An Analysis on Policy Practices of Tiered Maternal and Child Health System in Some Areas of China

Corresponding author: WANG Fang, wang.fang@imicams.ac.cn

DOI: 10.12201/bmr.202012.00016

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  Abstract: Objective To understand the progress and existing problems in practices of tiered Maternal and Child Health System in some areas of China. Methods Thematic framework method was used to analyze the policy practices on leadership and governance, service delivery, financing, health workforce, medical products and information of the tiered MCH System in Changzhou of Jiangsu, Shanghai, Chengdu of Sichuan, Shijiazhuang of Hebei. Results Different MCH services were selected to implement tiered service. The function and division of MCH service institutions at all level was clarified through administrative regulations. Multiple forms of collaboration relationship were established to enhance coordination among institutions. The mechanisms of financing and medical insurance payment was modified to influence patients’ health seeking behavior. Promotion of grass-roots health service delivery capability and regional health information sharing was also important measures of the policy practices. Conclusion The responsibilities of MCH service institutions should be further clarified according to local conditions. Comprehensive measures should be taken to promote the capability of grass-roots health service. Long-term mechanism of collaboration among institutions should be improved. An interconnected MCH information sharing platform should be establish.

  Key words: Maternal and Child Health service；Tiered health care system；Policy analysis

  Submit time: 29 March 2021

  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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