Changes of Multisectoral Collaboration and Service Delivery in Hypertension Prevention and Control before and after the 2009 New Healthcare Reform in China: An Interrupted Time-Series Study

Objectives. There is a need to assess the 2009 new healthcare reform in China on hypertension prevention. It helps to control from the perspectives of multisectoral participation, government responsibility assignment, performance assessment, and service delivery. Design. Interrupted time-series study. Setting. 31 provinces in mainland China. Primary and Secondary Outcome Measures. Based on the content analysis of publicly available policy documents from 31 provinces regarding hypertension prevention and control, we analyzed the changes brought by the 2009 new healthcare reform through four quantitative indicators, including multisector participation (MP), main department responsibility coverage (MDRC), primary department assessment indicator coverage (MDAIC), and service type coverage (STC). We compared the changing trends of four indicators before and after 2009. Results. Nationally, MP, MDRC, and STC grew rapidly and increased to 88.9%, 96.4%, and 77.8%, respectively, in 2017, higher than MDAIC (36.9%). This growth was accelerated by the new healthcare reform, with the highest acceleration in MP (β3 = 6.345, p < 0.001 ), followed by MDRC (β3 = 3.829, p < 0.01 ), STC (β3 = 3.799, p < 0.001 ), and MDAIC (β3 = 3.585, p < 0.001 ). The MP and MDRC trend changes were higher in the central and western regions than in the east after the reform. Conclusions. Our research showed that the new healthcare reform had a positive effect in promoting multisectoral participation in preventing and controlling hypertension in China, improving the responsibility mechanism, and expanding the types of services provided. The government should lead the coordination and implementation of multidepartmental responsibilities and mobilize nonhealth departments to continuously participate in the prevention and control of chronic diseases by improving incentive and evaluation mechanisms.

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Faculty Opinions recommendation of Evaluation of the national Cleanyourhands campaign to reduce Staphylococcus aureus bacteraemia and Clostridium difficile infection in hospitals in England and Wales by improved hand hygiene: four year, prospective, ecological, interrupted time series study.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717963447.793464518 ◽

2012 ◽

Author(s):

Chris Robertson

Keyword(s):

Staphylococcus Aureus ◽

Time Series ◽

Clostridium Difficile ◽

Hand Hygiene ◽

Clostridium Difficile Infection ◽

Interrupted Time Series ◽

England And Wales ◽

Time Series Study ◽

Series Study

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Multimodal intervention to reduce acquisition of carbapenem-non-susceptible gram-negative bacteria in intensive care units in the National Referral Hospital of Indonesia: An interrupted time series study

Journal of Critical Care ◽

10.1016/j.jcrc.2021.04.016 ◽

2021 ◽

Author(s):

Yulia Rosa Saharman ◽

Anis Karuniawati ◽

Rudyanto Sedono ◽

Dita Aditianingsih ◽

Hongchao Qi ◽

...

Keyword(s):

Time Series ◽

Intensive Care ◽

Intensive Care Units ◽

Interrupted Time Series ◽

Referral Hospital ◽

Gram Negative Bacteria ◽

Gram Negative ◽

Time Series Study ◽

Series Study ◽

National Referral Hospital

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Evaluating the impact of minimum unit pricing (MUP) on off‐trade alcohol sales in Scotland: a controlled interrupted time series study

Addiction ◽

10.1111/add.15478 ◽

2021 ◽

Author(s):

Mark Robinson ◽

Daniel Mackay ◽

Lucie Giles ◽

Jim Lewsey ◽

Elizabeth Richardson ◽

...

Keyword(s):

Time Series ◽

Interrupted Time Series ◽

Time Series Study ◽

Unit Pricing ◽

The Impact ◽

Series Study ◽

Alcohol Sales

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The effect of electronic medical record application on the length of stay in a Chinese general hospital: a department- and disease-focused interrupted time-series study

Journal of Medical Systems ◽

10.1007/s10916-014-0053-x ◽

2014 ◽

Vol 38 (5) ◽

Cited By ~ 6

Author(s):

Peng Yang ◽

Yi Cao ◽

Danhong Liu ◽

Yuxiang Bai ◽

Feng Pan ◽

...

Keyword(s):

Time Series ◽

Length Of Stay ◽

General Hospital ◽

Medical Record ◽

Electronic Medical Record ◽

Interrupted Time Series ◽

Time Series Study ◽

Series Study

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Impact of Defaulting to Single-Lumen Peripherally Inserted Central Catheters on Patient Outcomes: An Interrupted Time Series Study

Clinical Infectious Diseases ◽

10.1093/cid/ciy301 ◽

2018 ◽

Vol 67 (6) ◽

pp. 954-957 ◽

Cited By ~ 3

Author(s):

Philip W Lam ◽

Cheryl Volling ◽

Tiffany Chan ◽

J Bradley Wiggers ◽

Lucas Castellani ◽

...

Keyword(s):

Time Series ◽

Patient Outcomes ◽

Interrupted Time Series ◽

Peripherally Inserted Central Catheters ◽

Time Series Study ◽

Single Lumen ◽

Series Study ◽

Central Catheters

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Impact of recommendations on sodium valproate prescription among women with epilepsy: An interrupted time-series study

Epilepsy & Behavior ◽

10.1016/j.yebeh.2021.108449 ◽

2021 ◽

Vol 125 ◽

pp. 108449

Author(s):

Adeline Degremont ◽

Elisabeth Polard ◽

Sandrine Kerbrat ◽

Olivier Grimaud ◽

Annie-Pierre Jonville-Béra ◽

...

Keyword(s):

Time Series ◽

Sodium Valproate ◽

Interrupted Time Series ◽

Time Series Study ◽

Series Study

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The effect of a pharmaceutical transitional care program on rehospitalisations in internal medicine patients: an interrupted-time-series study

BMC Health Services Research ◽

10.1186/s12913-019-4617-9 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 3

Author(s):

Fatma Karapinar-Çarkıt ◽

Sander D. Borgsteede ◽

Marjo J. A. Janssen ◽

Marlies Mak ◽

Nimet Yildirim ◽

...

Keyword(s):

Time Series ◽

Usual Care ◽

Medication Reconciliation ◽

Primary Outcome ◽

Transitional Care ◽

Care Program ◽

Interrupted Time Series ◽

Time Series Study ◽

Hospital Visits ◽

Series Study

Abstract Background Medication errors at transition of care can adversely affect patient safety. The objective of this study is to determine the effect of a transitional pharmaceutical care program on unplanned rehospitalisations. Methods An interrupted-time-series study was performed, including patients from the Internal Medicine department using at least one prescription drug. The program consisted of medication reconciliation, patient counselling at discharge, and communication to healthcare providers in primary care. The primary outcome was the proportion of patients with an unplanned rehospitalisation within six months post-discharge. Secondary outcomes were drug-related hospital visits, drug-related problems (DRPs), adherence, believes about medication, and patient satisfaction. Interrupted time series analysis was used for the primary outcome and descriptive statistics were performed for the secondary outcomes. Results In total 706 patients were included. At 6 months, the change in trend for unplanned rehospitalisations between usual care and the program group was non-significant (− 0.2, 95% CI -4.9;4.6). There was no significant difference for drug-related visits although visits due to medication reconciliation problems occurred less often (4 usual care versus 1 intervention). Interventions to prevent DRPs were present for all patients in the intervention group (mean: 10 interventions/patient). No effect was seen on adherence and beliefs about medication. Patients were significantly more satisfied with discharge counselling (68.9% usual care vs 87.1% program). Conclusions The transitional pharmaceutical care program showed no effect on unplanned rehospitalisations. This lack of effect is probably because the reason for rehospitalisations are multifactorial while the transitional care program focused on medication. There were less hospital visits due to medication reconciliation problems, but further large scale studies are needed due to the small number of drug-related visits. (Dutch trial register: NTR1519).

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