The proactive health management research team has been established, initially focusing on coordinated chronic disease management in communities.
The team will study how community health centres, elderly care institutions and health management companies work together, identifying gaps in the service chain: who screens, who follows up, how data is shared and how payment is connected.
The study will track cases in selected sub-districts, combining service records and interviews to evaluate existing collaboration models and propose practical improvements, providing evidence for integrated care and long-term care policy.