Emerging from the epidemiological transition and accelerated aging process, China's fragmentated healthcare systems struggle to meet the demands of the population. On Sept 1st 2017, China's National Health and Family Planning Commission encouraged all cities to learn from the Luohu model of integration adopted in Luohu as an approach to meeting these challenges. In this paper, we study the integration process, analyze the core mechanisms, and conduct preliminary evaluations of integrated policy development in the Luohu model. The Luohu hospital group was established in Aug 2015, consists of five district hospitals, 23 community health stations and an institute of precision medicine. The group adopted a series of professional, organizational, system, functional and normative strategies for integrated care, which was provided for the residents of Luohu, especially for the elderly population and patients with chronic conditions. According to a preliminary evaluation of the past two years, the Luohu model showed improvement in the structure and process towards integrated care. New preventive programs conducted in the hospital group resulted in changes of disease incidence. Residents were more satisfied with the Luohu model. However, spending exceeded the global budget for health insurance because of short-term increases in the demand for health care. First, engagement of multiple stakeholders is essential for the design and implementation of reform. Second, organizational integration is a prerequisite for integrated care in China. Third, effective care integration requires alignment with payment reforms. Fourth, normative integration could promote collaboration in an integrated healthcare system. Core strategies and mechanisms of the Luohu model will promote integrated care in urban China and other countries facing the same challenges. However, it is necessary to study the effects of the Luohu model over the long term and continue to strive for integrated care.

Background: As China transitions from a disease-centered to a people-centered healthcare model, hospitals are increasingly involved in health education. This study compares the effectiveness of WeChat Official Accounts (WOAs) operated by hospitals and Centers for Disease Control and Prevention (CDCs) in engaging residents and identifies strategies to enhance the dissemination and impact of hospital WOAs in digital health communication. Methods: This observational study utilized WcplusPro to collect health education-related articles posted between July 2023 and June 2024 from WOAs of district-level CDCs and hospitals in eight administrative districts of Shenzhen, China, excluding administrative affairs-related content. The effects of different posting organizations on article reading and sharing were compared using chi-square tests and multivariable logistic regression in R. Results: A total of 2270 health-related articles were selected for analysis. CDC WOAs accounted for 59.34% ( n = 1347) of the posts, while hospital WOAs accounted for 40.66% ( n = 923). Articles posted by hospitals showed a significant positive association with high reading levels (OR = 14.69, 95% CI = 9.96–22.25). For sharing levels, articles posted by hospitals showed a significant positive association with high sharing levels (OR = 3.56, 95% CI = 2.71–4.72). Articles were more likely to achieve higher resident engagement ( p  < 0.05) if they were published by accounts with larger follower bases (OR = 59.01), featured interrogative titles (OR = 22.19), avoided threatening tones (OR = 4.98–15.44), or were highlighted as headlines (OR = 25.03). Conclusions: Hospital WOAs demonstrate higher effectiveness in promoting resident participation in health education. Hospitals should link health services to daily life and use emotionally resonant narratives. They should expand followings, refine headlines, and position. Encouraging healthcare professionals in health education can boost participation.

Introduction: In the post-pandemic period of COVID-19, the majority of cities in China try to balance the normalization of epidemic prevention and social-economic development. However, the appearance of asymptomatic infected patients poses threats to public health, which might be infectious without clinical symptoms and only be detected by testing approaches. Methods: Along with the appearance of one symptomatic case, a regional large-scale screening program was carried out in Shenzhen City charged by a regionally integrated healthcare system. After describing the screening program, a retrospective cross-sectional study for the screening outcome and efficacy was conducted. Discussion: According to the screening results, the asymptomatic case was infectious and their close contacts should be quarantined cautiously as the close contacts of symptomatic cases. Besides, after integrating medical resources in Luohu district of Shenzhen, the medical capability of Luohu district improved greatly which could be demonstrated in inspection and organization abilities in this screening program. Conclusion: The large-scale screening contributed to preventing epidemic transmission. In the post-pandemic period, regular surveillance of asymptomatic cases and rapid response capability for emergent screening program are both crucial for the prevention and control of COVID-19 epidemic. The integrated healthcare system coordinating regional medical institutions and optimizing regional medical recourse has advantages to address public health emergencies.

In China, most cities have gradually controlled the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and brought coronavirus disease 2019 (COVID-19) under control locally. This means that crucial work has shifted from internal management of the pandemic to external prevention and control, especially management of international travelers and imported goods. There is much uncertainty about variants of concern for SARS-CoV-2, which pose challenges to the steady resumption of social and economic life once the mutant strains begin to spread. The sporadic outbreaks of COVID-19 in different provinces of China caused by these mutant strains emphasizes the need for both prevention and control measures. Therefore, we introduce China’s experience with preventing and controlling COVID-19 in the postpandemic period, which may serve as a reference in various settings.