Development dilemmas and countermeasures of the cross regional loose medical alliances in the Yangtze River Delta
10.3760/cma.j.cn111325-20230717-00555
- VernacularTitle:长三角跨区域松散型医疗联合体发展困境及对策分析
- Author:
Keqiang ZUO
1
;
Longjun HU
;
Jumi XU
;
Mingping QIAN
;
Chenchen WANG
;
Yanmeng WU
;
Yi LIU
;
Xiuzhi CHEN
;
Yingchuan LI
;
Hongxiang FEI
Author Information
1. 上海市第十人民医院医疗资源发展处，上海 200072
- Keywords:
Delivery of health care, integrated;
Medical alliance;
Yangtze River Delta;
Loose mode;
Integration;
Smith policy implementation process model
- From:
Chinese Journal of Hospital Administration
2023;39(11):799-803
- CountryChina
- Language:Chinese
-
Abstract:
The cross regional loose medical alliance is an important carrier in the current integrated development process of medical services in the Yangtze River Delta region. Smith policy implementation process model was used to analyze the development difficulties of cross regional loose medical alliances from idealized policies, policy implementation institutions, policy target groups, and policy implementation environment. Such medical alliances were formed under the background of integrated development in the Yangtze River Delta, with Shanghai′s tertiary public hospitals as leading units and medical institutions in Jiangsu, Zhejiang, and Anhui provinces as member units. Analysis showed that the policies for such medical alliances development had not yet clearly defined the organizational management mode, operational mechanism, and implementation path, and the corporate governance structure of medical alliance was immature; The policy implementation agencies were relatively lagging behind in the support of special funds and the formulation of related supporting policies; Participation of policy target groups was insufficient and their incentive mechanisms was imperfect; There were problems in the policy implementation environment, namely inconsistent medical and health service regulations and systems in different regions, different health financing capabilities of local governments, insufficient coordination of medical institution management concepts, and a lack of unified standards in information systems. Based on the above difficulties, this study proposed to strengthen the development planning and layout of cross regional loose medical alliances, and improve the corporate governance structure; To strengthen the government′s main responsibility and improving policy implementation capabilities; To improve the internal cooperation and operation mechanism of cross regional loose medical alliances, and enhance the sense of identity of the target group; To optimize the policy implementation environment and implement various support measures, so as to provide references for further promoting the coordinated development of high-quality medical resources in the Yangtze River Delta region.
