Chinese Center for Disease Control and Prevention Reports Findings in Hip Fracture (Development of a conceptual framework to scale up co-managed care for older patients with hip fracture in China: a qualitative study): Hip Fracture

2023 AUG 31 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- New research on Hip Fracture is the subject of a report. According to news reporting from Beijing, People’s Republic of China, by NewsRx journalists, research stated, “Hip fracture creates a major burden on society due to high mortality, loss of independence and excess medical costs for older people. A multidisciplinary co-managed model of care is widely considered as the best practice for the management of older patients with hip fracture.”

The news correspondents obtained a quote from the research from Chinese Center for Disease Control and Prevention, “The study aims to develop a conceptual framework to inform the future scale-up of this model of care through the identification of barriers and enablers that may influence successful uptake. This qualitative study was conducted within an interventional study, which aimed to test the effectiveness of co-managed model of care for older patients with hip fracture. Health providers and health administrators from three hospitals were purposively selected and interviewed in-depth. The Consolidated Framework for Implementation Research (CFIR) was used to develop interview guides, collect and analyse data. Inductive and deductive approaches were used to generate enablers or barriers, aligned with the CFIR constructs. All barriers or enablers were inductively summarised to a conceptual framework with essential components to guide the implementation of co-managed model of care in other hospitals. A total of 13 health providers and 3 health administrators were recruited. The main barriers to co-managed care implementation included perceived complexity of implementation, insufficient international collaboration and incentives, the absence of national guideline support and lack of digital health applications for communication between health providers, insufficient number of health providers and beds, and poor understanding about the effectiveness of this care model. A conceptual framework for future scale-up was then developed, consisting of the following essential components: hospital authority support, enabling environment, adequate number of beds, sufficient and skilled health providers, use of digital health technology, regular quality supervision, evaluation and feedback, and external collaborations.”

According to the news reporters, the research concluded: “Despite the complexity of the intervention, the co-managed model of care has the potential to be implemented and promoted in China and in similar settings, although there is a need to demonstrate feasibility in different settings.”

For more information on this research see: Development of a conceptual framework to scale up co-managed care for older patients with hip fracture in China: a qualitative study. BMC Health Services Research, 2023;23(1):898. BMC Health Services Research can be contacted at: Bmc, Campus, 4 Crinan St, London N1 9XW, England. (BioMed Central - http://www.biomedcentral.com/; BMC Health Services Research - http://www.biomedcentral.com/bmchealthservres/)

Our news journalists report that additional information may be obtained by contacting Pengpeng Ye, National Centre for Non-Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of China. Additional authors for this research include Jing Zhang, Minghui Yang, Xinbao Wu, Ruth Webster, Rebecca Ivers and Maoyi Tian.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1186/s12913-023-09910-w. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

Publisher contact information for the journal BMC Health Services Research is: Bmc, Campus, 4 Crinan St, London N1 9XW, England.

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