Art.3,page6 of 10 Wang et al:The Luohu Model Table 1:Evaluation results of the Luohu model. First-level Second-level Third-level indicator Jun2014- Jun2015-Jun2016- indicator indicator Jun 2015 Jun 2016 Jun 2017 Structure Area of CHS* Average area of CHS*(m2) 410 749.5 903 Assets of Assets of equipment of all CHSs*(million,S) 2.76 3.50 4.09 CHS* Human No.of general practitioners 89 147 194 resources of CHS* No.of physicians providing public health 2 4 30 services No.of specialists setting up practices in 0 0 西 CHSs* No.of family doctor teams 0 198 238 Process Utilization of No.of residents registered with general 0 0.15 0.58 general practitioners practitioners Proportion of residents registered with 0 12.5 38.7 general practitioners (% Utilization of No.of inpatients in the hospital group 3021 5434 7034 inpatients Proportion of inpatients hospitalized in the 15.3 19.3 21.9 hospital group compared with all registered inpatients(%) Utilization in No.of outpatients served by CHSs(million) 0.795 2.02 2.25 CHS* Percentage of CHSs"*patients of all patients 29.49 36.87 4260 in the group (% Two-way No.of down-referral patients 0 4365 5647 referral No.of up-referral patients 1442 3084 4937 Outcome Case No.of patients with diabetes under case 5624 8210 10220 Management management Proportion of diabetes patients under case 66.88 67.23 69.54 management (% No.of patients with hypertension under 19667 22579 24662 case management Proportion of hypertension patients under 65.5 66.0 68.2 case management (% No.of patients with severe mental illness 1113 1402 1335 under case management Proportion of patients with severe mental 10.6 11.2 11.8 illness under case management (% Incidence Incidence of infectious disease(1/100,000) 351.5 350.7 300.4 and mortality Mortality rate under 5(%0) 2.5 2.4 1.3 New cases of pneumonia 734 511 283 New cases of cancer 631林 590 523 Patients' Rank of patients'satisfaction among ten Second First First experience districts in Shenzhen City Cost Cost of all types of health care for each S675.3 S844.2 registered resident in the group *CHS is short for community health station. **Time period of the data is from Jun 2014 to Dec 2015 which is a prerequisite for integrated care in China because ful than the Health and Family Planning Commission and public hospitals represent the vast majority of providers,hospitals are more powerful than primary healthcare insti- the Social Insurance Fund Administration is more power- tutions [36].In this context,organizational integration ledArt. 3, page 6 of 10 Wang et al: The Luohu Model which is a prerequisite for integrated care in China because public hospitals represent the vast majority of providers, the Social Insurance Fund Administration is more power￾ful than the Health and Family Planning Commission and hospitals are more powerful than primary healthcare insti￾tutions [36]. In this context, organizational integration led Table 1: Evaluation results of the Luohu model. First-level indicator Second-level indicator Third-level indicator Jun 2014– Jun 2015 Jun 2015– Jun 2016 Jun 2016– Jun 2017 Structure Area of CHS* Average area of CHS* (m2 ) 410 749.5 903 Assets of CHS* Assets of equipment of all CHSs* (million, $) 2.76 3.50 4.09 Human resources of CHS* No. of general practitioners 89 147 194 No. of physicians providing public health services 2 4 30 No. of specialists setting up practices in CHSs* 0 0 49 No. of family doctor teams 0 198 238 Process Utilization of general practitioners No. of residents registered with general practitioners 0 0.15 0.58 Proportion of residents registered with general practitioners (%) 0 12.5 38.7 Utilization of inpatients No. of inpatients in the hospital group 3021 5434 7034 Proportion of inpatients hospitalized in the hospital group compared with all registered inpatients (%) 15.3 19.3 21.9 Utilization in CHS* No. of outpatients served by CHSs (million) 0.795 2.02 2.25 Percentage of CHSs’* patients of all patients in the group (%) 29.49 36.87 4260 Two-way referral No. of down-referral patients 0 4365 5647 No. of up-referral patients 1442 3084 4937 Outcome Case Management No. of patients with diabetes under case management 5624 8210 10220 Proportion of diabetes patients under case management (%) 66.88 67.23 69.54 No. of patients with hypertension under case management 19667 22579 24662 Proportion of hypertension patients under case management (%) 65.5 66.0 68.2 No. of patients with severe mental illness under case management 1113 1402 1335 Proportion of patients with severe mental illness under case management (%) 10.6 11.2 11.8 Incidence and mortality Incidence of infectious disease (1/100,000) 351.5 350.7 300.4 Mortality rate under 5 (‰) 2.5 2.4 1.3 New cases of pneumonia 734** 511 283 New cases of cancer 631** 590 523 Patients’ experience Rank of patients’ satisfaction among ten districts in Shenzhen City Second First First Cost Cost of all types of health care for each registered resident in the group – $675.3 $844.2 * CHS is short for community health station. ** Time period of the data is from Jun 2014 to Dec 2015