Wang et al:The Luohu Model Art.3,page 3 of 10 time,salary reform was instituted to motivate staff.In Strategies of the Luohu model Sept 2016,a prescription of three month was allowed Based on the Rainbow Model of integrated care developed for patients with one of ten types of chronic conditions by Valentijn and colleagues [26,27],integration pro- to seek treatment,to avoid unnecessary outpatient vis- cesses at the macro-level (system integration),meso-level its to district hospitals.In Nov 2016,the hospital group (organizational and professional integration).micro- encouraged specialists in district hospitals to set up clinics level (clinical integration)and cross-level (functional and in community health stations,to increase the proportion normative integration)contribute to integrated care.The of first contacts occurring in primary health stations.In strategies taken in Luohu for constructing a community- July 2017,the charter of the hospital group was amended based and prevention-oriented integrated care system are based on lessons learned from the preceding two years. summarized in Figure 3.There are strategies regarding Thus,the establishment of the hospital group provided professional,organizational,system,functional and nor- the basis for the ensuring reforms. mative integration.Among these are three core strategies Supervisory Board Expert Committee Workers'Congress Luohu hospital group Party Committee President Accountant 5 hospitals ces 6administrative 23 nters health Figure 2:Organizational structure of the Luohu hospital group. 1.1 Multidisciplinary family doctor teams Professional 2.1 Close hospital group integration 5 1 Shared vision in the hospital group (including five hospitals.one research 5.2 Build trust between residents institute.six health resources sharing centers. six administrative centers.twenty-three CHSe) and family doctor toams 2 Organizational Normative integration People- integration centered 3 Systom Functional integration integration 3.1 Global budget,balance retention 4.1 Platform for two-way referrals 3.2 Six administrative centers 4.2 Health Luohu APP and 4G 3.3 Six resources-sharing centers mobile nursing Figure 3:Strategies for an integrated care system in Luohu.Wang et al: The Luohu Model Art. 3, page 3 of 10 time, salary reform was instituted to motivate staff. In Sept 2016, a prescription of three month was allowed for patients with one of ten types of chronic conditions to seek treatment, to avoid unnecessary outpatient vis￾its to district hospitals. In Nov 2016, the hospital group encouraged specialists in district hospitals to set up clinics in community health stations, to increase the proportion of first contacts occurring in primary health stations. In July 2017, the charter of the hospital group was amended based on lessons learned from the preceding two years. Thus, the establishment of the hospital group provided the basis for the ensuring reforms. Strategies of the Luohu model Based on the Rainbow Model of integrated care developed by Valentijn and colleagues [26, 27], integration pro￾cesses at the macro-level (system integration), meso-level (organizational and professional integration), micro￾level (clinical integration) and cross-level (functional and normative integration) contribute to integrated care. The strategies taken in Luohu for constructing a community￾based and prevention-oriented integrated care system are summarized in Figure 3. There are strategies regarding professional, organizational, system, functional and nor￾mative integration. Among these are three core strategies Figure 2: Organizational structure of the Luohu hospital group. Figure 3: Strategies for an integrated care system in Luohu