Navigating fragmented care: a qualitative study on multimorbidity management challenges in Beijing’s tiered healthcare system
This study underscores systemic gaps in China's healthcare system for multimorbidity care. To address these issues, policymakers should prioritize (1) strengthening primary care coordination through multidisciplinary teams, (2) expanding financial protection for chronic disease management to reduce urban-rural disparities, and (3) training providers in patient-centered communication and shared decision-making. These actionable steps can serve as a blueprint for LMICs aiming to build integrated, patient-centered systems for multimorbidity management.
Authors
- Teng-Yang Fan
- Xu Yang (ORCID: https://orcid.org/0000-0001-9212-9781)
- Na Wang (ORCID: https://orcid.org/0000-0003-3531-4133)
- Conglei You
- Lingling Wang (ORCID: https://orcid.org/0000-0002-0291-7694)
- Lijuan Zhang (ORCID: https://orcid.org/0000-0002-9765-1875)
- Jingyi Zhao (ORCID: https://orcid.org/0000-0002-4058-1095)
- Mi Yao
- Huan Tang (ORCID: https://orcid.org/0000-0002-9098-0684)
- Guohao Zhao
Institutions
- Xuzhou Medical College (CN)
- Zunyi Medical University (CN)
- Peking University (CN)
- Beijing Jishuitan Hospital (CN)
- Binzhou People's Hospital (CN)
- Peking University First Hospital (CN)
- Second Affiliated Hospital of Xuzhou Medical College (CN)
- Community Health Center (US)
- Liaocheng People's Hospital (CN)
- Affiliated Hospital of Jining Medical University (CN)
- Huanggang Central Hospital (CN)
- Affiliated Hospital of Zunyi Medical College (CN)
Publication Details
- Journal
- BMC Primary Care
- Published
- 2025-08-28
- DOI
- https://doi.org/10.1186/s12875-025-02967-y
- Citations
- 2
- Primary Topic
- Chronic Disease Management Strategies
- Type
- article
- Field-Weighted Citation Impact
- 2.71
Funders
- Peking University First Hospital
- National Natural Science Foundation of China
- Peking University