{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T16:23:53Z","timestamp":1787329433849,"version":"build-2736575974"},"reference-count":45,"publisher":"Ubiquity Press, Ltd.","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Integr Care"],"abstract":"<jats:p>Introduction: Integrated healthcare is a global health reform trend to enhance population health and well-being through person-centered service integration. AS one of the world\u2019s most populous developing countries, China has prioritized building county-level medical communities (CMCs) to tackle healthcare challenges, integrate resources, strengthen primary-level capacity, and improve hierarchical service delivery.\nDescription: This paper examines the construction of the CMC in Shaxian District, Sanming City, Fujian Province, as a representative case study. It systematically reviews key initiatives, outcomes, institutional frameworks, management approaches, and operational mechanisms deployed in the district\u2019s healthcare integration efforts.\nDiscussion: The Sanming model, exemplified by the Shaxian case, demonstrates how strategic resource integration, standardized management, and mechanism innovation can improve service efficiency and equity at the grassroots level. Its success provides transferable lessons in policy design, cross-sectoral collaboration, and performance evaluation for advancing integrated healthcare.\nConclusion: The Shaxian CMC provides valuable insights and actionable policy recommendations for countries and regions advancing integrated healthcare systems, offering potential for global adaptation to strengthen primary care and health equity.<\/jats:p>","DOI":"10.5334\/ijic.9542","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T09:55:47Z","timestamp":1787046947000},"page":"10","source":"Crossref","is-referenced-by-count":0,"title":["Construction and Practice of the County Integrated Healthcare System in China: A Case Study of Shaxian, Sanming"],"prefix":"10.5334","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9638-2470","authenticated-orcid":false,"given":"Lina","family":"Zhao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8798-8158","authenticated-orcid":false,"given":"Yiyang","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9395-1581","authenticated-orcid":false,"given":"Fanyi","family":"Kong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2189-2533","authenticated-orcid":false,"given":"Zhiyi","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4660-1519","authenticated-orcid":false,"given":"Yazi","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8131-4014","authenticated-orcid":false,"given":"Zongjiu","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3285","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"issue":"1","key":"key20260818095541_B1","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1108\/JICA-08-2024-0047","article-title":"Integrated 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Framework on integrated, people-centred health services: report by the Secretariat. Document A69\/39. Geneva: World Health Organization; 2016. https:\/\/apps.who.int\/gb\/ebwha\/pdf_files\/WHA69\/A69_39-en.pdf (accessed 25 May 2026)."},{"key":"key20260818095541_B25","article-title":"Validation of the care providers version of the Rainbow Model of Integrated Care-measurement tool in Chinese primary care systems","volume":"20","year":"2020","journal-title":"BMC Health Services Research"},{"key":"key20260818095541_B26","unstructured":"Shaxian District Government Office. Basic information about Shaxian District. https:\/\/www.fjsx.gov.cn\/zjsx\/sxgk\/201611\/t20161102_508778.htm (accessed 18 May 2026). [in Chinese]."},{"key":"key20260818095541_B27","unstructured":"Statistics Bureau of Shaxian District, Sanming City. 2024 statistical bulletin on national economic and social development of Shaxian District. https:\/\/www.fjsx.gov.cn\/zwgk\/tjxx\/tjgb\/202504\/P020250411536626521262.pdf (accessed 18 May 2026). [in Chinese]."},{"key":"key20260818095541_B28","unstructured":"Shaxian District Development and Reform Bureau. Report on the implementation of the 2024 national economic and social development plan and the draft 2025 national economic and social development plan of Shaxian District, Sanming City. https:\/\/www.fjsx.gov.cn\/zwgk\/ghjh\/shfzbg\/202501\/t20250109_2093228.htm (accessed 15 September 2025). 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