Development bottlenecks and countermeasures for district hospitals in Shanghai new cities:Based on rainbow model
10.3969/j.issn.1674-2982.2025.05.005
- VernacularTitle:基于彩虹模型的上海新城区级医院发展瓶颈及对策研究
- Author:
Chao LIANG
1
;
Wen-ru SHANG
;
Chun-xin LI
;
Lu HAN
;
Jian-zheng ZHU
Author Information
1. 上海交通大学医学院附属第六人民医院 上海 200233;南京师范大学 江苏 南京 210023;上海申康医院管理研究所 上海 200233
- Publication Type:Journal Article
- Keywords:
Shanghai new cities;
District hospital;
Rainbow model;
Development bottleneck;
Countermeasures
- From:
Chinese Journal of Health Policy
2025;18(5):27-34
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the problems and constraints in the development of district hospitals in new cities of Shanghai,and to provide suggestions for the development of district hospitals based on rainbow model.Methods:Using the purposive sampling method,26 key informants from 16 units of health administrative departments,municipal hospitals,and regional medical centers in 5 new cities were selected for on-site research and in-depth interviews,and the research data were analyzed using the thematic framework method.Results:Macro-level planning layout and resource allocation,meso-level organizational linkage and cooperation and competition,and micro-level medical service and talent discipline are important factors affecting the development of district hospitals;there is a mismatch between the realistic development path and functional positioning,mismatch between the institutional mechanism and the demand for effective integration of medical resources,insufficient specialty development and introduction of new technologies,lack of and serious loss of medical talents,limited policy support,inconsistent standards and transfer of resources,and limited policy support.Limited efforts,non-uniform standards poor referral,and other development bottlenecks.Conclusions:It is suggested to strengthen system integration,optimize the planning and layout of health resources in the new city,and guide the differentiated development of hospitals at the city and district levels;Strengthen organizational integration,improve the cooperation and benefit distribution mechanism,and accelerate the construction of close-knit medical consortiums;Optimize the integration of services,accelerate the application of new technologies,and strengthen the construction of specialty alliances;Deepen the integration of functions and norms,coordinate human,financial,and material resources,and solidify the basic support.
