Art.3,page8 of 10 Wang et al:The Luohu Model Conclusion 5.Yip,W and Hsiao,W.Harnessing the privatization China's vanguard community-based integrated care model of China's fragmented health-care delivery.Lancet. emerged in the Luohu district as a response to the chal- 2014;384:805-818.D01:https::/doi.org/10.1016/ lenges of the epidemiological transition and accelerated S0140-6736(14)61120-X population aging in China.Although the Luohu model 6.Majeed,A.Primary care in Europe:Entering was introduced to all cities in China,its effectiveness in the age of austerity.Journal of Ambulatory Care other healthcare systems are uncertain.As the first case Management,2012;35:162-166.DOl:https://doi. recognized by the National Health and Family Planning org/10.1097/JAC.0b013e31824b45f4 Commission,the core strategies and mechanisms of the 7.National healthand family planningcommission. Luohu model will promote integrated care in urban China An analysis report of national health services survey and other countries facing the same challenges.Moreover, in China.Beijing:National Health and Family Plan- they will benefit universal health coverage and the realiza- ning Commission;2009 Feb.[cited 2017 22 Aug] tion of the full potential of the contributions of primary Available from:http://www.nhfpc.gov.cn. health care to sustainable development goals [44]. 8.Social Service Development Statistics Bulletin. Ministry of civil affairs of the People's Republic Acknowledgements of China;2016.[cited 2017 6 Nov]Available The authors thank the Health and Family Planning Commis- from: http://www.mca.gov.cn/article/zwgk/ sion of Shenzhen City and Guangdong Province for support- mzyw/201708/20170800005382.shtml. ing the design and implementation of the Luohu model.And 9.WHO.National Health and Family Planning Commis- we thank all colleagues in the Luohu hospital group. sion of the PRC,Age International,Age UK.China coun- try assessment report on aging and health;2015. Reviewers 10.Institute for Health Metrics and Evaluation Sjoerd Postma,Chief of Party,USAID/Health Sector Resil- GBD 2016.University of Washington.[Webpage on iency Project,Palladium,Afghanistan. the Internet].[cited 2017 Nov 1]Available from: One anonymous reviewer. https://vizhub.healthdata.org/gbd-compare/. 11.United Nations Department of Economic and Funding Information Social Affairs (UN DESA).World population This work was supported by National Natural Science prospects:The 2012 revision.Volume : Foundation of China (grant number:71804202)and demographic profiles.New York (NY):UN DESA, National Social Science Fund of China(grant number: Population Division;2013a.[cited 2016 10 June]. 18BGL218).The funders had no role in study design,data Available from:http://esa.un.org/WPP/. collection and analysis,preparation of the manuscript,or 12.Xu,Land Meng,Q.The Report of the fifth National decision to publish. Health Service Survey in China.Chinese Journal of Health Informatics and Management,2014;11(3): Competing Interests 193-194.[in Chinese]. The authors have no competing interests to declare. 13.Meng,Q,Yuan,J and Hou,Z.Service and function analysis of grassroots health institutions in China. References Health Policy Analysis of China,2009;2(11):1-6.in 1.Smith,M,Saunders,R,Stuckhardt,L and Chinese. McGinnis,JM.Best care at lower cost:The path 14.National Health and Family Planning Commission to continuously learning health care in America. of the PRC,Ministry of Finance.Programs to promote Washington DC:The National Academies Press, equalization of basic public health services;2013. 2012:14. [Webpage on the Internet].[cited 2017 Nov 6].Avail- 2.Committee on Quality of Health Care in America; able from:http://www.nhfpc.gov.cn/zwgk/jdid/201 Institute of Medicine.Crossing the quality chasm:A 304/10486953607c4a699d7c7e98bf6e5547.shtml.. new health system for the 21st century.Washington, 15.World Health Organization.Integrated health DC:The National Academies Press:2011. services-what and why?Geneva,Switzerland:WHO; 3.Montenegro,H,Holder,R,Ramagem,C,Urrutia, 2008. S,Fabrega,R,Tasca,R,Alfaro,G,Salgado,O 16.Ye,C,Browne,G,Grdisa,VS,Beyene,J and and Gomes,MA.Combating health care fragmen- Thabane,L.Measuring the degree of integration for tation through integrated health service delivery an integrated service network.International Journal networks in the Americas:Lessons learned./ournal of Integrated Care,2012;12:e137.DOI:https://doi. of Integrated Care,2011;19:5-16.DOI:https://doi. org/10.5334/jic.835 org/10.1108/14769011111176707 17.European Observatory on Health Systems and 4.Supper,L,Catala,O,Lustman,M,Chemla,C, Policies.Health systems and the financial crisis, Bourgueil,Y and Letrilliart,L.Interprofessional London:Eurohealth;2012. collaboration in primary health care:a review 18.World Bank Group,World Health Organization, of facilitators and barriers perceived by involved Ministry of Finance,National Health and Family actors.Journal of Public Health,2015;37:716-727. Planning Commission and Ministry of Health DOI:https://doi.org/10.1093/pubmed/fdu102 Resources and Social Security.Deeping healthArt. 3, page 8 of 10 Wang et al: The Luohu Model Conclusion China’s vanguard community-based integrated care model emerged in the Luohu district as a response to the chal￾lenges of the epidemiological transition and accelerated population aging in China. Although the Luohu model was introduced to all cities in China, its effectiveness in other healthcare systems are uncertain. As the first case recognized by the National Health and Family Planning Commission, the core strategies and mechanisms of the Luohu model will promote integrated care in urban China and other countries facing the same challenges. Moreover, they will benefit universal health coverage and the realiza￾tion of the full potential of the contributions of primary health care to sustainable development goals [44]. Acknowledgements The authors thank the Health and Family Planning Commis￾sion of Shenzhen City and Guangdong Province for support￾ing the design and implementation of the Luohu model. And we thank all colleagues in the Luohu hospital group. Reviewers Sjoerd Postma, Chief of Party, USAID/Health Sector Resil￾iency Project, Palladium, Afghanistan. One anonymous reviewer. Funding Information This work was supported by National Natural Science Foundation of China (grant number: 71804202) and National Social Science Fund of China (grant number: 18BGL218). The funders had no role in study design, data collection and analysis, preparation of the manuscript, or decision to publish. Competing Interests The authors have no competing interests to declare. References 1. Smith, M, Saunders, R, Stuckhardt, L and McGinnis, JM. Best care at lower cost: The path to continuously learning health care in America. Washington DC: The National Academies Press, 2012; 14. 2. 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