People-Centered Primary Healthcare Enhanced by Supply-Side Integration: A Case Study of the Reform of Changfeng Community Health Service Center in Shanghai

In order to make primary healthcare more efficient and people-centered, the Changfeng Community Health Service Center has placed individuals, families, and communities at the core of the services. Residents, organized by household, sign contracts with community health service centers to meet the health needs of individuals and the population.In order to meet the diversified health needs of residents and provide continuous and comprehensive health services including primary care, specialty care, and other social support, the Changfeng Community Health Service Center has integrated physicians and the medical resources of different levels of hospitals into its offering, called “1+1+1” integration of the supply side. Family physicians provide health services in collaboration with and under the guidance of district and municipal hospitals.The development of the primary healthcare model, in which both supply and demand sides trust each other and participate together in primary healthcare services, has achieved certain results. Residents’ health levels have significantly improved, family physicians’ professional capabilities have improved, doctors have some social influence, and the satisfaction of various stakeholders has increased.The people-centered primary healthcare enhanced by supply-side integration has achieved much success, but it also faces some challenges. Its success depends on internal and external support, including support from the district government, neighborhood committees, expert teams, and community health service centers.