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Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Tertiary Healthcare System01:21

Tertiary Healthcare System

Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care to...
International Nursing Organizations II01:28

International Nursing Organizations II

The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
Integrated Healthcare System01:20

Integrated Healthcare System

An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...

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Related Experiment Videos

Hospital Twinning Partnership for Health System Strengthening in Rural China: A Mixed-Methods Implementation Study

Wenjuan Tao1, Wenwu Shen1, Hao Guo1

  • 1Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China.

Health Policy and Planning
|May 14, 2026
PubMed
Summary
This summary is machine-generated.

Domestic hospital twinning strengthens rural health systems by addressing multiple building blocks. This partnership model shows promise for resource-limited settings, improving service capacity and workforce development.

Keywords:
CFIRChinaWHO building blockshealth system strengtheninghospital twinningrural health

Related Experiment Videos

Area of Science:

  • Health Systems Research
  • Implementation Science
  • Global Health Equity

Background:

  • Limited evidence exists on domestic hospital twinning for health system strengthening in low- and middle-income countries.
  • Hospital partnerships are a strategy to improve healthcare delivery and capacity.

Purpose of the Study:

  • To examine a domestic hospital twinning partnership in China.
  • To identify partnership components, implementation determinants, and outcomes.
  • To assess the replicability of the model for health system strengthening.

Main Methods:

  • A mixed-methods implementation study using the World Health Organization health system building blocks and the Consolidated Framework for Implementation Research (CFIR).
  • Data collection via semi-structured interviews (n=10), structured surveys (n=63), and administrative records.
  • Integration of qualitative and quantitative findings to understand implementation determinants.

Main Results:

  • Partnership elements covered all six health system building blocks, focusing on leadership, service delivery, and workforce.
  • Key facilitators included supporting hospital reputation, government backing, and a collaborative approach.
  • Barriers involved IT limitations, funding issues, intervention complexity, and resistance to change.

Conclusions:

  • Structured domestic hospital twinning is a promising strategy for strengthening rural health systems.
  • The model, addressing multiple health system components and extending to primary care, offers a replicable approach.
  • Improvements in service capacity, workforce development, and organizational culture were observed.