An evidence-informed Delphi study of ambulatory care sensitive conditions in China: a policy tool to assess primary care performance.

ABSTRACT:

Background

Ambulatory care sensitive conditions (ACSCs) serve as a critical indicator for assessing healthcare system performance globally. However, China lacks a standardized ACSCs list adapted to its unique healthcare context and evolving medical needs.

Methods

This study employed a modified Delphi method combined with evidence-based medicine. First, we systematically reviewed international ACSCs lists and their development methodologies to identify potential diseases. Next, we evaluated the evidence of these potential conditions within China's healthcare system. Finally, a two-round Delphi survey was performed to finalize a consensus-based ACSCs list for China.

Findings

The finalized ACSCs list comprises 14 conditions, categorized into: five core conditions (chroni

SUBMITTER: Wang J 

PROVIDER: S-EPMC12639894 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature