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Participants identified that the fact the referral system was not implemented was the biggest obstacle to coordination, and reported that they only became aware of their patients' situation when patients came to get an official prescription for medicines recommended by a specialist.
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There were two categories of key factors, including the poorly integrated health resources and a lack of a mechanism for coordinated management among the health systems, which created the obstacles to coordination of integrated PHSHT service delivery in China.
This study was designed to determine the effectiveness of, and obstacles to coordination of integrated PHSHT service delivery in China.
Where such a shared vision is absent, neutral assisting organisations can act as brokers, helping to overcome social or political obstacles to coordination.
Then, a qualitative assessment is used to examine in-depth the reasons behind these statistics, and identify the obstacles to coordination of health systems in the delivery of these integrated services.
However, the downside is that it is an obstacle to cooperation and coordination between different stakeholders and to determining what works for whom in which context.
The major obstacles to the coordination of delivering these integrated services are lack of service resource integration; and lack of a mechanism for coordination of the health systems, with no uniform guidelines, clear roles or consistent evaluation.
A number of obstacles to the coordination of integrated PHSHT service delivery were identified from the interviews of users and providers.
The findings of this study provide a more comprehensive understanding of the obstacles to the coordination of integrated PHSHT service delivery.
This section will present outcomes of the needs assessment including the effectiveness of, and obstacles to the coordination of the integrated PHSHT service delivery in China.
The key obstacles to the coordination for the delivery of integrated PHSHT services have been identified by the stakeholders' needs assessment in this study.
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