The evaluation research on the integration of medical care and prevention in China: a systematic review
10.3760/cma.j.cn112150-20241129-00959
- VernacularTitle:中国医防融合评价研究的系统综述
- Author:
Shasha YUAN
1
;
Jingbin ZHANG
1
;
Zheng WANG
1
;
Jiaqi CHEN
1
Author Information
1. 北京协和医学院中国医学科学院医学信息研究所/图书馆，北京 100020
- Publication Type:Journal Article
- Keywords:
Systematic review;
Integrated care;
Medical care;
Public health
- From:
Chinese Journal of Preventive Medicine
2025;59(4):495-503
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically review the research progress in the evaluation of the integration of medical care and prevention in China.Methods:The keywords "medical care","prevention","public health", and "evaluate" were used to search in Chinese databases (CNKI, Wangfang and VIP Chinese Science and Technology Journal) and English databases (PubMed, Embase, Cochrane, and Web of Science) from March 17, 2009, to August 7, 2024. The language of studies was restricted to Chinese and English. The inclusion criteria were the integration of medical care and prevention occurring at one of the three dimensions, i.e., macro-system level, meso-institution and professional level and micro-service level. The study area should be located in China. The studies about theoretical exploration, policy analysis, and review of theory and practice in foreign countries regarding the integration of medical care and prevention and the article types of conference abstract, editorial, letter, and news were excluded. A total of 30 studies (in Chinese) were finally included. The definition of the integration of medical care and prevention, study design, evaluation objects, and specific evaluation indicators were compared and analyzed.Results:The evaluation objects of the included studies were mainly primary health staff and patients with chronic diseases in primary care. The study designs were mainly cross-sectional studies ( n=18) and controlled trials ( n=8). The included studies involved a total of 39 specific evaluation indicators at the macro-system level (5), meso-institutional level (8), professional level (11), micro-service level (12), and outcome level (3). Conclusion:Research on the integration of medical care and prevention is still in the development stage. The existing studies lack commonly recognized evaluation indicators regarding the integration of medical care and prevention.
