Research Upon Development Status And Countermeasue Suggestions Of Hospital United Systems In China

The world health organization says,health services integrated is one of the important ways to promote health system.In our country,the integration of health services is mainly the integration between different levels of medical institutions by such as assets or the technical elements,from horizontal and vertical the two directions,through collaboration,mergers,restructuring and other different ways to build a consortium of health service provision and management.In 2013,with the concept of Hospital United Systems put forward,China started a new round of medical resources integration.The definition of Hospital United Systems,its advantages and problems,the development prospects of Hospital United Systems and so on become the concern of scholars.I Purposes1.Combing the theoretical basis of Hospital United Systems in our country.Mainly includes:summarizes the related theory of medical resource integration,contrast the similarities and differences between medical resources integration development both at home and abroad,defines the concept of Hospital United Systems,analyzed the typical cases of Hospital United Systems and so on.For the purpose of lay a foundation for empirical research and conclusion and suggestion.2.To Implemente Empirical Research of Typical Hospital United Systems.Through two empirical researches,analyzed common problems of different mode Hospital United Systems in the construction and the advantages and problems of grassroots medical institutions in Hospital United Systems.3.On the basis of theory,combined with the result of empirical research,based on the related theory of SWOT analysis.the research summarizes Strengths,weaknesses,opportunity and Threats four aspects of Hospital United Systems and put forward the corresponding policy recommendations according to the different elements of the combinationII MethodsThis article attaches importance to the scientific nature of the social science research methods.Under the guidance of the combination of the qualitative research and quantitative research,according to the purpose and characteristics of the study,we establish a way of thinking by use qualitative research as the leading factor and quantitative research as assist.In empirical study,according to the methods of qualitative research and quantitative research,with the help of interview outline and questionnaire,the research collects interview information,data and other materials.Qualitative data was analyzed strictly according to the grounded theory of qualitative research method with the help of a Word and Excel.The quantitative data was input by epidata3.1 software and analyzed using SPSS17.0.On the basis of theory,combined with the result of empirical research,based on the related theory of SWOT analysis,the research summarizes Strengths,weaknesses,opportunity and Threats four aspects of Hospital United Systems and put forward the corresponding policy recommendations according to the different elements of the combination.? Results1.Cleared Theoretical Basis of Hospital United Systems in China(1)Summarized the related theory and analyzed the practice of medical resources integrationThis part mainly summarizes the motive and the basic elements of medical resources integration.The motive for medical resources integration includes macro factors such as structural tensions,and' micro factors such as complementary advantages between medical institutions.The basic elements of medical resources integration including the link,the integrated way.governance,members,cooperation content,etc.The exploration of medical resources integration starts 6,70 s last century in the United States,and in the 1990 s US began to build medical groups form mergers and r construction.Medical resources integration in China starts since the 1980 s,up to now has experienced four stages roughly.The research compares the medical resources integration of Chinese and foreign from the society,integration mode,integration of the participants by five aspects,patients,time process.(2)Defined the concept and analyzed Typical cases of Hospital United SystemsHospital United Systems' purpose lies in sink to the high quality resources,enhance the strength of grassroots medical institutions through the joint between different levels of medical institutions.And it can also promote the realization of two-way referral by close contact of medical institution between higher and lower,and to solve the difficult problem of to see a doctor.This part mainly selected Five Hospital United Systems with comparison characteristics from Ma'anshan,Anhui,Zhenjiang,Jiangsu,Nanjing,Jiangsu and Beijing.The research describes and analysis them.2.Implemented Empirical Research of Typical Hospital United Systems in China(1)Analysis of Hospital United System s' Construction Situation in ShandongThis part,the research collected the general characteristics of the medical resources integration in Shandong province and five representative Hospital United Systems through the way of interview.Then,the research reviewed their overall development situation,and the consolidation pattern has carried on the contrast analysis.Finally,through the qualitative research method of grounded theory,the research build up the SMPM model of problems of Hospital United Systems in Shandong province which including Obstacles of the System.Obstacles of Mechanism.Obstacles of the Policy and Obstacles of Management.(2)Research on Reform of Hospital United Systems in Nanshan,ShenzhenIn this part,the research made field research in Nanshan hospital,Shekou and Xili hospital in Nanshan district in which the Hospital United Systems are mainly "3 + 1" and "2 + 1" modes.On basis of analysis,the research made the SPFR model of advantages and 3 M model of problems occurred in Nanshan district.Then the research analyzes the characteristics and advantage of Hospital United Systems in Nanshan district by Personnel,Financial and Resources Sharing and the problems existing in the Nanshan district of Hospital United Systems from Macro,Medium and Micro three aspects.At last the reform plan of "One Whole,Two systems" was put forward.IVConclusion and SuggestionsOn the basis of theoretical research and empirical research,the research using the SWOT model,analyzes the current development of Hospital United Systems from Strengths,Weakness,Opportunities and Threats.And on this basis,the OS pioneering Suggestions were put forward:to strengthen ability of grassroots medical institutions;TS resistance type suggestion:use interest as the link to promote closely combination;OW type for advice:the institutional change can break down barriers of integration and TW conservative advice:purpose oriented innovation integration.