A Multi-Case Study on integration of medical and preventive care models from the Perspective of Collaborative Governance

Corresponding author: Li Tao, leta216@163.com

DOI: 10.12201/bmr.202606.00017

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  Abstract: Objective To examine the formation conditions, operational mechanisms, and implementation outcomes of integration of medical and preventive care models in China from the perspective of collaborative governance, and to summarize regional experiences to inform practices in other areas. Method Based on a revised SFIC model, this study adopted a case study approach and selected City S, City W, and District L as the study sites. Drawing on fieldwork conducted from June to October 2025, multiple sources of data were collected, including participant observation, interviews, and policy documents. Triangulation and comparative analysis were then conducted. Results Policy windows, changing health needs, and local resource endowments and constraints jointly constituted the starting conditions for the integration of medical and preventive care. Government actors promoted multi-stakeholder participation through organizational coordination and institutional authorization. Institutional arrangements, including task lists, disease control supervisors, prescription-based tools, performance appraisal, financial support, and information sharing, supported the routine operation of the integration of medical and preventive care. Through trust-building, sustained communication, and continuous engagement, local actors gradually developed shared understandings. The three regions achieved positive outcomes in infectious disease prevention and control, chronic disease management, health promotion, and the transformation of service delivery models. Conclusions and Recommendations The implementation of integration of medical and preventive care models should be grounded in local conditions, with context-specific pathways selected according to regional circumstances. Its effectiveness can be enhanced through organizational coordination, institutional alignment, and process-based collaboration.

  Key words: Integration of medical and preventive care; Collaborative governance; Case study analysis；Practical models

  Submit time: 8 June 2026

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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  1	2026-03-02	10.12201/bmr.202606.00017V1	Download

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