [2017]: Charter of the Luohu hospital group (revised version of 2017) Luohu government resolution no.5 [2017]: Lessons learnt from the Luohu model to promote the construction of district hospital group in Shenzhen Provider￾to-provider relationships Yes In the hospital group, provider-to-provider relationships are strengthened through technical assistance and capacity-building. District-level hospitals are responsible to provide clinical technical assistance through training, education and joint consultations to physicians in community health stations. Meanwhile, physicians in community health stations are encouraged to get three months of training in the hospitals Forming facility networks Yes The hospital group was established in the form of an independent corporation consisting of 23 community health stations, five district hospitals and an institute of precision medicine (which mainly provides diagnostic testing). A council of government officials and representatives from local communities was set up, to which the group are accountable to. Six administrative centres were re-organized using the resources of the respective centres in the former five district￾level hospitals. Twelve centres provide resources and management for the whole group Horizontal integration Integrating of different types of care Yes The multidisciplinary primary health-care teams include former health promotion staff from family planning stations, public health physicians from the Chinese Center for Disease Control and Prevention and specialists from hospitals. Teams work cooperatively with other members to provide preventive care, screening, diagnosis, treatment, rehabilitation and case management for patients. Six resource-sharing centres (human resources, quality management, financial, research and education, community health station management and general management; Fig. 1) allow for more efficient use of resources through reducing care overlap National Health and Family Planning Commission of Luohu district resolution no. 4 [2016]: Implementation plan for appointing public health physicians to work in community health stations (. . .continued) (continues. . .)