biostudies-literatureQian YFundamental Research Funds for the Central UniversitiesWorld Bank GroupNational Natural Science Foundation of China185https://www.ebi.ac.uk/biostudies/studies/S-EPMC5657104biostudies-literatureUnknown16(1)<h4>Background</h4>Initiatives on integrated care between hospitals and community health centers (CHCs) have been introduced to transform the current fragmented health care delivery system into an integrated system in China. Up to date no research has analyzed in-depth the experiences of these initiatives based on perspectives from various stakeholders. This study analyzed the integrated care pilot in Hangzhou City by investigating stakeholders' perspectives on its design features and supporting environment, their acceptability of this pilot, and further identifying the enabling and constraining factors that may influence the implementation of the integrated care reform.<h4>Methods</h4>The qualitative study was carried out based on in-depth interviews and focus group discussions with 50 keInternational journal for equity in healthIntegrated care reform in urban China: a qualitative study on design, supporting environment and implementation.PMC565710471403007Hou ZQian YZhang DWang WYan FfalseIntegrated care reform in urban China: a qualitative study on design, supporting environment and implementation.<h4>Background</h4>Initiatives on integrated care between hospitals and community health centers (CHCs) have been introduced to transform the current fragmented health care delivery system into an integrated system in China. Up to date no research has analyzed in-depth the experiences of these initiatives based on perspectives from various stakeholders. This study analyzed the integrated care pilot in Hangzhou City by investigating stakeholders' perspectives on its design features and supporting environment, their acceptability of this pilot, and further identifying the enabling and constraining factors that may influence the implementation of the integrated care reform.<h4>Methods</h4>The qualitative study was carried out based on in-depth interviews and focus group discussions with 50 ke2017-01-01T00:00:00Z2017 Oct2026-07-15T16:31:51.14Z2026-07-07T03:08:34.25ZS-EPMC56571042907007410.1186/s12939-017-0686-8