Does a medical consortium influence health outcomes of hospitalized cancer patients? An integrated care model in Shanxi, China

Miao Cai, Echu Liu, Hongbing Tao, Zhengmin Qian, Qiang John Fu, Xiaojun Lin, Manli Wang, Chang Xu, Ziling Ni

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Objective: To assess the effect of the medical consortium policy on the outcomes of cancer patients admitted to secondary hospitals in Shanxi, China. Method: Electronic medical records of lung cancer (n = 8,193), stomach cancer (n = 5,693) and esophagus cancer (n = 2,802) patients hospitalized in secondary hospitals were used. Propensity score matching was used to match each patient enrolled in medical consortium hospitals with a counterpart admitted in non-medical consortium hospitals. Cox proportional hazard models were used to estimate the hazard ratio of patients enrolled different categories of hospitals. Results: The hazards of lung, stomach and esophageal cancer patients admitted in medical consortium hospitals were consistently and significantly lower than those admitted in non-medical consortium hospitals after adjusting for a number of potential confounders. Lower hazard ratios were associated with lung (hazard ratio (HR) = 0.533, p < 0.001), stomach (HR = 0.494, p < 0.001), and esophagus (HR = 0.505, p < 0.001) cancer patients in medical consortium hospitals. Conclusion: The medical consortium provides an effective strategy to improve the outcomes of cancer patients in Shanxi, China. The partnerships between top-tier hospitals and grassroots medical services bridge the gap in resources and plays a critical role in the quality of care in China.

Original languageEnglish (US)
Article number7
JournalInternational Journal of Integrated Care
Volume18
Issue number2
DOIs
StatePublished - Apr 1 2018

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Sociology and Political Science
  • Health Policy

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