Development of the China’s list of ambulatory care sensitive conditions (ACSCs): a study protocol
Abstract Background The hospitalization rate of ambulatory care sensitive conditions (ACSCs) has been recognized as an essential indicator reflective of the overall performance of healthcare system. At present, ACSCs has been widely used in practice and research to evaluate health service quality an...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | Global Health Research and Policy |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41256-024-00350-5 |
| _version_ | 1797247456337985536 |
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| author | Jianjian Wang Dong Roman Xu Yan Zhang Hongqiao Fu Sijiu Wang Ke Ju Chu Chen Lian Yang Weiyan Jian Lei Chen Xiaoyang Liao Yue Xiao Ruixian Wu Mihajlo Jakovljevic Yaolong Chen Jay Pan |
| author_facet | Jianjian Wang Dong Roman Xu Yan Zhang Hongqiao Fu Sijiu Wang Ke Ju Chu Chen Lian Yang Weiyan Jian Lei Chen Xiaoyang Liao Yue Xiao Ruixian Wu Mihajlo Jakovljevic Yaolong Chen Jay Pan |
| author_sort | Jianjian Wang |
| collection | DOAJ |
| description | Abstract Background The hospitalization rate of ambulatory care sensitive conditions (ACSCs) has been recognized as an essential indicator reflective of the overall performance of healthcare system. At present, ACSCs has been widely used in practice and research to evaluate health service quality and efficiency worldwide. The definition of ACSCs varies across countries due to different challenges posed on healthcare systems. However, China does not have its own list of ACSCs. The study aims to develop a list to meet health system monitoring, reporting and evaluation needs in China. Methods To develop the list, we will combine the best methodological evidence available with real-world evidence, adopt a systematic and rigorous process and absorb multidisciplinary expertise. Specific steps include: (1) establishment of working groups; (2) generations of the initial list (review of already published lists, semi-structured interviews, calculations of hospitalization rate); (3) optimization of the list (evidence evaluation, Delphi consensus survey); and (4) approval of a final version of China’s ACSCs list. Within each step of the process, we will calculate frequencies and proportions, use descriptive analysis to summarize and draw conclusions, discuss the results, draft a report, and refine the list. Discussion Once completed, China’s list of ACSCs can be used to comprehensively evaluate the current situation and performance of health services, identify flaws and deficiencies embedded in the healthcare system to provide evidence-based implications to inform decision-makings towards the optimization of China’s healthcare system. The experiences might be broadly applicable and serve the purpose of being a prime example for nations with similar conditions. |
| first_indexed | 2024-04-24T19:58:59Z |
| format | Article |
| id | doaj.art-2c301dd47d6d45bcbb12fa7794c96b1e |
| institution | Directory Open Access Journal |
| issn | 2397-0642 |
| language | English |
| last_indexed | 2024-04-24T19:58:59Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Global Health Research and Policy |
| spelling | doaj.art-2c301dd47d6d45bcbb12fa7794c96b1e2024-03-24T12:09:05ZengBMCGlobal Health Research and Policy2397-06422024-03-019111110.1186/s41256-024-00350-5Development of the China’s list of ambulatory care sensitive conditions (ACSCs): a study protocolJianjian Wang0Dong Roman Xu1Yan Zhang2Hongqiao Fu3Sijiu Wang4Ke Ju5Chu Chen6Lian Yang7Weiyan Jian8Lei Chen9Xiaoyang Liao10Yue Xiao11Ruixian Wu12Mihajlo Jakovljevic13Yaolong Chen14Jay Pan15HEOA Group, West China School of Public Health and West China Fourth Hospital, Sichuan UniversitySchool of Health Management, Southern Medical UniversitySchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Health Policy and Management, School of Public Health, Peking University Health Science CenterVanke School of Public Health, Tsinghua UniversitySchool of Public Health and Preventive Medicine, Monash UniversitySchool of Health Management, Fujian Medical UniversitySchool of Public Health, Chengdu University of Traditional Chinese MedicineDepartment of Health Policy and Management, School of Public Health, Peking University Health Science CenterDepartment of Neurology, West China Hospital, Sichuan UniversityGeneral Practice Ward/International Medical Center Ward, General Practice Medical Center, West China Hospital, Sichuan UniversityChina National Health Development Research CenterCenter for Health Statistics and Information, National Health CommissionInstitute of Advanced Manufacturing Technologies, Peter the Great St. Petersburg Polytechnic UniversityResearch Unit of Evidence-Based Evaluation and Guidelines, Chinese Academy of Medical Sciences (2021RU017), School of Basic Medical Sciences, Lanzhou UniversityHEOA Group, West China School of Public Health and West China Fourth Hospital, Sichuan UniversityAbstract Background The hospitalization rate of ambulatory care sensitive conditions (ACSCs) has been recognized as an essential indicator reflective of the overall performance of healthcare system. At present, ACSCs has been widely used in practice and research to evaluate health service quality and efficiency worldwide. The definition of ACSCs varies across countries due to different challenges posed on healthcare systems. However, China does not have its own list of ACSCs. The study aims to develop a list to meet health system monitoring, reporting and evaluation needs in China. Methods To develop the list, we will combine the best methodological evidence available with real-world evidence, adopt a systematic and rigorous process and absorb multidisciplinary expertise. Specific steps include: (1) establishment of working groups; (2) generations of the initial list (review of already published lists, semi-structured interviews, calculations of hospitalization rate); (3) optimization of the list (evidence evaluation, Delphi consensus survey); and (4) approval of a final version of China’s ACSCs list. Within each step of the process, we will calculate frequencies and proportions, use descriptive analysis to summarize and draw conclusions, discuss the results, draft a report, and refine the list. Discussion Once completed, China’s list of ACSCs can be used to comprehensively evaluate the current situation and performance of health services, identify flaws and deficiencies embedded in the healthcare system to provide evidence-based implications to inform decision-makings towards the optimization of China’s healthcare system. The experiences might be broadly applicable and serve the purpose of being a prime example for nations with similar conditions.https://doi.org/10.1186/s41256-024-00350-5Ambulatory care sensitive conditionsAvoidable hospitalizationsPrimary careQuality of health care |
| spellingShingle | Jianjian Wang Dong Roman Xu Yan Zhang Hongqiao Fu Sijiu Wang Ke Ju Chu Chen Lian Yang Weiyan Jian Lei Chen Xiaoyang Liao Yue Xiao Ruixian Wu Mihajlo Jakovljevic Yaolong Chen Jay Pan Development of the China’s list of ambulatory care sensitive conditions (ACSCs): a study protocol Global Health Research and Policy Ambulatory care sensitive conditions Avoidable hospitalizations Primary care Quality of health care |
| title | Development of the China’s list of ambulatory care sensitive conditions (ACSCs): a study protocol |
| title_full | Development of the China’s list of ambulatory care sensitive conditions (ACSCs): a study protocol |
| title_fullStr | Development of the China’s list of ambulatory care sensitive conditions (ACSCs): a study protocol |
| title_full_unstemmed | Development of the China’s list of ambulatory care sensitive conditions (ACSCs): a study protocol |
| title_short | Development of the China’s list of ambulatory care sensitive conditions (ACSCs): a study protocol |
| title_sort | development of the china s list of ambulatory care sensitive conditions acscs a study protocol |
| topic | Ambulatory care sensitive conditions Avoidable hospitalizations Primary care Quality of health care |
| url | https://doi.org/10.1186/s41256-024-00350-5 |
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